失血性休克大鼠淋巴液中TNF和IL-6水平的变化及山莨菪碱的作用

The changes of tumor necrosis factor and interleukin 6 in lymph of hemorrhagic shock rats

  • 摘要: 目的:观察失血性休克大鼠淋巴液中肿瘤坏死因子(Tumor necrosis factor,TNF)和白细胞介素6(Interleukin 6,IL-6)水平的变化以及山莨菪碱的作用。方法:由颈总动脉放血复制失血性休克模型,经乳糜池插管收集淋巴液,用放射免疫分析法检测淋巴液中TNF和IL-6的含量。结果:失血性休克后,TNF水平明显升高,其中失血1h升高最明显,是失血前的1.71倍,与对照组相比,差异有极显著性意义(P<0.001);IL-6的高峰出现休克1~2h,与失血前相比有显著意义(P<0.01)。失血1h后,回输全部失血并给予山莨菪碱治疗,发现TNF和IL-6水平明显下降,与对照组比较差异无显著性意义(P>0.05)。结论:失血性休克后淋巴液TNF和IL-6水平升高是导致淋巴循环障碍的重要因素之一,山莨菪碱对TNF和IL-6生成有抑制作用。

     

    Abstract: Objective: The aim of the study was to measure tumor necrosis factor (TNF) and interleukin 6 (IL-6) in lymph of hemorrhagic shock rats and the effect of anisodamine on TNF and IL-6 production. Methods: The rat model of hemorrhagic shock was made by bloodletting from common carotid artery. The lymph were collected by intubating into chylocyst. TNF and IL-6 in lymph were determined by means of radioimmunoassay. Results: Hemorrhagic shock led to an increase of TNF and IL-6 in lymph. TNF peaked at 1 hour after hemorrhage (P<0.001),which was 1.71 times higher than that of prehemorrhage. IL-6 peaked at 1~2 hour after hemorrhage (P<0.01). Rats were transfused with all of the lost blood and administered with anisodamine. The levels of TNF and IL-6 were reduced but not significant (P > 0.05). Conclusion: The results indicate that the increase of TNF and IL-6 in lymph may be one of important factors to induce lymph circulatory failure after hemorrhagic shock, and anisodamine seems to be able to inhibit TNF and IL-6 production.

     

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