TNF-α和IL-2在肝移植急性排斥反应中的表达及意义
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李德卫 E-mail:lidewei406@sina.com

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TNF-&alpha|and IL-2 expression and significance in acute rejection of liver transplantation
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    摘要:

    目的:检测肿瘤坏死因子α(TNF-α)和白细胞介素2(IL-2)在肝移植术后急性排斥反应中的表达情况,以评价其作为肝移植术后急性排斥反应早期诊断指标的价值。
    方法:建立大鼠原位肝移植模型,应用荧光定量PCR法检测大鼠肝移植术后肝组织中TNF-α和IL-2基因的表达,以组织病理学作为急性排斥反应的诊断标准,研究其表达与急性排斥反应的关系。
    结果:术后3,5,7d异基因肝移植大鼠移植肝均有急性排斥反应发生,其肝组织TNF-α及IL-2表达水平均显著高于同期同基因肝移植大鼠肝组织的TNF-α,IL-2表达水平。
    结论:TNF-α和IL-2参与肝移植后排斥反应的发生,其表达可作为术后急性排斥反应的辅助诊断指标。

    Abstract:

    Objective:To investigate the expression of TNF-α and IL-2 in acute rejection of liver transplantation and evaluate their value as predictive indicators of acute rejection.
    Methods:After orthotopic liver transplantation models was established in rats, real-time fluorescent quantitative reverse transcriptase polymerase chain reaction (RT-PCR) was used to detect the gene expression of TNF-α and IL-2 in the transplanted liver. The relationship between TNF-α/IL-2 expression and acute rejection was analyzed based on histopathological standard of acute rejection.
    Results:On day 3,5 and 7 after transplantation, acute rejection occurred in the graft of all allogenic transplantation rats, and the mean levels of TNF-α and IL-2 in liver tissues were significantly higher in allogenic transplantation group than those in syngenic transplantation group.
    Conclusions:TNF-α and IL-2 expression are related to the development of acute rejection after liver transplantation, and may be used as sensitive and reliable accessory indicators in detecting acute rejection.

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樊斌|李德卫|冯渊|杨晓波. TNF-α和IL-2在肝移植急性排斥反应中的表达及意义[J].中国普通外科杂志,2011,20(1):11-14.
DOI:10.7659/j. issn.1005-6947.2011.01.003

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  • 收稿日期:2010-07-18
  • 最后修改日期:2010-11-16
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  • 在线发布日期: 2011-01-15