国际麻醉学与复苏杂志   2023, Issue (11): 2-2
    
氢气缓解脂多糖诱导的ARDS小鼠急性肺功能损伤
昂扬, 李茜, 施敏, 孙涛, 龙云, 段满林1()
1.南京大学医学院附属金陵医院(东部战区总医院)
Hydrogen alleviates acute lung function damage in mice with ARDS induced by lipopolysaccharide
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摘要:

目的:探讨氢气对脂多糖(lipopolysaccharide, LPS)诱导的ARDS小鼠急性肺功能损伤的影响及可能机制。 方法:雄性C57BL/6J小鼠32只,8~10周龄,体质量25~35g。采用随机数字表法分为四组:对照组(C组)、LPS组(L组)、LPS+氢气组(LH组)和氢气组(H组),每组8只。L组和LH组腹腔注射LPS 10mg/kg建立ARDS模型,C组和H组腹腔注射等量生理盐水,LH组和H组予以4%氢气吸入12h。HE染色观察肺组织病理,全身体积描记系统(WBP)检测小鼠肺功能指标[每分通气量(MV)、呼气中期流速(EF50)、最大呼气流速(PEF)、气道狭窄指数(Penh)],散斑多普勒血流成像检测小鼠右肺血流量,ELISA法检测小鼠支气管肺泡灌洗液(BALF)中TNF-α和IL-6的浓度,Western Blot检测小鼠肺组织和血清组织因子(TF)的含量。 结果:HE染色显示C组小鼠肺组织结构正常;L组小鼠肺组织结构紊乱,中性粒细胞浸润,红细胞渗漏和血栓形成,肺间质水肿增厚。与C组比较,L组小鼠MV[(43.09±14.09)ml/min比(103.94±13.3)ml/min]明显下降,EF50[(0.87±0.29)ml/s比(2.42±0.46)ml/s]和PEF [(1.75±0.38)ml/s比(4.57±0.58)ml/s)]均明显降低,Penh[(1.41±0.17)比(0.59±0.08)]明显升高(均P0.05);右肺血流量明显减少(P0.05);BALF中TNF-α、IL-6浓度明显升高(P0.05);肺组织和血清TF含量明显升高(P0.05)。与L组比较,LH组小鼠MV[(73.05±17.56)ml/min比(43.09±14.09)ml/min]明显升高,PEF[(2.65±0.44)ml/s比(1.75±0.38)ml/s]明显升高,Penh[(0.95±0.22)比(1.41±0.17)]明显降低(均P0.05);右肺血流量明显增加(P0.05);BALF中TNF-α、IL-6浓度明显降低(P0.05);肺组织和血清TF含量明显降低(P0.05)。 结论:氢气能够明显缓解LPS诱导的ARDS小鼠急性肺功能损伤,这可能与氢气抑制TF表达,减少促炎因子分泌有关。

关键词: 急性呼吸窘迫综合症;氢气;肺功能损伤;组织因子
Abstract:

Objective: To investigate the effect and the possible mechanism of hydrogen on acute lung function damage in mice with ARDS induced by lipopolysaccharide. Methods: Thirty-two male C57BL/6J mice, 8 to 10 weeks old, body mass 25 to 35 g. The random number table method was used to divide into four groups: control group (group C), LPS group (group L), LPS + hydrogen group (group LH) and hydrogen group (group H), with eight animals in each group. The ARDS model was established by intraperitoneal injection of LPS 10mg/kg in the L and LH groups, Groups C and H were injected with equal amounts of saline intraperitoneally, and 4% hydrogen inhalation was given to the LH and H groups for 12h. HE staining for lung histopathology. Whole-body plethysmography (WBP) system to detect lung function indicators in mice: minute ventilation volume(MV); expiratory flow 50 (EF50); peak expiratory flow (PEF); enhanced pause (Penh). Scattered Doppler flow imaging to detect the right pulmonary microcirculation in mice. ELISA for the determination of inflammatory factors TNF-α and IL-6 in bronchoalveolar lavage fluid (BALF) of mice. Western Blot assay of mouse lung tissue and serum tissue factor (TF) levels. Results: HE staining showed disorganized lung tissue, neutrophil infiltration, erythrocyte leakage and thrombosis, and thickened interstitial lung edema in group L. Compared with group C, MV [(43.09±14.09) ml/min versus (103.94±13.3) ml/min] was significantly decreased in group L mice, EF50 [(0.87±0.29) ml/s versus (2.42±0.46) ml/s] and PEF [(1.75±0.38) ml/s versus (4.57±0.58) ml/s] were significantly lower and Penh [(1.41±0.17) versus (0.59±0.08)] were significantly higher (both P0.05); Right lung blood flow was significantly slower; TNF-α and IL-6 concentrations in BALF were significantly higher (P0.05); lung tissue and serum TF levels were significantly higher (P0.05). Compared with the group L, mice in the group LH had significantly higher MV [(73.05±17.56) ml/min compared to (43.09±14.09) ml/min], significantly higher PEF [(2.65±0.44) ml/s compared to (1.75±0.38) ml/s], and significantly higher Penh [(0.95±0.22) versus (1.41±0.17)] were significantly lower (all P0.05); Right lung blood flow was significantly increased (P0.05); TNF-α and IL-6 concentrations in BALF were significantly decreased (P0.05); and lung tissue and serum TF levels were significantly decreased (P0.05). Conclusion: Hydrogen alleviates acute lung function damage in mice with ARDS induced by lipopolysaccharide, which may be related to the inhibition of TF expression and reduction of inflammatory factor secretion by hydrogen.

Key words: acute respiratory distress syndrome; hydrogen; lung function injury; tissue factor