中华实验外科杂志
中華實驗外科雜誌
중화실험외과잡지
CHINESE JOURNAL OF EXPERIMENTAL SURGERY
2009年
8期
1012-1014
,共3页
李珂%陈晚平%薛焕洲%姜青峰%叶启发
李珂%陳晚平%薛煥洲%薑青峰%葉啟髮
리가%진만평%설환주%강청봉%협계발
肝移植%再灌注损伤%去铁胺%细胞因子%脱噬作用
肝移植%再灌註損傷%去鐵胺%細胞因子%脫噬作用
간이식%재관주손상%거철알%세포인자%탈서작용
Liver transplantation%Reperfusion injury%Deferoxamine%Cell cytokine%Apoptosis
目的 探讨去铁胺预处理对大鼠自体肝移植余肝细胞凋亡的作用及机制.方法 建立大鼠自体肝移植模型,将96只健康雄性SD大鼠随机分为去铁胺预处理(D组)32只,注射用水对照组(C组)32只和假手术模型(S组)32只.分别于术后0.5、2、6、24 h各时间点处死大鼠,检测血清ALT和AST水平;做病理组织学检查,免疫组织化学检测缺氧诱导因子(HIF)-1α、肿瘤坏死因子(TNF)-α、白细胞介素(IL)-1及bcl-2蛋白的表达,TUNEL测定细胞凋亡.结果 在各个时间点,D组血清ALT及AST水平及IL-1、TNF-α蛋白表达量和凋亡指数明显低于C组(P<0.01),而HIF-1α和bcl-2蛋白表达量明显高于C组(P<0.01).结论 去铁胺预处理对大鼠自体肝移植余肝细胞凋亡具有保护作用,其作用机制部分可能与促进HIF-1α表达上调,从而降低炎性因子水平,促进bcl-2表达达到抑制细胞凋亡的作用.
目的 探討去鐵胺預處理對大鼠自體肝移植餘肝細胞凋亡的作用及機製.方法 建立大鼠自體肝移植模型,將96隻健康雄性SD大鼠隨機分為去鐵胺預處理(D組)32隻,註射用水對照組(C組)32隻和假手術模型(S組)32隻.分彆于術後0.5、2、6、24 h各時間點處死大鼠,檢測血清ALT和AST水平;做病理組織學檢查,免疫組織化學檢測缺氧誘導因子(HIF)-1α、腫瘤壞死因子(TNF)-α、白細胞介素(IL)-1及bcl-2蛋白的錶達,TUNEL測定細胞凋亡.結果 在各箇時間點,D組血清ALT及AST水平及IL-1、TNF-α蛋白錶達量和凋亡指數明顯低于C組(P<0.01),而HIF-1α和bcl-2蛋白錶達量明顯高于C組(P<0.01).結論 去鐵胺預處理對大鼠自體肝移植餘肝細胞凋亡具有保護作用,其作用機製部分可能與促進HIF-1α錶達上調,從而降低炎性因子水平,促進bcl-2錶達達到抑製細胞凋亡的作用.
목적 탐토거철알예처리대대서자체간이식여간세포조망적작용급궤제.방법 건립대서자체간이식모형,장96지건강웅성SD대서수궤분위거철알예처리(D조)32지,주사용수대조조(C조)32지화가수술모형(S조)32지.분별우술후0.5、2、6、24 h각시간점처사대서,검측혈청ALT화AST수평;주병리조직학검사,면역조직화학검측결양유도인자(HIF)-1α、종류배사인자(TNF)-α、백세포개소(IL)-1급bcl-2단백적표체,TUNEL측정세포조망.결과 재각개시간점,D조혈청ALT급AST수평급IL-1、TNF-α단백표체량화조망지수명현저우C조(P<0.01),이HIF-1α화bcl-2단백표체량명현고우C조(P<0.01).결론 거철알예처리대대서자체간이식여간세포조망구유보호작용,기작용궤제부분가능여촉진HIF-1α표체상조,종이강저염성인자수평,촉진bcl-2표체체도억제세포조망적작용.
Objective To investigate the role of deferoxamine pretreatment in hepatic cell apoptosis of residual liver following liver auto-transplantation in rats.Methods The liver auto-transplantation model in rats was established.Ninety-six male Sprague-Dawley rats were randomly divided into 3 groups: 32 rats in deferoxamine pretreatment group (D) ,32 rats in control group with aqua pro injection pretreatment (C) ,and 32 rats in sham-operated group (S).The animals were killed at 30 min,2,6 and 24 h after operation respectively.The levels of serum ALT and AST were determined.Liver histological changes were observed by HE staining.Apoptosis was assayed by TUNEL.The protein expression of HIF-1α,TNF-α, IL-l and bcl-2 was detected by immunohistochemistry.Results At 30 min,2,6 and 24 h after operation,the levels of ALT and AST, apoptosis index, and the expression levels of IL-1 and TNF-α proteins were significandy higher in group C than in group D (P <0.01) ,but the expression levels of HE-1α and bcl-2 were higher in group D than in group C.Conclusion Deferoxamine pretreatment protects hepatic cells from apoptosis of residual liver following liver auto-transplantation in rats by up-regulating the HIF-1α expression, decreasing levels of TNF-α and IL-1, and promoting the expression of bcl-2.