Li Bei, Chen Li, Ma Jin-fu, Zhao Jian, Yin Ming, Ding Ri-gao, Li Tan-shi
Emergency Department, General Hospital of PLA, Beijing 100853, China.
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue. 2009 Apr;21(4):219-21.
To observe the protective effect of insulin-like growth factor-1 (IGF-1) on acute lung injury induced by perfluoroisobutylene (PFIB) inhalation in mice.
Sixty-four male Kunming mice were randomly divided into normal control (A) group, exposed (B) group, recombinant adenoviruses 5 of IGF-1 (Ad5-IGF-1) intervention (C) group (in which Ad5-IGF-1 was injected into the trachea of the mice), blank vector control (D) group. B, C and D groups were exposed to gaseous PFIB in a flow-past whole-body exposure system. The lung index, concentration of total protein and albumin in bronchoalveolar lavage fluid (BALF), concentration of IGF-1 in serum and lung homogenate were measured. The lung pathologic changes were examined with light microscope, and ultrastructure changes in alveolar type II cells (ATII) with electron microscope.
Compared with A group, the lung index, concentration of total protein in BALF were significantly increased in other groups, the lung index and concentration of total protein and albumin of BALF in B and D groups were prominently higher than C group (all P<0.01). The concentration of IGF-1 in serum of B and D groups was lower markedly than that of A group, and the concentration of IGF-1 in serum of C group was distinctly higher than those of A, B, D groups (all P<0.01). The concentration of IGF-1 in lung homogenate of B, C, D groups was higher than that of A group, and the concentration of IGF-1 in lung homogenate of C group was significantly higher than that of B and D groups (all P<0.01). Lung hyaline membrane formation, diffuse alveolar atelectasis, accumulation of edema fluid, red blood cell exudation, were obviously milder in C group, and changes in the ultrastructure of ATII showed a similar result.
The protective effect of Ad5-IGF-1 against the toxicity of PFIB inhalation is identified. In the mice pretreated with Ad5-IGF-1 is able to significantly lower lung index, the protein concentration in BALF, and the concentration of IGF-1 in serum and lung homogenate is obviously increased. Protection of ATII may be one of the mechanisms.
观察胰岛素样生长因子-1(IGF-1)对小鼠吸入全氟异丁烯(PFIB)所致急性肺损伤的保护作用。
将64只雄性昆明小鼠随机分为正常对照组(A组)、染毒组(B组)、重组腺病毒5介导IGF-1干预组(C组,将Ad5-IGF-1注入小鼠气管)、空载体对照组(D组)。B、C、D组在流动式全身暴露系统中暴露于气态PFIB。检测肺指数、支气管肺泡灌洗液(BALF)中总蛋白和白蛋白浓度、血清及肺匀浆中IGF-1浓度。用光镜观察肺组织病理变化,用电子显微镜观察Ⅱ型肺泡上皮细胞(ATII)超微结构变化。
与A组比较,其他组肺指数、BALF中总蛋白浓度显著升高,B组和D组肺指数、BALF中总蛋白和白蛋白浓度显著高于C组(均P<0.01)。B组和D组血清中IGF-1浓度明显低于A组,C组血清中IGF-1浓度明显高于A、B、D组(均P<0.01)。B、C、D组肺匀浆中IGF-1浓度高于A组,C组肺匀浆中IGF-1浓度显著高于B组和D组(均P<0.01)。C组肺透明膜形成、弥漫性肺泡萎陷、水肿液积聚、红细胞渗出明显较轻,ATII超微结构变化结果相似。
证实Ad5-IGF-1对PFIB吸入毒性有保护作用。经Ad5-IGF-1预处理的小鼠肺指数显著降低,BALF中蛋白浓度降低,血清及肺匀浆中IGF-1浓度明显升高。对ATII的保护可能是其机制之一。