首都医科大学学报 ›› 2005, Vol. 26 ›› Issue (2): 193-196.

• 论著·临床研究 • 上一篇    下一篇

IL-8、IL-10在大鼠急性胰腺炎并发肺损伤中的作用

林栋栋, 孙家邦, 李非, 张淑文, 崔叶青, 刘大川, 朱斌, 孙海晨, 刘爽   

  1. 首都医科大学宣武医院普通外科
  • 收稿日期:2004-08-26 修回日期:1900-01-01 出版日期:2005-04-24 发布日期:2005-04-24

Effects of IL-8, IL-10 in Acute Pancreatitis Associated with Acute Lung Injury in Rats

Lin Dongdong, Sun Jiabang, Li Fei, Zhang Shuwen, Cui Yeqing, Liu Dachuan, Zhu Bin, Sun Haichen, Liu Shuang   

  1. Department of General Surgery, Xuanwu Hospital, Capital University of Medical Sciences
  • Received:2004-08-26 Revised:1900-01-01 Online:2005-04-24 Published:2005-04-24

摘要:

目的 探讨IL-8、IL-10在大鼠胰腺炎肺损伤中的作用。方法 采用胰胆管逆行注射3.5%牛磺胆酸钠的方法,制作大鼠重症急性胰腺炎并发肺损伤模型。分别对胰腺损伤、肺损伤程度进行病理评分,测定肺组织湿/干质量比;ELISA法测定大鼠血清IL-8、IL-10水平。结果 造模后1h,大鼠即出现较明显的胰腺损伤,随着时间的延长,胰腺损伤逐渐加重,以12h为最。造模后1h,即出现肺损伤,光镜下表现为白细胞浸润、肺泡间隔增厚、肺水肿及肺泡腔萎陷;至4h肺组织湿/干质量比开始增加,此后,肺损伤程度逐渐增加,以24h为最。造模后1h,大鼠血清IL-8、IL-10水平逐渐升高,至24h达最高。结论 IL-8、IL-10参与了大鼠胰腺炎肺损伤的病理过程,胰腺炎肺损伤的过程可能是体内全身性炎症反应综合征(SIRS)和代偿性抗炎症反应综合征(CARS)失衡的结果。

关键词: 急性胰腺炎, 动物模型, 急性肺损伤, 细胞因子

Abstract:

Objective To explore the roles of IL-8 and IL-10 in pathogenesis of pancreatitis associated lung injury(PALI) in rats. Methods Pancreatitis was induced with 3.5% sodium taurocholate through of Aho et al. The severity of pancreatitis was evaluated by quantitating pancreatic pathologic score. Lung injury was evaluated by lung pathologic score and lung water content. Serum IL-8 and IL-10 were quantitated by enzyme-linked immunosorbent assay. Results Lung injury could be found at 1 h after induction of pancreatitis with 3.5% sodium taurocholate. The microscopic findings of lung injury included leukocytes infiltration in lung tissue, pulmonary sepatal thickening, pneunoedema and collapse of alveolar cavity. Lung water content increased from 4 h after induction of pancreatitis. The levels of serum IL-8 and IL-10 increased from 1 h after induction of pancreatitis, and peaked at 24 h. Conclusion Both IL-8 and IL-10 are involved in the pathogenesis of pancreatitis acute lung injury (PALI) and PALI may be the result of imbalance of systemic inflammatory response syndrome(SIRS) and compensatory anti-inflammatory response syndrome(CARS).

Key words: acute pancreatitis, animal model, acute lung injury, cytokine

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