首都医科大学学报 ›› 2004, Vol. 25 ›› Issue (3): 332-334.

• 论著·临床研究 • 上一篇    下一篇

3例SARS患者肺组织病理学观察及核转录因子-κB的表达

张立洁, 宋晨朝, 郎振为, 孟忻, 张世杰, 孙琳, 李俊强   

  1. 首都医科大学附属北京佑安医院病理科
  • 收稿日期:2003-09-01 修回日期:1900-01-01 出版日期:2004-07-15 发布日期:2004-07-15

Expression of Nuclear Factor Kappa B(NF-κB) in Pneumonia of Severe Acute Respiratory Syndrome

Zhang Lijie, Song Chenzhao, Lang Zhenwei, Meng Xin, Zhang Shijie, Sun Lin, Li Junqiang   

  1. Department of Pathology, Beijing Youan Hospital, Affiliate of Capital University of Medical Sciences
  • Received:2003-09-01 Revised:1900-01-01 Online:2004-07-15 Published:2004-07-15

摘要: 为观察严重急性呼吸综合征(SARS)患者肺损伤的病理学特点及核转录因子-κB(NF-κB)在肺组织中的表达,探讨急性肺损伤时NF-κB的活化及其与肺损伤的关系,对3例SARS死亡病例进行尸体解剖,HE染色观察肺组织的病理改变;采用免疫组织化学SP法检测肺组织NF-κBp65活性.结果:肺部病变主要表现为弥散性肺间质炎症及肺泡损伤,肺泡上皮细胞凋亡脱落及肺透明膜形成,肺间隔明显增宽,以淋巴细胞和单核细胞为主的炎细胞浸润.3例肺组织NF-κBp65检测均为阳性,阳性信号表达于肺泡上皮细胞、巨噬细胞及淋巴细胞的胞质及胞核内.结果提示:SARS患者的肺组织表现为急性肺损伤,NF-κB在SARS患者肺组织的损伤中起重要的作用.

关键词: 严重急性呼吸综合征, 肺组织, 核转录因子-κB

Abstract: In order to study the pathological characteristics of lungs in severe acute respiratory syndrome (SARS) and the expression of nuclear factor kappa B (NF-κB) in lungs, investigate the relationship between the activation of NF-κB and damage of lungs, HE staining and immuno-histochemical staining (SP methods) were used to study 3 lungs of autopsy cases of SARS.Antibody against NF-κB p65 was used for immunohistochemical studies.The pathological changes were diffuse pulmonary interstitial inflammation and alveolar damages with apoptosis and desquamation of pneumocytes in alveolar spaces, hyaline-membrane formation, wider alveolar walls and predominant lymphocyte and mononuclear inflammatory infiltrates.Immunoreactivity to NF-κBp65 were all positive and located in plasma and nuclei of pneumocytes, macrophages and lymphocytes.This study indicates that the lungs of patients with SARS show acute injury, NF-κB plays an important role in it.

Key words: severe acute respiratory syndrome, pneumonia tissue, NF-κB

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