颅内隐球菌感染对脑屏障通透性的影响

In fluence of intracranial cryptococcal infection on brain barrier permeability

  • 摘要: 目的 探索颅内隐球菌感染对脑屏障通透性的影响。 方法 成年雄性SD大鼠12只,体质量260 ~ 300 g,随机分为对照组和实验组,各6只。实验组大鼠建立隐球菌脑膜炎模型,对照组为正常大鼠。尾静脉给予氟康唑,利用纹状体、侧脑室同步微透析联合高效液相色谱法检测血浆、脑细胞外液和脑脊液中氟康唑浓度。计算氟康唑在血-脑屏障和血-脑脊液屏障的透过率,观察颅内隐球菌感染对氟康唑血-脑屏障、血-脑脊液屏障的透过率的影响。 结果 正常组大鼠血-脑屏障及血-脑脊液屏障透过率分别为62.12%±10.38%和69.33%±7.34%;实验组大鼠血-脑屏障及血-脑脊液屏障透过率分别为78.18%±2.45%和87.29%±7.11%,实验组血-脑屏障和血-脑脊液屏障透过率均比对照组高(P均< 0.05)。 结论 颅内隐球菌感染增加了血-脑屏障和血-脑脊液屏障的通透性。

     

    Abstract: Objective To investigate the influence of intracranial cryptococcal infection on brain barrier permeability. Methods Twelve adult male SD rats weighting 260-300 g were randomly divided into control group and experimental group (n=6 in each group).Cryptococcal meningitis rat model was established in experimental group.Fluconazole was administered via the tail vein and micro dialysis sampling was used to obtain extracellular fluid and cerebrospinal fluid synchronously.The concentrations of fiuconazole in plasma, extracellular fiuid and cerebrospinal fiuid were measured using high performance liquid chromatography (HPLC).The permeation rate of fluconazole in blood brain barrier and blood cerebrospinal fluid barrier in different groups were calculated to investigate the in fiuence of intracranial cryptococcal infection on brain barrier permeability. Results The permeation rates of fiuconazole through blood - brain barrier and blood - cerebrospinal fluid barrier were 62.12%±10.38% and 69.33%±7.34% respectively in the normal group, signi ficantly higher than those of 78.18%±2.45% and 87.29%±7.11% in the experimental group (P< 0.05, respectively). Conclusion Intracranial cryptococcal infection can increase the permeability of blood - brain barrier and blood - brain fluid barrier.

     

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