犬胆管腔内放射对BCL2基因表达的影响及其与平滑肌细胞凋亡的关系
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何贵金

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The effect of intracholangeal radiation on the expression of BCL2 in dogs and its relationship to apoptosis of smooth muscle cells
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    目的探讨γ射线对犬BCL2基因的影响及其与胆管壁增殖平滑肌细胞凋亡的关系和意义。方法将103钯(103pd)放射性支架和普通支架分别植入犬的肝外胆管内;取出胆管标本,用免疫组化方法检测γ射线诱导的胆管壁凋亡增殖平滑肌细胞中的BCL2基因,并检测凋亡细胞数量,计算机图象检测系统检测两组胆管腔面积。结果103pd支架组胆管组织中BCL2基因表达较普通支架组为弱;BCL2基因低表达组犬胆管出现增殖平滑肌细胞明显凋亡;肝外胆管无明显狭窄;BCL2基因高表达组胆管未出现增殖平滑肌细胞明显凋亡,而肝外胆管有明显狭窄。结论实验犬BCL2基因表达水平与细胞凋亡的发生和细胞对辐射敏感性有关;103pd放射性支架通过降低BCL2基因表达,促进胆管增殖平滑肌细胞凋亡,从而抑制肝外胆管狭窄。

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    ObjectiveTo study the effect of BCL2 γradiation on BCL2 gene in dogs, and its relationship and signifcane on apoptosis of proliferated smooth muscle cells of bile duct wall. MethodsThe 103Pd radioactivity stent(experiment group) or ordinary stent(control group) was positioned into the target segment of bile duct. The injured bile duct segments were dissected free from the dogs, and BCL2 gene in the control and rradiationinduced apoptotic smooth mucle cells of bile duct wall was analysed by using immunohistochemical technique. The number of apoptotic cells was counted, and size of lumen of bile duct in both groups was measured by a computerized imaging system.ResultsBCL2 gene expression was weaker in the 103Pd radioactive stent group than in the ordinary stent group. The group of dogs with low expression of BCL2 genes showed marked apoptosis of proliferated smooth mucle cells of bile duct and there was no overt stenosis of extrahepatic bile ducts. The group that showed high expression of BCL2 gene did not show marked apoptosisi of proliferated smooth muscle cells of bile duct, and there was marked stenosis of extrahepatic bile duct.ConclusionsThe expression level of BCL2 in experimental dogs is related to the develoment of cellular apoptosis and to radiation sensitivity of the cells. 103Pd radioactive stent can reduce the expression of BCL2 gene, promote apoptosis of proliferated smooth muscle cells of bile duct, and suppress stricture formation of extrahepatic bile duct.

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何贵金,鞠光,高沁怡,许书河,高红,姜维国,蒋涛,戴显伟,马凯.犬胆管腔内放射对BCL2基因表达的影响及其与平滑肌细胞凋亡的关系[J].中国普通外科杂志,2005,14(8):10-.
DOI:10.7659/j. issn.1005-6947.2005.08.010

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  • 在线发布日期: 2005-08-25