国际麻醉学与复苏杂志   2011, Issue (2): 0-0
    
七氟烷对急性肺损伤大鼠肺组织细胞凋亡的影响及其机制
王乐, 赵建华, 栾恒飞, 方志源, 曾因明1()
1.徐州医学院
The mechanisms of Sevoflurane on the apoptosis of pulmonary cells in rats with Pulmonary acute lung injury induced by lipopolysaccharide
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摘要:

【摘要】 目的 观察吸入七氟烷对脂多糖(LPS)致急性肺损伤(Acute lung injury ,ALI)大鼠肺组织细胞凋亡的影响,探讨可能机制。 方法 18只雄性SD大鼠随机均分为3组: ①对照组;②模型组(LPS组);③七氟烷预处理组。LPS组气管内滴注LPS,5 mg/kg,正常对照组气管内注入生理盐水,七氟烷组吸入2.5%七氟烷30分钟后气管内滴注LPS,5 mg/kg。观察12h后放血处死,取肺组织, 行肺组织HE染色, 观察病理变化,测定肺湿重/干重(W/D)比值,以透射电镜、流式细胞仪、TUNEL法检测细胞凋亡,免疫组化检测Fas,western blot检测Bcl-2表达含量。结果 HE染色可见,LPS组较对照组肺泡间隔明显增宽、间质充血水肿、肺泡腔变窄、炎症细胞渗出及小气道损伤,七氟烷LPS组损伤明显减轻。LPS组肺W/D比对照组明显增加(P<0.05),七氟烷LPS组肺W/D明显低于LPS组(P<0.05)。透射电镜证实细胞凋亡样改变,七氟烷LPS组肺损伤明显减轻。流式以及TUNEL法检测发现,LPS组肺组织内细胞凋亡指数(AI)较对照组明显升高,七氟烷LPS组较LPS组明显下降。LPS组Fas表达增加,Bcl-2表达下降,七氟烷LPS组较LPS组Fas表达减少,Bcl-2表达增加。结论:LPS导致急性肺损伤大鼠肺组织产生大量凋亡细胞,七氟烷通过Fas途径减轻肺损伤程度,具有肺保护作用。

关键词: 七氟烷;内毒素;急性肺损伤;凋亡;Fas
Abstract:

【Abstract】 Objective   To investigate the effect and the possible mechanism of Sevoflurane on the lipopolysaccharide (LPS) induced acute lung injury in rats.. Methods eighteen male SD rats were randomly divided into three group . The ALI group received LPS,5 mg/kg , while the control group received normal saline,and the Sevoflurane and LPS group received Sevoflurane (2.5%)for 30min after ALI induced by LPS 5 mg/kg. Lung tissue samples were taken at 12 h after instillation of LPS , histological examination by lung water contant (wet/ dry ,W/ D) calculation and light microcopy was performed. Apoptosis was determined by flow cytometry ( FCM) ,TUNEL test ( Terminal deoxynucleotidyl transferase - mediated dUTP nick end labeling) and electron microscope. At the same time, Fas,Bcl-2 protein expression were studied using immunocytochemistry and western blot techniques in the three group mentioned above. Results The change of the levels of W/D,AI,Fas,Bcl-2 of the ALI group was significant compared with the control group,and lung injury was severe. The levels of W/D,AI,Fas of the Sevofluran group were decreased, while ,Bcl-2 expression were increased compared with the ALI group P < 0.05 or < 0.01 , and lung injury was attenuated . Conclusion Sevoflurane inhalation protects lung from injury by inhibiting excessive cell apoptosis,Fas expression and up-regulating Bcl-2 expression, which may play an important role in the pathogenesis of LPS-induced ALI.

Key words: Sevoflurane ; Lipopolysaccharide ; Apoptosis ; Acute lung injury ;Fas