移植肾排斥反应与Bcl-2表达的研究

Study on rejection and expression of Bcl-2 in renal allografts

  • 摘要: 目的:提高肾移植术后的长期存活率。方法:收集手术切除的无功能移植肾病理标本作为实验组;其相应的肾移植术前活检组织作为对照组。采用自身前后对照,从常规病理、免疫组化、透射电镜等方面,研究移植肾排斥反应、细胞凋亡及Bcl-2表达的病理学改变。结果:Bcl-2染色可显示存活的肾小管,排斥反应破坏肾小管,Bcl-2保护肾小管生存。结论:Bcl-2的表达及细胞凋亡可作为判断移植肾预后的重要指标。

     

    Abstract: Objective: In order to improve the long term survival of renal allograft, a study on rejection and expression of Bcl-2 in renal allografts was designed in this series. Methods: Immunohistochemical determination using antibodies for Bcl-2 gene protein were performed in 6 cases of acute rejection, 3 cases of chronic rejection, and 1 case of cytomegalovirus infection. Two cases of acute rejection and two cases of chronic rejection were studied by transmission electron microscope to confirm apoptosis. Results: On the tubules stain for Bcl-2, it showed that a more positive density was found in control group comparing with allografts (P<0.01). Under electron microscope, apoptosis were demonstrated. Conclusion: Detection and localization Bcl-2 expression may act as morphological characteristics to monitor the renal allograft.

     

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