甲氧氯普胺对雄性大鼠创伤失血性休克后免疫功能及PMN凋亡的影响

Effect of metoclopramide to the male rats immune functions and PMN apoptosis after trauma-hemorrhage

  • 摘要: 目的: 甲氧氯普胺对雄性大鼠创伤失血性休克后免疫功能抑制及多形核白细胞(PMN)凋亡延迟的影响。方法: 30只成年雄性SD大鼠,在腹部正中做5 cm切口直至腹腔,并放血将平均动脉压降至(5±0.5)kPa,维持1 h后将实验动物随机分为3组:甲氧氯普胺组、安慰剂组和对照组。放射免疫法测定脾脏组织匀浆IL-1β和IL-6水平以及循环血清中的TNF-α和IL-8水平。流式细胞仪测定PMN的Fas表达。结果: 雄性大鼠创伤失血性休克后经甲氧氯普胺治疗,脾脏组织生成IL-1β和IL-6的功能得到保护,而安慰剂组明显减少。血清中TNF-α和IL-8水平,甲氧氯普胺组与对照组相比无明显差别,而安慰剂组较对照组明显升高。PMN的Fas表达率甲氧氯普胺组低于对照组,高于安慰剂组。结论: 休克后的免疫功能抑制可以通过在复苏前单次使用甲氧氯普胺而得到有效的恢复,同时因甲氧氯普胺可降低休克后血清中有害细胞因子的含量,所以甲氧氯普胺可能作为失血性休克后安全而有效的治疗辅助用药。

     

    Abstract: Objective: Determine whether administration of metoclopramide(MCP) could produce any effects on the depressed immune function and the delayed apoptosis of PMN after severe hemorrhage.Methods: Male Sprague-Dawley rats(275-325g) were made 5-cm midline laparotomy and bled to a mean arterial pressure of(5±0.5)kPa for 1 h,then randomized into 3 groups: MCP,salinetreated and contrast.2 h after saline or MCP injection,the animals were killed and spleen tissue was homogenated used to determine IL-1β and IL-6.Plasma TNF-α and IL-8 levels were also measured.The Fas expression of PMN was measured too by flow cytometry.Results: Release of IL-1β and IL-6 by spleen tissue in MCP treated group was maintained,whereas salinetreated group rat was depressed.In contrast,there were no difference of plasma lever of TNF-α and IL-8 in MCP group and contrast group, but salinetreated group was higher than the contrast group.The PMN Fas expression of MCP group was lower than the contrast and higher than salinetreated group.Conclusion: The immunosuppression after hemorrhage may be restored by the use of single dose MCP.Furthermore,MCP may be a useful adjuvant in the treatment of the trauma-hemorrhagic shock-induced immunosuppression.

     

/

返回文章
返回