基础医学与临床 ›› 2008, Vol. 28 ›› Issue (11): 1178-1182.

• 研究论文 • 上一篇    下一篇

眼镜蛇毒因子抑制脓毒症大鼠的炎症反应

王瑞兰 魏乔 康福新 曹戍 李国平 茹松伟 李彩花   

  1. 上海交通大学 附属第一人民医院 急诊危重病科 南昌大学 第二附属医院 急诊科 南昌大学 第二附属医院 急诊科 南昌大学 第二附属医院 急诊科 南昌大学 第二附属医院 急诊科 南昌大学 第二附属医院 急诊科 南昌大学 第二附属医院 急诊科
  • 收稿日期:2008-01-08 修回日期:2008-03-13 出版日期:2008-11-25 发布日期:2008-11-25
  • 通讯作者: 王瑞兰

Cobra venom factor inhibited inflammatory responses in septic rats

Rui-lan WANG, Qiao WEI, Fu-xin KANG, Shu CAO, Guo-ping LI, Song-wei RU, Cai-hua LI   

  1. Intensive Care Unit, Shanghai Jiao Tong University Affiliated First People's Hospital Emergency Department, The Second Affiliated Hospital of Nanchang University Emergency Department, The Second Affiliated Hospital of Nanchang University Emergency Department, The Second Affiliated Hospital of Nanchang University Emergency Department, The Second Affiliated Hospital of Nanchang University Emergency Department, The Second Affiliated Hospital of Nanchang University Emergency Department, The Second Affiliated Hospital of Nanchang University
  • Received:2008-01-08 Revised:2008-03-13 Online:2008-11-25 Published:2008-11-25
  • Contact: Rui-lan WANG,

摘要: 目的 观察补体抑制剂眼镜蛇毒因子(CVF)对脓毒症大鼠血清细胞因子释放的影响及对肺组织的保护作用。方法 144只清洁雄性SD大鼠(体重250~300g)随机分为A、B、C 3组,每组48只。A组假手术组,B组(脓毒症组)采用盲肠结扎穿孔术(CLP)复制脓毒症大鼠模型,C组(CVF组)在盲肠结扎穿孔术前24h按50μg/kg注射CVF,A和B组给予等量生理盐水。于术后6个时间点分别采用放射免疫分析法和酶联免疫吸附法检测血清TNF-α、IL-6和IL-10水平,肺组织MPO含量及病理学改变。结果 B组大鼠脓毒症反应最强,A组表现轻微; B组TNF-α及IL-6水平均明显高于A组(P<0.05,P<0.01);B组除2h点外,肺组织MPO水平显著高于A组(P<0.05,P<0.01);B组肺组织损伤最严重;C组经CVF干预后脓毒症反应及肺组织损伤较B组明显减轻,TNF-α、IL-6及MPO水平均较B组明显下降(P<0.05,P<0.01)。结论 补体抑制剂CVF可减轻脓毒症大鼠的炎症反应,具有肺保护作用。

关键词: 脓毒症, 补体, 眼镜蛇毒因子, 细胞因子, 肺, 保护作用

Abstract: Objective To investigate the effects on release of blood-serum cytokines and lung tissues by inhibition of complement activation with cobra venom factor(CVF)in septic rats. Methods One hundred and forty-four SD rats(clean, male,250-300g) were randomly divided into three groups(each n=48):group A(sham group); group B(sepsis group):sepsis was induced by cecal ligation and puncture (CLP) ; group C(CVF pretreatment):sepsis was induced by CLP after pretreatment with CVF,rats were given a dose of 50μg/kg CVF before operation, an equal volume of saline solution in group A and group B. MPO contents, levels of TNF-α、IL-6 and IL-10 were measured at 6 hours points. Lung tissues were observed the changes of histopathology. Results The manifestations of sepsis were severe in group B than that of group A. The levels of TNF-αand IL-6 were higher in group B than that of group A(P< 0.05 ,P< 0.01). MPO contents of lung tissues were higher in group B than that of group A(P< 0.05 ,P< 0.01).The degree of histological damage were much severe in group B than in group A. However, after injection CVF in group C, the manifestations of sepsis were much lighter, the levels of TNF-a、IL-6 and MPO were decreased obviously (P< 0.05,P< 0.01), and the histologic damage ameliorated in CVF group compared to that of group B. Conclusion CVF could lessen the systemic inflammatory response and provide pulmonary protection in septic rats.

Key words: sepsis, complement, cobra venom factor, cytokines, lung, protective effects