Fröde T S, Ferreira S I, Medeiros Y S
Department of Clinical Analysis, Centre of Healthy Sciences, Universidade Federal de Santa Catarina, Campus Universitario - Trindade, 88040-970 Florianópolis, SC, Brazil.
Mediators Inflamm. 2001 Oct;10(5):237-43. doi: 10.1080/09629350120093704.
Abdominal sepsis induces a local production of proinflammatory mediators that may trigger both septic shock and organ-system dysfunction.
The present study analyzed exudation, cell migration, and CD11a and CD18 subset cells of both local and systemic responses induced by fecal peritonitis in mice.
Animals were anesthetized and, after performing a midline incision in the abdomen, the cecum was ligated and punctured twice with a needle. Sham-operated animals were included. Some groups were previously treated with Evans blue dye (intravenously) to further evaluate the amount of tissue and abdominal cavity leakages.
Fecal peritonitis triggered a local inflammatory reaction with an increased number of leukocytes and exudation between 6 and 48 h (p < 0.01). Although CD11a/CD18-positive cells in the abdomen peaked after 24h, a significant decrease of them was detected after 48 h (p < 0.05). At the studied period of time (6-48 h), different degrees of exudation in several organs occurred, whereas a significant late recruitment (24 h) of CD11a/CD18 cells into the lungs was observed.
In this model, cell migration and exudation at the site of injury occurred in parallel. However, in the lungs, the recruitment of leukocytes that express CD11a/CD18 adhesion molecules constitutes a non-dependent event in relation to fluid leakage accumulation at this site.
腹部脓毒症可诱导促炎介质在局部产生,这可能引发感染性休克和器官系统功能障碍。
本研究分析了小鼠粪便性腹膜炎诱导的局部和全身反应中的渗出、细胞迁移以及CD11a和CD18亚群细胞。
将动物麻醉,在腹部做正中切口后,结扎盲肠并用针穿刺两次。纳入假手术动物。部分组预先静脉注射伊文思蓝染料,以进一步评估组织和腹腔渗漏量。
粪便性腹膜炎在6至48小时内引发局部炎症反应,白细胞数量增加且渗出增多(p < 0.01)。虽然腹部CD11a/CD18阳性细胞在24小时后达到峰值,但48小时后检测到其显著减少(p < 0.05)。在研究时间段(6至48小时)内,多个器官出现不同程度的渗出,同时观察到CD11a/CD18细胞在24小时时显著晚期募集至肺部。
在该模型中,损伤部位的细胞迁移和渗出同时发生。然而,在肺部,表达CD11a/CD18黏附分子的白细胞募集与该部位液体渗漏积聚无关。