CAJ | 학술논문

目的：探讨雷公藤内酯醇(Triptolide，Tri)在小鼠同种异体皮肤移植中的免疫抑制作用及其可能的作用机制。方法采用BALB/c小鼠作为供体，C57BL/6小鼠作为受体，建立皮肤移植模型。随机分为3组，每组8只。移植术后前6天(0~5 d)分别予腹腔注射1%吐温80溶剂(对照组)、Tri 100μg/kg(L-Tri组)和Tri 200μg/kg(H-Tri组)。术后观察移植皮片存活情况。并于术后第7天每组随机选取3只，切取脾脏以流式细胞术检测脾淋巴细胞中CD4+CD25+Foxp3+T细胞比例。结果对照组、L-Tri组和H-Tri组移植皮片平均存活时间分别为(8.3±1.2)、(12.4±1.9)、(14.9±2.2)d；脾淋巴细胞中CD4+CD25+Foxp3+调节性T细胞比例分别为(5.6±0.8)%、(12.6±1.5)%和(16.1±2.1)%；L-Tri组及H-Tri组与对照组比较，H-Tri组与L-Tri组比较，小鼠移植皮肤平均存活时间均明显延长(P<0.05)，CD4+CD25+Foxp3+T细胞数量也明显增加(P<0.05)。结论 Tri能够抑制移植后排斥反应，延长小鼠同种异体皮肤移植的存活时间，其免疫作用机制可能与上调移植受体CD4+CD25+Foxp3+T细胞的比例有关，并且其免疫抑制作用具有一定的剂量依赖性。
목적：탐토뢰공등내지순(Triptolide，Tri)재소서동충이체피부이식중적면역억제작용급기가능적작용궤제。방법채용BALB/c소서작위공체，C57BL/6소서작위수체，건립피부이식모형。수궤분위3조，매조8지。이식술후전6천(0~5 d)분별여복강주사1%토온80용제(대조조)、Tri 100μg/kg(L-Tri조)화Tri 200μg/kg(H-Tri조)。술후관찰이식피편존활정황。병우술후제7천매조수궤선취3지，절취비장이류식세포술검측비림파세포중CD4+CD25+Foxp3+T세포비례。결과대조조、L-Tri조화H-Tri조이식피편평균존활시간분별위(8.3±1.2)、(12.4±1.9)、(14.9±2.2)d；비림파세포중CD4+CD25+Foxp3+조절성T세포비례분별위(5.6±0.8)%、(12.6±1.5)%화(16.1±2.1)%；L-Tri조급H-Tri조여대조조비교，H-Tri조여L-Tri조비교，소서이식피부평균존활시간균명현연장(P<0.05)，CD4+CD25+Foxp3+T세포수량야명현증가(P<0.05)。결론 Tri능구억제이식후배척반응，연장소서동충이체피부이식적존활시간，기면역작용궤제가능여상조이식수체CD4+CD25+Foxp3+T세포적비례유관，병차기면역억제작용구유일정적제량의뢰성。
Objective To investigate the immunosuppressive effect and the possible mechanism of Triptolide on skin al-lografts in murine model. Methods BALB/c mice to C57BL/6 mice skin allografting models were created. The recipi-ents were divided into three groups. The mice in the treatment groups were injected intraperitoneally with Triptolide at 100μg/kg (low-dose Triptolide group, L-Tri group) or 200 μg/kg (high-dose Triptolide group, H-Tri group) daily in the first 6 days (0-5 days);while the mice in control group were given vehicles (1% Tween 80). The median survival time of skin allografts in each group was monitored. The proportion of CD4+CD25+Foxp3+regulatory T cells in spleen tissue were tested by flow cytometry. Results The median survival time of skin allografts in the control group, L-Tri group and H-Tri group were (8.3±1.2), (12.4±1.9) d and (14.9±2.2) d respectively. The percentage of CD4+CD25+Foxp3+regulatory T cells in spleen tissues of three groups were (5.6±0.8)%, (12.6±1.5)%and (16.1±2.1)%respectively. Compared with control group, the L-Tri group and H-Tri group show significantly prolonged skin allograft survival time (P< 0.05), increased percentage of CD4+CD25+Foxp3+regulatory T cells (P< 0.05). Conclusion Tri can inhibit im-mune rejection, prolong the skin allograft survival time in mice. The anti-rejection effect of Tri may be attributed to the upregulation of regulatory T cells. In addition, the immunosuppressive effect of triptolide shows dose-dependent.