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阻断toll样受体对脂多糖致急性肺损伤的保护作用
引用本文:姚亚奔,黄继义,刘才文,林建东,叶先龙,洪朝基,周荣. 阻断toll样受体对脂多糖致急性肺损伤的保护作用[J]. 检验医学与临床, 2014, 0(9): 1171-1172
作者姓名:姚亚奔  黄继义  刘才文  林建东  叶先龙  洪朝基  周荣
作者单位:姚亚奔 (厦门大学附属第一医院同民分院急诊科,福建厦门,361000); 黄继义 (厦门大学附属第一医院同民分院内科,福建厦门,361000); 刘才文 (厦门大学附属第一医院同民分院内科,福建厦门,361000); 林建东 (福建医科大学附属第一医院ICU,福州,350000); 叶先龙 (厦门大学附属第一医院同民分院内科,福建厦门,361000); 洪朝基(厦门医科所内科,福建厦门,361000); 周荣 (厦门大学附属第一医院急诊科,福建厦门,361000);
基金项目:福建省厦门市翔安区科技局资助项目(350213X).
摘    要:目的:本文旨在探讨阻断toll样受体(TRL4)对脂多糖(LPS)致急性肺损伤(ALI)的保护作用。方法将60只健康雄性清洁级SD大鼠分为正常组、损伤组和阻断组,每组20只。损伤组大鼠采用尾静脉注射LPS(6mg/kg)复制ALI模型;阻断组同时注射TLR4抗体(10mg/mL);正常组给予等容积生理盐水。3h后处死大鼠,采用凝胶滞留法检测核因子-κB(NF-κB)活性;Westernblot印记分析法检测抑制蛋白(IκB-α)水平;检测肺组织匀浆肿瘤坏死因子α细胞因子(TNF-α)、白细胞介素-1β(IL-1β)和白细胞介素-10(IL-10)水平。结果与正常组相比,损伤组和阻断组肺组织湿质量/干质量比值增高,NF-κB活性升高,IκB-α、TNF-α、IL-1β水平升高(P<0.05),而IL-10水平降低(P<0.05)。而比较损伤组与阻断组发现,阻断组肺组织湿质量/干质量比值降低,NF-κB活性降低,IκB-α、TNF-α、IL-1β水平明显低于损伤组(P<0.05),IL-10水平高于损伤组(P<0.05)。结论采用抗TLR4单克隆抗体阻断TLR4介导的信号传导可明显降低NF-κB活性和IκB-α、TNF-α、IL-1β水平,同时提高IL-10水平阻断TLR4,对LPS致ALI有一定的保护作用。

关 键 词:急性肺损伤  Toll样受体  单克隆抗体  信号传导

Protective effect of blocking TLR4 in lipopolysaccharide induced acute lung injury
YAO Ya-ben,HUA NG Ji-yi,LIU Cai-wen,LIN Jian-dong,YE Xian-long,HONG Chao-ji,ZHOU Rong. Protective effect of blocking TLR4 in lipopolysaccharide induced acute lung injury[J]. Laboratory Medicine and Clinic, 2014, 0(9): 1171-1172
Authors:YAO Ya-ben  HUA NG Ji-yi  LIU Cai-wen  LIN Jian-dong  YE Xian-long  HONG Chao-ji  ZHOU Rong
Affiliation:1. Emergency Department;2. In- ternal Medicine Department, Tongmin Branch of the First Affiliated Hospital of Xiamen University, Xiamen, Fujian 36 1000, China ; 3. Intensive Care Unit, the First Affiliated Hospital of Xiamen University, Xiamen, Fujian 350090, China ; 4. Internal Medicine Department, Xiamen Institution of Medical Science, Xiarnen, Fuj ian 361000, China ; 5. Emergency Department ,the First Affiliazed Hospital of Xiamen University ,Xiamen ,Fujian 350000 ,China)
Abstract:Objective To explore the protective effect of blocking TLR4 in lipopolysaccharide(LPS) induced acute lung injury(ALI) .Methods A total of 60 SD mice were randomly divided into control group ,ALI group and ALI+ TLR4 blocking group ,with 20 mice for each group .ALI model were constructed by 6 intravenous injection of LPS(6 mg/kg) .Mice in ALI+ TLR4 blocking group were treated with anti-TLR4 antibody(10 mg/mL) at the same time .Mice in control group were treated with normal saline for the same volume as the other 2 groups .All mice were executed 3 hours after treatment and then the activity of nuclear factor (NF)-κB ,and levels of inhibition protein κB-α(IκB-α) ,tumor necrosis factor(TNF)-α,interleukin(IL)-1βand IL-10 were detected .Results Compared with control group ,ratio of wet weight to dry weight of lung tissues ,activity of NF-κB and the expression levels of IκB-α,TNF-αand IL-1βwere significantly increased in the other two groups(P〈0 .05) ,but levels of IL-10 decreased (P〈0 .05) . Compared with ALI group ,ratio of wet weight to dry weight of lung tissues ,activity of NF-κB and the expression levels of IκB-α,TNF-αand IL-1βof ALI+ TLR4 blocking group were decreased(P〈0 .05) ,while levels of IL-10 was increased(P〈0 .05) .Conclusion Application of monoclonal antibody to block signal pathway of TLR4 could signifi-cantly decrease the activity of NF-κB and the expression levels of IκB-α,TNF-α and IL-1β,and increase the level of IL-10 .The blockage of TLR4 might have protective effect on LPS induced ALI .
Keywords:acute lung injury  Toll like receptor 4  monoclonal antibody  signal transduction
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