Yamashita Masatomo, Taniyama Mitsue, Tamai Mitsuo
Department of Emergency Medicine, University of Tsukuba School of Medicine, 1-1-1 Tennodai, Japan.
Surg Today. 2002;32(8):701-6. doi: 10.1007/s005950200130.
Our previous studies showed that tumor necrosis factor (TNF)-alpha and interleukin (IL)-6 are induced after hemorrhagic shock and that their induction is attenuated by hyperbaric oxygen treatment. In this study, we tried to identify the cell types in the liver that are responsible for the increase in TNF-alpha mRNA and IL-6 mRNA after hemorrhage using in situ reverse transcription-polymerase chain reaction (in situ RT-PCR).
Chronically cannulated rats were subjected to hemorrhage, maintaining a mean arterial blood pressure of 40 mmHg for 1 h. They were resuscitated with the collected blood and saline, and the livers were removed at designated times, then fixed and frozen.
Standard in situ hybridization could not detect the mRNAs of TNF-alpha and IL-6 in the livers; however, in situ RT-PCR detected TNF-alpha mRNA and IL-6 mRNA mainly in the vascular endothelial cells and perivascular nonparenchymal cells of the bled rats. Sinusoidal cells were positive for TNF-alpha mRNA, but negative for IL-6 mRNA. No signal was found in normal rats, or when the experimental protocol was modified to: omit the RT step; precede the RT step with RNA digestion; or use an irrelevant probe.
These results show that vascular endothelial cells and perivascular nonparenchymal cells are activated after massive hemorrhage to produce inflammatory cytokines.
我们之前的研究表明,失血性休克后肿瘤坏死因子(TNF)-α和白细胞介素(IL)-6会被诱导产生,且高压氧治疗可减弱它们的诱导产生。在本研究中,我们试图利用原位逆转录-聚合酶链反应(原位RT-PCR)来确定肝脏中负责出血后TNF-α mRNA和IL-6 mRNA增加的细胞类型。
对长期插管的大鼠进行出血处理,维持平均动脉血压40 mmHg达1小时。用收集的血液和生理盐水对其进行复苏,并在指定时间取出肝脏,然后固定并冷冻。
标准原位杂交无法检测到肝脏中TNF-α和IL-6的mRNA;然而,原位RT-PCR主要在失血大鼠的血管内皮细胞和血管周围非实质细胞中检测到TNF-α mRNA和IL-6 mRNA。肝血窦细胞TNF-α mRNA呈阳性,但IL-6 mRNA呈阴性。在正常大鼠中未发现信号,或者当实验方案修改为:省略RT步骤;在RT步骤之前进行RNA消化;或使用无关探针时,也未发现信号。
这些结果表明,大量出血后血管内皮细胞和血管周围非实质细胞被激活以产生炎性细胞因子。