Frink Michael, Kaudel Christian P, Hildebrand Frank, Pape Hans-Christoph, Klempnauer Jürgen, Winkler Michael, Krettek Christian, van Griensven Martijn
Trauma Department, Hannover Medical School, Hannover, Germany.
J Trauma. 2007 Aug;63(2):263-7. doi: 10.1097/TA.0b013e3180d0a6fc.
Ischemia and reperfusion (I/R) damage involves adhesion and transmigration of lymphocytes and neutrophils. FTY720 is an immunosuppressive agent that reduces the number of neutrophils and monocytes in peripheral blood as well as tissue lymphocyte infiltration. This study investigated the effect of FTY720 during hind limb I/R.
Male C57/BL6 mice underwent temporary ligation of the infrarenal aorta for 4 hours. After 48 hours of reperfusion, animals were killed by exsanguination. Tissue myeloperoxidase content reflecting neutrophil infiltration and reverse transcription polymerase chain reaction analysis of local cytokine transcription in lung, liver, and kidney were performed.
After I/R, treatment with FTY720 improved survival and prevented upregulation of pro- and anti-inflammatory cytokines in evaluated organs, whereas no changes were detected in myeloperoxidase content after treatment with FTY720.
Whereas neutrophil infiltration was not affected by treatment with FTY720, other immunocompetent or intrinsic cells appear to be involved in changes of cytokine production in different organs.
缺血再灌注(I/R)损伤涉及淋巴细胞和中性粒细胞的黏附与迁移。FTY720是一种免疫抑制剂,可减少外周血中中性粒细胞和单核细胞的数量以及组织淋巴细胞浸润。本研究调查了FTY720在后肢I/R过程中的作用。
雄性C57/BL6小鼠接受肾下腹主动脉临时结扎4小时。再灌注48小时后,通过放血处死动物。进行反映中性粒细胞浸润的组织髓过氧化物酶含量测定以及肺、肝和肾局部细胞因子转录的逆转录聚合酶链反应分析。
I/R后,FTY720治疗可提高生存率,并防止评估器官中促炎和抗炎细胞因子上调,而FTY720治疗后髓过氧化物酶含量未检测到变化。
虽然FTY720治疗不影响中性粒细胞浸润,但其他免疫活性或固有细胞似乎参与了不同器官中细胞因子产生的变化。