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静脉移植间充质干细胞可减轻油酸诱导的大鼠急性肺损伤。

Intravenous transplantation of mesenchymal stem cells attenuates oleic acid induced acute lung injury in rats.

机构信息

Department of Pediatric Cardiac Surgery Center, Fuwai Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100037, China.

出版信息

Chin Med J (Engl). 2012 Jun;125(11):2012-8.

Abstract

BACKGROUND

Acute lung injury (ALI) and end-stage acute respiratory distress syndrome (ARDS) were among the most common causes of death in intensive care units. The activation of an inflammatory response and the damage of pulmonary epithelium and endotheliumwerethe hallmark of ALI/ARDS. Recent studies had demonstrated the importance of mesenchymal stem cells (MSCs) in maintaining the normal pulmonary endothelial and epithelial function as well as participating in modulating the inflammatory response and they are involved in epithelial and endothelial repair after injury. Here, our study demonstrates MSCs therapeutic potential in a rat model of ALI/ARDS.

METHODS

Bone marrow derived MSCs were obtained from Sprague-Dawley (SD) rats and their differential potential was verified. ALI was induced in rats byoleic acid (OA), and MSCs were transplanted intravenously. The lung injury and the concentration of cytokines in plasma and lung tissue extracts were assessed at 8 hours, 24 hours and 48 hours after OA-injection.

RESULTS

The histological appearance and water content in rat lung tissue were significantly improved at different time points in rats treated with MSCs. The concentration of tumor necrosis factor-a and intercellular adhesion molecular-1 in rats plasma and lung tissue extracts were significantly inhibited after intravenous transplantation of MSCs, whereas interleukin-10 was significantly higher after MSCs transplantation at 8 hours, 24 hours and 48 hours after OA-challenge.

CONCLUSIONS

Intravenous transplantation of MSCs could maintain the integrity of the pulmonary alveolar-capillary barrier and modulate the inflammatory response to attenuate the experimental ALI/ARDS. Transplantation of MSCs could be a novel cell-based therapeutic strategy for prevention and treatment of ALI/ARDS.

摘要

背景

急性肺损伤(ALI)和急性呼吸窘迫综合征终末期(ARDS)是重症监护病房中最常见的死亡原因之一。炎症反应的激活和肺上皮及内皮的损伤是 ALI/ARDS 的特征。最近的研究表明,间充质干细胞(MSCs)在维持肺内皮和上皮的正常功能以及参与调节炎症反应方面具有重要作用,并且它们参与损伤后的上皮和内皮修复。在这里,我们的研究在 ALI/ARDS 的大鼠模型中证明了 MSCs 的治疗潜力。

方法

从 Sprague-Dawley(SD)大鼠中获得骨髓来源的 MSCs,并验证其分化潜能。通过油酸(OA)诱导大鼠 ALI,并静脉移植 MSCs。在 OA 注射后 8 小时、24 小时和 48 小时评估肺损伤和血浆及肺组织提取物中细胞因子的浓度。

结果

在不同时间点,MSC 治疗的大鼠肺组织的组织学外观和含水量均明显改善。静脉移植 MSCs 后,大鼠血浆和肺组织提取物中肿瘤坏死因子-α和细胞间黏附分子-1的浓度明显抑制,而白细胞介素-10 在 OA 攻击后 8 小时、24 小时和 48 小时移植 MSCs 后明显升高。

结论

静脉移植 MSCs 可以维持肺肺泡毛细血管屏障的完整性,并调节炎症反应,从而减轻实验性 ALI/ARDS。MSC 移植可能是预防和治疗 ALI/ARDS 的一种新的基于细胞的治疗策略。

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