首都医科大学学报 ›› 2004, Vol. 25 ›› Issue (3): 370-373.

• 论著·临床研究 • 上一篇    下一篇

猪-人异种移植超急性排斥反应中IL-1质量浓度的变化

矫文捷2, 陈玉平3, 李文3, 区颂雷3, 张志泰3, 王天佑1   

  1. 1. 首都医科大学附属北京友谊医院胸外科;2. 首都医科大学附属北京友谊医院胸外科 博士生;3. 首都医科大学附属北京安贞医院胸外科
  • 收稿日期:2003-04-21 修回日期:1900-01-01 出版日期:2004-07-15 发布日期:2004-07-15

Change of IL-1 in Hyperacute Rejection of Pig-to-human Xenotransplantation

Jiao Wenjie2, Chen Yuping3, Li Wen3, O Songlei3, Zhang Zhitai3, Wang Tiangyou1   

  1. 1. Department of Thoracic Surgery, Beijing Friendship Hospital, Affiliate of Capital University of Medical Sciences;2. Medical Doctor of Capital University of Medical Scienc;3. Department of Thoracic Surgery, Beijing Anzhen Hospital, Affiliate of Capital University of Medical Sciences
  • Received:2003-04-21 Revised:1900-01-01 Online:2004-07-15 Published:2004-07-15

摘要: 为了探讨在猪-人异种移植超急性排斥反应中的细胞毒作用及细胞因子白细胞介素-1(IL-1)的变化,用体外培养的猪血管内皮细胞和人血清共同反应,建立猪-人异种移植超急性排斥反应的体外实验模型,用乳酸脱氢酶(LDH)释放法观察补体依赖的细胞毒作用,换算出内皮细胞溶解率,将其作为评定血管内皮细胞激活和损伤的标志;采用ELISA法检测上清液中IL-1β.结果:1)在相同时间点上,正常人血清组(HS组)的细胞溶解率明显高于对照组,与其他各组比较无明显差异;随着时间的延长,HS组内皮细胞溶解率逐渐增高,于3~4h接近高峰.2)反应0.5h后,正常人血清组IL-1β的质量浓度明显高于对照组(P<0.01);灭活人血清组、C1q缺乏组与对照组组间比较无显著差异(P>0.05);随着时间的延长,HS组IL-1β质量浓度继续升高(P<0.01),3~4h保持稳定.IL-1的变化过程与内皮细胞溶解率的变化趋势基本一致.结果提示:在猪-人异种移植中,血管内皮细胞激活及IL-1的变化与超急性排斥反应的发生有一定的关系.

关键词: 异种移植, 超急性排斥, 血管内皮细胞, 白细胞介素-1

Abstract: The aim was to assess complement dependent cytotoxicity and change of IL-1 in hyperacute rejection of pig-to-human xenotransplantation.Cultural porcine vascular endothelial cells (PVECs) and human sera were used to set up an vitro model of hyperacute rejection of pig-to-human xenotransplantation.Various serums were divided into four groups: HS, HI HS, C1q-D, PS.Every serum was incubated with cultural primary porcine endothelial cells from 0.5 to 4 h, then supernatant fraction was removed to test LDH content, finally percent cytotoxicity was calculated.Morever, IL-1β in supernatant fraction was determined by ELISA.Result: 1) In the same time point, percent cytolysis of HS was higher significantly than that of control (P<0.01) and HI HS, C1q-D's percent cytolysis was similar to control's (P>0.05).As time prolonged, percent cytolysis of HS continued to increase ( P< 0.01).However, percent cytolysis of every group didn't increase after 3~4 h.2) In the group of HS, the contents of IL-1β were higher than those of control ( P< 0.01).Other groups' contents were similar to those of control ( P> 0.05).When reaction time prolonged, content in group HS went up and remained stable when reaction time arrived at 3~4 h.The results suggest that endothelial cells have an important role in the thrombosis in hyperacute rejection of pig-to-human xenotransplantation by influencing IL-1.

Key words: xenotransplantation, hyperacute rejection, vessel endothelial cell, interleukin-1

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