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缺血预适应对SD大鼠缺血/再灌注血清TNF-α、IL-8和心肌IL-10水平的影响(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2008年第5期
页码:
517-520
栏目:
基础研究
出版日期:
2008-10-20

文章信息/Info

Title:
Effect of ischemic preconditioning on tumor necrosis factorα interleukin8 and interleukin10 in SpraqueDawley rats following myocardial ischemia and reperfusion
作者:
方忠林谢志泉
广州军区总医院干部病房四科,广东 广州 510010
Author(s):
FANG Zhonglin XIE Zhiquan
Fourth Department of Geriatrics, PLA Guangzhou General Hospital, Guangzhou Military Area Command, Guangzhou 510010, Guangdong, China
关键词:
缺血预适应肿瘤坏死因子-α白细胞介素-8白细胞介素-10心肌缺血/再灌注
Keywords:
ischemic preconditioning tumor necrosis factorα interleukin8 interleukin10 myocardial ischemiareperfusion
分类号:
-
DOI:
-
文献标识码:
A
摘要:
目的 观察缺血预适应对SD大鼠心肌缺血/再灌注期血清中肿瘤坏死因子-α(TNF-α)和白细胞介素-8(IL-8)及心肌组织中的白细胞介素-10(IL-10)的影响,并探讨其心肌保护机制。方法 36只SD大鼠随机分成3组:①缺血预适应(IPC)组:缺血5 min+再灌注5 min反复4次后,缺血60 min+再灌注120 min;②缺血/再灌注(IRI)组:大鼠开胸后,继续观察40 min,然后予以缺血60 min+再灌注120 min;③假手术组(SO):仅开胸,分离血管,不予缺血与再灌注剌激,只进行同样长时间的观察。3组实验结束取右心房血及心肌组织,批量测定血清TNF-α和IL-8及心肌组织IL-10浓度。结果 IRI组血清TNF-α和IL-8含量分别为(1 009±277)和(334±187)ng/L,IPC组血清TNFα和IL-8含量分别为(778±178)和(229±90)ng/L,较IRI组显著降低(P<0.05);IRI组心肌组织IL-10含量为(6.8±2.6)ng/g,IPC组心肌组织IL10含量为(9.4±4.1)ng/g,较IRI组显著升高(P<0.05)。结论 缺血预适应不仅可减少心肌缺血/再灌注病理过程中促炎细胞因子TNF-α和IL-8的产生,还可促进抗炎细胞因子IL-10的产生,而发挥抗炎作用,提示缺血预适应具有保护再灌注心肌抗炎作用的新机制。
Abstract:
AIM To observe the effects of ischemic preconditioning on the production of tumor necrosis factorα (TNFα), interleukin8 (IL8) and interleukin10 (IL10) following myocardial ischemia and reperfusion and to investigate its mechanism. METHODS Thirtysix SpraqueDawley rats were randomly divided into three groups: ischemic preconditioning group (group IPC, n=12) was subjected to a 5 min occlusion of left anterior descending coronary artery (LAD), followed by reperfusion for 5 min four times and then elicited by 1h occlusion and 2 h reperfusion; ischemia reperfusion group (group IRI, n=12) was observed for 40 min and then elicited by 1 h occlusion and 2 h reperfusion; shamoperated group (group SO, n=12) was only observed for 40 min. At the end of the experiment, the right atrium myocardial blood and myocardial tissue were obtained and the serum TNFα, IL8 mass and myocardial tissue concentrations of IL10 were detected. RESULTS In group IRI, the serum levels of TNFα and IL8 were (1 009±277) and (334±187)ng/L and inn group IPC, the serum levels of TNFα and IL8 were (778±178) and (229± 90)ng/L, significantly lower than those in IRI group (P<005). In group IRI, the myocardial IL10 was (68±26) ng/g and in group IPC, the myocardial IL10 was (94±41)ng/g, significantly higher than those in IRI group (P<005)CONCLUSION Ischemic preconditioning not only reduces the myocardial ischemiareperfusion pathological process of proinflammatory cytokines TNFα and the IL8 produce, but also promotes the antiinflammatory cytokines IL10, suggesting that the protective effect of ischemic preconditioning on myocardial reperfusion injury through antiinflammatory mechanism.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期:2006-10-12.基金项目:广东省自然科学基金项目资助(20010783) 通讯作者:谢志泉,副教授,博士,主要从事缺血预适应对心肌微循环研究Email:xie1zq@163.com 作者简介:方忠林,主治医师,硕士生Email:w7851381@yahoo.com.cn
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