Sun Tong-zhu, Fu Xiao-bing, Chen Wei, Zheng Shu-yun, Weng Li-xin, Zhao Jing-yu, Li Jun-you, Sun Dan
Key Laboratory of Wound Repair, 304th Clinical Department of General Hospital of PLA, Beijing 100037 China.
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue. 2005 Jan;17(1):46-8.
To explore the protective effect of modified recombinant human acidic fibroblast growth factor (rhaFGF) on small intestinal after ischemia/reperfusion (I/R) injury in rats.
The clamp on the superior mesenteric artery (SMA) was removed after clamping it for 45 minutes to replicate I/R injury of the intestine in the rat. Rats were then divided randomly into sham operation group, normal saline treatment group and rhaFGF treatment group, in which the rats of the normal saline treatment group were injected 0.1 ml of normal saline and that of the rhaFGF group were given 4 microg of rhaFGF immediately after reperfusion. The content of D-lactate in the plasma was determined and the changes in intestinal pathology were observed. At the same time, the rates of apoptosis of intestinal epithelial cells were assessed 2, 6, 12 and 24 hours after I/R, and compared to the sham operation group.
The plasma content of D-lactate in the saline treatment group at 6 hours after I/R reached (0.34+/-0.09) mg/L and was significantly higher than that in the rhaFGF treatment group((0.23+/-0.07)mg/L, P<0.05). It was shown histologically that the intestinal structures were damaged more seriously in saline treatment group than in rhaFGF group. The apoptosis rates in the saline treatment group and rhaFGF group were elevated significantly, peaking at 12 hours after I/R injury((62.8+/-1.7)% in saline group and (42.5+/-2.6)% in rhaFGF treatment group), then the rate began to fall. There was statistically significant difference between the two groups at 12 hours after I/R injury.
rhaFGF can reduce content of D-lactate in the plasma and rate of apoptosis of epithelial cells in the intestine after I/R injury, thus it seems to afford a protective effect on the small intestine after I/R injury in rats.
探讨改良重组人酸性成纤维细胞生长因子(rhaFGF)对大鼠小肠缺血/再灌注(I/R)损伤的保护作用。
夹闭大鼠肠系膜上动脉(SMA)45分钟后松开,复制大鼠小肠I/R损伤模型。将大鼠随机分为假手术组、生理盐水治疗组和rhaFGF治疗组,生理盐水治疗组大鼠于再灌注后立即注射0.1 ml生理盐水,rhaFGF组大鼠于再灌注后立即给予4 μg rhaFGF。测定血浆中D-乳酸含量,观察肠道病理变化。同时,在I/R后2、6、12和24小时评估肠上皮细胞凋亡率,并与假手术组进行比较。
I/R后6小时,生理盐水治疗组血浆D-乳酸含量达到(0.34±0.09)mg/L,显著高于rhaFGF治疗组((0.23±0.07)mg/L,P<0.05)。组织学显示,生理盐水治疗组肠道结构损伤比rhaFGF组更严重。生理盐水治疗组和rhaFGF组凋亡率均显著升高,在I/R损伤后12小时达到峰值(生理盐水组为(62.8±1.7)%,rhaFGF治疗组为(42.5±2.6)%),然后开始下降。I/R损伤后12小时,两组之间存在统计学显著差异。
rhaFGF可降低I/R损伤后大鼠血浆中D-乳酸含量及肠上皮细胞凋亡率,对大鼠小肠I/R损伤具有保护作用。