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[甲状腺素和肾上腺素诱导的粒细胞分布变化:家兔实验]

[Changes of granulocyte distribution induced by thyroxin and epinephrine: experiment with rabbits].

作者信息

Tong Ji, Fu Ye-sheng, Hao Hui-jun, Guo Tong-lan, Han Dong, Wang Qin, Gao Yun-ming, Wen Hai-xia, Guo Hong-na

机构信息

Department of Endocrinology, Lianyungang Second People's Hospital, Lianyungang 222023, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2008 Nov 4;88(40):2826-8.

Abstract

OBJECTIVE

To investigate the distribution of granulocyte during thyrotoxicosis and the relation of granulopenia and the gathering of circulating granulocytes into the marginal pool.

METHODS

Forty-five rabbits were randomly divided into 3 equal groups: epinephrine group fed with levo-thyroxin (LT4) for 14 days, injected subcutaneously with epinephrine 0.07 mg/kg, and undergoing collection of peripheral blood samples for white blood cell and granulocyte counts, free blood triiodothyroxine (FT3) and free blood thyroxine (FT4), electrocardiography, and body weight measurement; labeled group fed with LT4 for 14 days, injected subcutaneously with 131I-labeled anti-human granulocyte monoclonal antibody, and killed 6 hours later to calculate the ratio of radioactivity of heart, liver, spleen, and muscle tissues to blood (CPM/g), and control group, not fed with L-T4 but injected with 131I-labeled anti-human granulocyte monoclonal antibody on the day 14, and killed 6 hours later to calculate the ratio of radioactivity of tissues to blood.

RESULTS

After 14-day feeding of L-T4, the heart rates of the epinephrine and labeled groups were significantly higher than those before injection, and the FT3 and FT4 levels were significantly increased;the venous WBC and granulocyte counts were significantly reduced. But the granulocyte count of 13 of the 15 rabbits in the epinephrine group increased 20 minutes after the injection of epinephrine, even becoming 2-4.8 times as high as those before the injection in 7 rabbits. The heart, liver, spleen, and muscle tissues to blood CPM/g ratios of the labeled group were all significantly higher than those of the control group (all P<0.01).

CONCLUSION

During thyrotoxicosis the circulating granulocytes are reduced and the distribution of circulating granulocytes is abnormal with a gathering phenomenon of the granulocytes into the marginal pool.

摘要

目的

探讨甲状腺毒症时粒细胞的分布情况以及粒细胞减少与循环粒细胞向边缘池聚集的关系。

方法

45只家兔随机分为3组,每组15只:肾上腺素组,给予左旋甲状腺素(LT4)喂养14天,皮下注射肾上腺素0.07mg/kg,然后采集外周血样本进行白细胞和粒细胞计数、游离血三碘甲状腺原氨酸(FT3)和游离血甲状腺素(FT4)检测、心电图检查及体重测量;标记组,给予LT4喂养14天,皮下注射131I标记的抗人粒细胞单克隆抗体,6小时后处死,计算心脏、肝脏、脾脏和肌肉组织与血液的放射性比值(CPM/g);对照组,第14天不给予L-T4,但注射131I标记的抗人粒细胞单克隆抗体,6小时后处死,计算组织与血液的放射性比值。

结果

给予L-T4喂养14天后,肾上腺素组和标记组的心率显著高于注射前,FT3和FT4水平显著升高;静脉白细胞和粒细胞计数显著降低。但肾上腺素组15只家兔中有13只在注射肾上腺素20分钟后粒细胞计数增加,其中7只家兔的粒细胞计数甚至变为注射前的2-4.8倍。标记组心脏、肝脏、脾脏和肌肉组织与血液的CPM/g比值均显著高于对照组(均P<0.01)。

结论

甲状腺毒症时循环粒细胞减少,循环粒细胞分布异常,存在粒细胞向边缘池聚集现象。

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