Guan H, Chen Y, Qian H
Department of General Surgery, First Affiliated Hospital of Suzhou Medical College.
Zhonghua Yi Xue Za Zhi. 1998 Sep;78(9):702-3.
To investigate expression of endothelin-1 (ET-1) and nitric oxide synthase(NOS) gene in gastric mucosa in the rats with cirrhosis and portal hypertensive gastropathy (PHG) after disconnective operation.
Wistar rats were divided into three groups: normal (n = 12), cirrhosis and PHG (n = 12), and post-disconnective (n = 12). The rat models were induced by intraperitonal injection of thiocetamide for 16 weeks. The third group rats were reared for 3 months after the operations. ET-1 and NOS mRNA from the gastric mucosa of the three groups were measured quantitatively by Dot blot technique.
ET-1 mRNA decreased in the PHG rats as compared to the nomal rats (P < 0.01). Further decrease was found in the post-disconnective rats (P < 0.01). NOS mRNA increased slightly in the PHG rats (P > 0.05) and increased obviously in the post-disconnective rats (P < 0.01).
After the cirrhosis and PHG rats were subjected to disconnective operations, ET-1 was insufficient and NOS was too much in the gastric mucosa. These resulted in the gastric mucosal vessel dilatation. The imbalance of ET/NO proportion could partly attribute to rebleeding after disconnection.
探讨断流术对肝硬化门静脉高压性胃病(PHG)大鼠胃黏膜内皮素-1(ET-1)及一氧化氮合酶(NOS)基因表达的影响。
将Wistar大鼠分为正常组(n = 12)、肝硬化门静脉高压性胃病组(n = 12)和断流术后组(n = 12)。腹腔注射硫代乙酰胺16周制备大鼠模型。断流术后组大鼠术后饲养3个月。采用斑点杂交技术定量检测三组大鼠胃黏膜ET-1及NOS mRNA。
与正常组大鼠相比,门静脉高压性胃病组大鼠ET-1 mRNA表达降低(P < 0.01)。断流术后组大鼠ET-1 mRNA表达进一步降低(P < 0.01)。门静脉高压性胃病组大鼠NOS mRNA表达略有增加(P > 0.05),断流术后组大鼠NOS mRNA表达明显增加(P < 0.01)。
肝硬化门静脉高压性胃病大鼠断流术后,胃黏膜ET-1不足,NOS过多,导致胃黏膜血管扩张。ET/NO比例失衡可能是断流术后再出血的部分原因。