急性胆囊炎患者腹腔镜手术前后HSP70表达差异的研究
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朱世斌

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Research on the expression difference of hot shock protein 70 before and after laparoscopic cholecystectomy for acute cholecystitis patients
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    摘要:

    目的:比较急性胆囊炎患者腹腔镜手术前后血液中热休克蛋白70(HSP70)的表达差异,从分子和蛋白质水平探讨HSP70与急性胆囊炎的关系。
    方法:以急性胆囊炎行腹腔镜手术的住院患者85例为研究对象,应用酶联免疫吸附法(ELISA)检测手术前后的静脉血中HSP70的量;随机抽取其中4例,提取其血液中的总RNA和蛋白质,分别用RT-PCR和Western-blotting检验HSP70在mRNA和蛋白质水平的表达,并用Bio-rad公司的quantity one软件进行图像数据分析。
    结果:ELISA结果显示,急性胆囊炎患者腹腔镜手术前HSP70为181.42±13.58,手术后为63.74±9.03,差异有显著性(P<0.05)。RT-PCR和Western-blotting结果显示,患者腹腔镜手术后HSP70水平较手术前显著降低。
    结论:HSP70与急性胆囊炎关系密切,可能系因急性炎症刺激机体的HSP70表达增高,而腹腔镜手术清除炎症病灶后HSP70的表达迅速降低。

    Abstract:

    Abstract:Objective:To compare the expression difference of heat shock protein 70 (HSP70) in blood of acute cholecystitis (AC) patients before and after laparoscopic cholecystectomy, and to explore the relationship between HSP70 and AC at molecular and proteinic level.
    Methods :Subjects in the study included 85 in-hospital AC patients who received laparoscopic cholectectomy. Blood before and after laproscopic operation were obtained. Ezyme linked immunosorbent assay (ELISA) was used to determine the quantity of HSP70. Four subjects were randomly selected and the total RNA and protein in blood were extracted. RT-PCR and Western-blotting were applied to determine the expression of HSP70. The data on the figure was analysed with the software Quantity one of Bio-rad Company.
    Results:The expression level of HSP70 of acute cholecystitis patients before laparoscopic cholecystectomy (181.42±13.58) was significantly higher than that of those patients after laparoscopic cholecystectomy (63.74±9.03) (P<0.05). The results of RT-PCR and Western-blotting showed that the HSP70 expression level of acute cholecystitis patients decreasd notably after laparoscopic operation.
    Conclusions:HSP70 is related closely with acute cholecystitis and it′s expression level increases when stimulated by acute inflammation. The expression level of HSP70 rapidly declines when the inflammatory focus is eliminated by laparoscopic operation.

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朱世斌, 张鸽文.急性胆囊炎患者腹腔镜手术前后HSP70表达差异的研究[J].中国普通外科杂志,2007,16(12):8-116.
DOI:10.7659/j. issn.1005-6947.2007.12.008

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  • 在线发布日期: 2007-12-25