血管生成素-1治疗急性坏死性胰腺炎合并胰性脑病的实验研究
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彭彦辉 E-mail:yhpeng1858@sina.com

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河北省自然科学基金2008年计划项目(2008047)。


Study on the therapeutic effects of angiopoietin-1 for acute necrotizing pancreatitis complicating pancreatic encephalopathy
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    摘要:

    目的:探讨血管生成素-1(Ang-1)对小鼠急性坏死性胰腺炎(ANP)合并胰性脑病的治疗作用。
    方法:Bal b/c小鼠54只,随机均分为对照组,ANP模型组, Ang-1治疗组,每组又均分为3个亚组,分别在9,18,24 h取材。采用腹腔注射雨蛙素的方法(50 μg/kg,1次/h,7次)制备小鼠ANP模型,对照组以相同方式注射等量生理盐水,治疗组在制备ANP模型后腹腔给予注射Ang-1(100 μg/kg)。按预定时间点处理各组小鼠,测定血清中淀粉酶,IL-6,TNF-α的含量,进行胰腺组织学观察及组织病理学评分,同时检测脑组织丙二醛(MDA)含量,脑组织含水量,脑微血管内白细胞计数。
    结果:与对照组比较,其余两组小鼠血清淀粉酶,IL-6,TNF-α,胰腺组织病理学评分,脑组织MDA含量,含水量,脑组织微血管内白细胞计数,在各时间点均显著增高(均P<0.05);与ANP组比较,治疗组除脑组织MDA含量无差异外(P>0.05),其余各项指标均明显改善(均P<0.05)。
    结论:Ang-1对于小鼠急性重症胰腺炎及其介导的脑组织损害具有保护作用。

    Abstract:

    Objective:To investigate the therapeutic effects of angiopoietin-1 for acute necrotizing pancreatitis (ANP) complicating pancreatic encephalopathy in mice.
    Methods:Fifty-four Bal b/c mice were equally randomized into control group, acute necrotizing pancreatitis group and ANP with Ang-1 treatment group. Each group was further equally divided into 3 subgroups to collect the specimens at 9,18 and 24 h, respectively. The ANP model of mouse was induced by intraperitoneal injection of caerulein (50 μg/kg, once hourly, 7 times), the mice of control group were given the same volume of saline in the same administration regimen, and the mice of the Ang-1 treatment group received intraperitoneal injection of Ang-1 (100 μg/kg) after ANP induction. The mice of each group were sacrificed at each predefined time point. The serum levels of amylase (AMY), IL-6 and TNF-α were measured, the histopathological changes of pancreatic tissue were examined and graded with a scoring criterion. Meanwhile, the brain malondialdehyde (MDA) level, brain water content and leukocyte count of the cerebral microvasculature were also determined.
    Results:Compared with the control group, the serum levels of AMY, IL-6 and TNF-α, the histopathological score of pancreatic tissue, brain MDA level and water content, and leukocyte count of the cerebral microvasculature of the other two groups at each time point were all significantly increased (all P<0.05). Except for the brain MDA level (P>0.05), all the parameters of the Ang-1 treatment group were significantly improved compared with ANP group (all P<0.05).
    Conclusions:Ang-1 has protective effect on ANP and ANP-induced brain injury as well.

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霍浩然| 脱红芳| 彭彦辉.血管生成素-1治疗急性坏死性胰腺炎合并胰性脑病的实验研究[J].中国普通外科杂志,2011,20(9):940-944.
DOI:10.7659/j. issn.1005-6947.2011.09.010

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  • 收稿日期:2011-03-24
  • 最后修改日期:2011-09-08
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  • 在线发布日期: 2011-09-15