摘要
目的:分析急性肺损伤中IL-6与肺表面活性蛋白-A(surfactant protein A,SP-A)和SP-B的含量变化及其相互关系,探讨急性肺损伤的发病机制。方法:用Wistar大鼠复制油酸性急性肺损伤动物模型,在不同时间点收集急性肺损伤大鼠血清标本及肺泡灌洗液(bronchoalveo larlavage fluid,BALF),用放射免疫法测定血清细胞因子IL-6的动态变化;采用ELISA法检测BALF中SP-A、SP-B含量的变化。结果与结论:急性肺损伤后大鼠血清中细胞因子IL-6的分泌水平显著上升(P<0.05),而BALF中SP-A、SP-B含量显著降低,且血清中IL-6含量升高与BALF中SP-A、SP-B下降幅度呈显著负相关。结果提示急性肺损伤中IL-6分泌的升高与肺表面活性蛋白SP-A、SP-B含量的降低有显著的相关关系,炎症细胞因子IL-6可能通过影响SP-A、SP-B的表达产生致病作用。
Objective:To investigate the relationship between IL-6 and surfactant proteins A and B in the pathogenesis of acute lung injury (ALI). Methods: ALI modes were established using Wistar rats. Serum and bronchoalveolar lavage fluid (BALF) samples were collected from ALI models at different time points. The level of IL-6 in the serum was determined using radio immunoassay. The concentration of SP-A and SP-B in the BALF was analyzed by ELISA, The relationship between IL-6 and SP-A and SP-B in the process of ALI was analyzed, Results : IL-6 levels in the serum were significantly upregulated( P 〈0.05 ),while the concentrations of SP-A and SP-B significantly decreased after ALI( P 〈 0.05 ), The data showed a negative correlation between IL-6 and SP-A, SP-B in the pathogenesis of ALI. Conclusion : The results suggested that the up-regulated pro-inflammatory cytokine IL-6 may exacerbate the process of ALI act by damaging the production of SP-A and SP-B.
出处
《军事医学科学院院刊》
CSCD
北大核心
2008年第3期261-263,268,共4页
Bulletin of the Academy of Military Medical Sciences