急性胰腺炎外周血中性粒细胞凋亡及XIAP表达的意义
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李宜雄

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Role of expression of X-linked inhibitor of apoptosis protein in polymorphonuclear neutrophils during acute pancreatitis
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    摘要:

    目的:探讨急性胰腺炎(AP)外周血中性粒细胞(PMN)的凋亡及X连锁凋亡抑制蛋白(XIAP)的表达意义。
    方法:采用流式细胞仪分别测定重症急性胰腺炎(SAP)组,轻症急性胰腺炎(MAP)组和正常对照(NC)组外周血PMN的凋亡情况,采用RT-PCR和Western Blotting技术测定各组外周血PMN中XIAP mRNA及蛋白的表达,分析PMN凋亡及XIAP表达与疾病严重程度的关系。
    结果:PMN凋亡SAP组为(2.15±0.40)%,MAP组为(4.16±0.14)%,NC组为(4.31±0.12)%,SAP组和MAP组PMN凋亡较NC组明显减少(P<0.05),而SAP组PMN凋亡显著少于MAP组(P<0.01)。SAP组及MAP组XIAP mRNA的表达较NC组增加(P<0.05),而SAP组显著高于MAP组(P<0.01)。各组PMN XIAP蛋白水平与其mRNA水平一致。
    结论:XIAP可能参与介导SAP 外周血PMN的凋亡延迟,且与疾病的严重程度有关。

    Abstract:

    Abstract:Objective:To explore the role of apoptosis and the expression of X-linked inhibitor of apoptosis protein (XIAP) in polymorphonuclear neutrophils (PMNs) during acute pancreatitis (AP).
    Methods :Blood from normal control (NC, n=15), mild acute pancreatitis (MAP, n=15) and severe acute pancreatitis (SAP, n=15) were collected. PMNs apoptosis was detected by flow cytometry. PMNs were isolated from each group and XIAP mRNA and protein levels were assessed by RT-PCR and Western Blotting.
    Results:PMNs apoptosis in SAP group was (2.15±0.40)%, MAP group was (4.16±0.14)%,NC group was (4.31±0.12)%. PMNs apoptosis rate in SAP and MAP groups was decreased compared to NC group (P<0.05), in SAP group was markedly decreased compared to MAP group (P<0.01). The expression of XIAP in SAP and MAP groups was increased as compared to NC group (P<0.01), and XIAP expressed in SAP was markedly increased compared to MAP group (P<0.01).
    Conclusions:XIAP may contribute to the severity of acute pancreatitis through suppression of apoptosis of PMNs.

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廖立秋,李宜雄,欧阳洋,吕新生.急性胰腺炎外周血中性粒细胞凋亡及XIAP表达的意义[J].中国普通外科杂志,2008,17(9):4-856.
DOI:10.7659/j. issn.1005-6947.2008.09.004

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  • 在线发布日期: 2008-09-25