白介素10对急性肺损伤保护作用的实验研究

The protective effects of interleukin-10 on acute lung injury induced by intratracheal instillation of LPS

  • 摘要: 目的: 探讨白介素10(IL-10)对急性肺损伤(ALI)的保护作用。方法: 气道内滴注内毒素(LPS,10mg/kg)建立大鼠ALI模型。5 4只雄性SD大鼠随机分为对照组、内毒素组、内毒素加IL-10组,每组18只(2h、6h、24h各6只)。按时相处死并采集标本,观察大鼠体重、动脉血气分析、肺系数、支气管肺泡灌洗液(BALF)总蛋白水平、BALF细胞总数及分类计数、血清及BALF中TNF-α水平、肺病理。结果: 内毒素组大鼠体重、动脉血氧分压(PaO2)进行性降低,肺系数、BALF总蛋白水平、BALF细胞总数均明显增加,分类以中性粒细胞(PMN)为主,血清及BALF中TNF-α水平明显升高,肺病理示肺内PMN大量浸润伴出血、透明膜形成。IL-10组的各项指标均较内毒素组减轻。结论: ①气道内滴注内毒素可成功复制ALI模型。②BALF的TNF-α水平比血中TNF-α水平与肺损伤具有更好的相关性。③IL-10可减轻LPS诱导的ALI。

     

    Abstract: Objective: To investigate the protective effects of interleukin-10 on ALI. Methods: A rat model of ALI was induced by intratracheal instillation of LPS with a dose of 10mg/kg. 54 male S-D rats were randomly divided into control group、LPS group and LPS+IL-10 group,every group included 18 rats(6 rats at 2 hours、6hours and 24hours respectively).the body weight of rat、arterial gas analysis、the lung coefficient、the total protein concentration in BALF、the total cell counts and classification in BALF、the level of TNF-αin serum and BALF、lung pathology were examined. Results: In LPS group the body weight and PaO2 were progressively decreased, the lung coefficient、the total protein concentration in BALF、the total cell count in BALF、 the level of TNF-αin serum and BALF were greatly increased, lung pathology showed severe polymorphonuclear leukocytes infiltration with bleeding and hyaline membranes. Conclusion: ①Intratracheal instillation of LPS may serve as a very relevant model to study ALI. ②TNF-α in BALF may has more significance than TNF-α in serum on assessment of lung injury. ③IL-10 could relieve ALI of rats.

     

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