Lustig Martina Katja, Bac Vo Hoai, Pavlovic Dragan, Maier Stefan, Gründling Matthias, Grisk Olaf, Wendt Michael, Heidecke Claus-Dieter, Lehmann Christian
Klinik für Chirurgie, Ernst-Moritz-Arndt-Universität, Greifswald, Germany.
Shock. 2007 Jul;28(1):59-64. doi: 10.1097/SHK.0b013e31802e454f.
The colon ascendens stent peritonitis (CASP) procedure creates an intestinal leakage of feces, resulting in diffuse peritonitis and polymicrobial sepsis. Mouse models of CASP have been used to study sepsis experimentally. The aim of the present study was to establish CASP sepsis in rats and to provide basic functional characteristics of this model. In analogy to the mouse model, 3 degrees of severity of CASP sepsis, 2 sublethal and 1 lethal, were established depending on the stent diameter. Radio-telemetric recordings in a sublethal model showed that the nonsurvivors remained hemodynamically stable until approximately 1 h before death, when heart rate and blood pressure fell rapidly. Intestinal microcirculatory changes were analyzed 3, 6, 12, and 18 h after CASP surgery using intravital microscopy in a sublethal model. After 18 h, the numbers of the leukocytes firmly adhering to the endothelium and of the ones temporarily interacting were significantly increased. The levels of IL-6 and IL-1beta increased continuously during the CASP experiments while remaining unchanged in the sham group. TNF-alpha and IL-10 levels of CASP animals reached a maximum after 12 h. In conclusion, a rat model of CASP sepsis has been established and characterized with regard to alterations in cardiovascular and microcirculatory function as well as plasma cytokine levels. In experimental settings where genetically engineered animals are not required, it will facilitate detailed examination of dynamic changes in integrated organ function during the course of sepsis and the investigation of treatment strategies.
升结肠支架性腹膜炎(CASP)手术会导致粪便性肠漏,进而引发弥漫性腹膜炎和多种微生物败血症。CASP小鼠模型已被用于实验性研究败血症。本研究的目的是在大鼠中建立CASP败血症模型,并提供该模型的基本功能特征。与小鼠模型类似,根据支架直径建立了3种严重程度的CASP败血症模型,2种亚致死性模型和1种致死性模型。在一个亚致死性模型中进行的无线电遥测记录显示,非存活者在死亡前约1小时血流动力学仍保持稳定,随后心率和血压迅速下降。在一个亚致死性模型中,使用活体显微镜在CASP手术后3、6、12和18小时分析肠道微循环变化。18小时后,牢固黏附于内皮的白细胞数量和临时相互作用的白细胞数量显著增加。在CASP实验过程中,IL-6和IL-1β水平持续升高,而假手术组则保持不变。CASP动物的TNF-α和IL-10水平在12小时后达到峰值。总之,已建立了CASP败血症大鼠模型,并对其心血管和微循环功能以及血浆细胞因子水平的变化进行了特征描述。在不需要基因工程动物的实验环境中,它将有助于详细检查败血症过程中器官综合功能的动态变化以及治疗策略的研究。
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