国际麻醉学与复苏杂志   2014, Issue (2): 1-1
    
腹腔注射S100A9蛋白对脓毒症小鼠早期免疫功能的影响
魏玮, 王嘉锋, 刘毅, 李金宝, 邓小明1()
1.长海医院
Effects of S100A9 protein injected intraperitoneally on early immune function in mice with sepsis
 全文:
摘要:

目的 探讨腹腔注射S100A9蛋白对脓毒症小鼠早期免疫反应的影响。方法:采用盲肠结扎穿孔(cecal ligation and puncture, CLP)制作脓毒症模型。36只C57BL/6小鼠随机均分为3组:假手术组(Sham组),脓毒症模型组(CLP组)以及S100A9注射组(S100A9组)。CLP手术后1h时S100A9组腹腔注射S100A9蛋白1μg,其他两组注射等体积生理盐水。术后24h 采集各组小鼠外周血、收集腹腔灌洗液 (Peritoneal lavage fluid, PLF),并取材肝脏和肺组织。检测血液和PLF中细菌负荷,血浆TNF-α和IL-10的浓度,以及PLF中性粒细胞 (polymorphonuclear neutrophil, PMN)、CD4+与CD8+T细胞数量。对肝脏和肺组织进行HE染色后进行病理学分析。结果 CLP术后小鼠外周血及腹腔灌洗液中细菌负荷分别为(178.8±51.5)×103和(246.6±49.8)×107CFU,与Sham组相比显著升高(P<0.01)。S100A9组小鼠外周血和PLF中细菌负荷分别为(19.6±7.9)×103和(47.8±18.6)×107,与CLP组相比显著下降(P<0.01)。CLP组血浆抗炎因子IL-10水平为(296.2±7.4)pg/mL,S100A9组为(906.6±92.9)pg/mL,与CLP组相比显著上升(P<0.01);而TNF-α无显著差异。与Sham组比较,CLP组小鼠PLF中只有PMN计数显著增加,为(767.0±141.6)个/μL(P<0.01)。与CLP组比较,S100A9组小鼠PMN计数为(1569.4±194.7)个/μL,进一步升高(P<0.01),CD4+与CD8+T细胞计数也明显升高,分别为(702.0±167.4)个/μL和(286.5±114.9)个/μL(P<0.01和P<0.05)。S100A9组小鼠肝组织和肺组织损伤明显减轻。结论 腹腔注射S100A9可有利于CLP小鼠早期腹腔感染的控制,降低过度炎症反应,减轻肝脏与肺脏组织损伤。

关键词: S100A9;脓毒症;盲肠结扎穿孔;中性粒细胞;炎症
Abstract:

Objective To investigate the effect of S100A9 protein on early immune function in mice with sepsis when injected intraperitoneally. Methods Experimental sepsis was induced by cecal ligation and puncture (CLP). 36 C57BL/6 mice were randomly divided into 3 groups (n=12 in each group): a sham group, a CLP group and a S100A9 group. One hour after operation, S100A9 protein was injected intraperitoneally to mice in the S100A9 group, while the same volume of normal saline was given to Sham and CLP group. 24 hours after surgery peripheral blood and peritoneal lavage fluid (PLF) were collected and the liver and lung of mice harvested from the living mice in each group. Bacterial loads were detected in blood and PLF. The levels of inflammatory factors TNF-α and IL-10 in blood were measured using ELISA. Counts of polymorphonuclear neutrophils (PMN), CD4+ and CD8+T cells in PLF were assayed using Flow Cytometry (FCM). The sections of liver and lung were stained by hematoxylin and eosin for histopathological examination. Results Bacterial loads in blood and PLF after CLP were (178.8±51.5)×103 and (246.6±49.8)×107 CFU respectively, they were significantly higher compared to Sham group (P<0.01). Bacterial loads in blood and PLF in the S100A9 group were (19.6±7.9)×103 and (47.8±18.6)×107 CFU respectively, and they were significantly lower compared to the CLP group (P<0.01). The level of anti-inflammatory cytokine IL-10 in CLP group was(296.2±7.4)pg/mL, and in S100A9 group it was (906.6±92.9)pg/mL (P<0.01), while the level of TNF-α was almost similar in these two groups. In CLP group only the number of PMN in PLF increased significantly when compared with sham group, it was (767.0±141.6)cells/μL (P<0.01). Number of PMN in PLF increased even more in S100A9 group, it was(1569.4±194.7)cells/μL (P<0.01). However, CD4+ and CD8+T cells in the S100A9 group also increased significantly when compared with CLP group, they were (702.0±167.4)cells/μL and (286.5±114.9)cells/μL (P<0.05 and <0.01) respectively. Histopathology also showed less injuries in liver and lung tissue in S100A9 group. Conclusions Injection of S100A9 could enhance the ability of clearing pathogens in peritoneal cavity, inhibit the over-aggressive inflammatory response, and attenuate liver and lung injury in mice with sepsis.

Key words: Sepsis; CLP; S100A9; Polymorphonuclear neutrophil; Inflammation