实验性肺纤维化细胞凋亡及Fas/FasL基因变化

目的　检测肺纤维化时细胞凋亡及Fas/FasL基因的变化,探讨细胞凋亡和基因变化在肺间质纤维化中的意义。方法　将 40只大鼠分为肺纤维化组及正常对照组,每组 20只,应用末端原位杂交(TUNEL)、原位杂交、免疫组化技术检测博莱霉素致肺间质纤维化大鼠肺组织细胞凋亡、Fas/FasLmRNA水平及蛋白表达的变化。结果　肺纤维化组大鼠肺组织中细胞凋亡指数为 55.3±12.2,对照组为 4 7±1 0,两组比较差异有统计学意义(t=13.06,P<0 .01),Fas及FasLmRNA肺纤维化组为(175.8±21.6, 5.2±1.6),正常对照组为 (26.6±1.9, 0.5±0.4),两组比较差异有统计学意义 (t分别为 21.7, 8.79;P均<0.01),肺纤维化组Fas、FasL蛋白表达分别为 956±96, 285±76,正常对照组分别为 491±96, 100±18,两组比较差异有统计学意义 (t=5.03, 12.81;P<0.01)。结论　肺间质纤维化时肺组织细胞凋亡上调,Fas/FasL基因上调蛋白表达增强,在肺纤维化发生、发展中起到重要的作用。

Cell apoptosis and the change of Fas/FasL gene in experimental pulmonary fibrosis

OBJECTIVE: To investigate the changes and significance of cell apoptosis and Fas/FasL gene in pulmonary fibrosis. METHODS: Forty mice were divided into two groups randomly, each group contained twenty mice. TUNEL, immunohistochemistry and in situ hybridization were used to detect the change of cell apoptosis, Fas/FasL mRNA and protein in mice with pulmonary fibrosis caused by bleomycin. RESULTS: The apoptosis index of lung cells in the pulmonary fibrosis group (55.3 +/- 12.2) was higher than that of control group (4.7 +/- 1.0, t = 13.06, < 0.01). The expression of Fas/FasL mRNA (175.8 +/- 21.6, 5.2 +/- 1.6) and protein (956 +/- 96, 285 +/- 76) in the pulmonary fibrosis group was higher than that of control group (mRNA: 26.6 +/- 1.9, 0.5 +/- 0.4, t = 21.7, 8.79, all < 0.01; protein: 491 +/- 96, 100 +/- 18, t = 5.03, 12.81, < 0.01). CONCLUSION: The apoptosis index of lung cells, Fas/FasL genes and protein were up-regulated in lung tissue of pulmonary fibrosis, which may play an important role in the development of disease.