葛春林, Email: gechunlin@139.com
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目的 探討髓樣細胞分化蛋白88(MyD88)在重癥急性胰腺炎(SAP)發病機理的作用。 方法 將48只小鼠按隨機數字表法隨機分為SAP組(32只)與正常對照組(16只);再將2組小鼠隨機(隨機數字表法)分為6、12、24及48 h組,SAP組各亞組每組8只,正常對照組每亞組4只。SAP組小鼠腹腔注射20% L-精氨酸以誘導SAP模型,正常對照組小鼠僅腹腔注射生理鹽水。分別于建模術后6、12、24及48 h處死小鼠,取其動脈血,采用ELISA方法檢測血清中白細胞介素-1β(IL-1β)、白細胞介素-10(IL-10)及腫瘤壞死因子-α(TNF-α)濃度;同時取其胰腺組織(正常對照組僅術后6 h取材),用逆轉錄-聚合酶鏈反應(RT-PCR)方法檢測胰腺組織中MyD88 mRNA和核因子-κB(NF-κB)mRNA的表達水平,并進行HE染色。 結果 鏡下見SAP組小鼠的胰腺組織隨時間進展其炎癥逐漸加重。各時點SAP組小鼠的IL-1β、IL-10及TNF-α濃度均高于正常對照組(P<0.05);各時點SAP組與正常對照組(6 h組)相比較,其胰腺組織中MyD88 mRNA及NF-κB mRNA的表達水平均較高(P<0.05)。各時點SAP組小鼠MyD88 mRNA的表達水平與血清IL-1β、IL-10及TNF-α的濃度和NF-κB mRNA的表達水平均呈正相關(P<0.01)。 結論 MyD88的表達對SAP的發生和發展可能均具有重要的作用。

Citation: 張夢澤, 葛春林, 張雨京. Experimental Study on Expression and Significance of Myeloid Differentiation Factor 88 in Pancreas for Severe Acute Pancreatitis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(3): 345-348. doi: 10.7507/1007-9424.20140080 Copy

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