Gonçalves Frances Lilian Lanhellas, Bittencourt Daniel Guimarães, Velloso Lício Augusto, Schmidt Augusto Frederico, Gallindo Rodrigo Melo, Sbragia Lourenço
Division of Pediatric Surgery, Department of Surgery and Anatomy, School of Medicine of Ribeirao Preto, University of Sao Paulo, Ribeirao Preto, SP, Brazil.
Acta Cir Bras. 2013;28 Suppl 1:8-12. doi: 10.1590/s0102-86502013001300003.
To evaluate the effect of corticosteroids on intestinal and liver interleukin profile in an experimental model of gastroschisis in fetal rats.
Sprague-Dawley rats at 19.5 days of gestation had its fetuses operated for the creation of gastroschisis. Two groups of fetuses were studied with and without maternal administration of dexamethasone. Each group was composed of fetuses who underwent gastroschisis (G), control fetuses without manipulation (C) and sham fetuses (S). A dosage of the following interleukins was carried out in fetal intestinal and liver tissues: IL-1, IL-6, IL-10, tumor necrosis factor-alpha (TNF-α) and interferon-gamma (IFN-γ). The differences between the groups and subgroups were tested by ANOVA with Tukey post-test, with significant values of p<0.05.
Dexamethasone led to an increase in intestinal and liver IL-6 (p<0.05) and a decrease in intestinal TNF-α (p<0.001) in fetuses with gastroschisis.
Corticosteroids had an effect on the intestinal interleukin profile and a small effect on the liver interleukin profile due to immunological immaturity of the fetus, and also of fetuses with gastroschisis. The steroid action may not be exclusively anti-inflammatory, but also pro-inflammatory, varying with time of pregnancy.
在胎鼠腹裂实验模型中评估皮质类固醇对肠道和肝脏白细胞介素谱的影响。
妊娠19.5天的斯普拉格-道利大鼠的胎儿接受手术以制造腹裂。研究两组胎儿,一组母体给予地塞米松,另一组不给予。每组由接受腹裂手术的胎儿(G)、未进行操作的对照胎儿(C)和假手术胎儿(S)组成。对胎儿肠道和肝脏组织中的以下白细胞介素进行定量检测:白细胞介素-1(IL-1)、白细胞介素-6(IL-6)、白细胞介素-10(IL-10)、肿瘤坏死因子-α(TNF-α)和干扰素-γ(IFN-γ)。通过方差分析和Tukey事后检验比较组间和亚组间的差异,p<0.05为有显著差异。
地塞米松导致腹裂胎儿肠道和肝脏中的IL-6增加(p<0.05),肠道中的TNF-α减少(p<0.001)。
由于胎儿以及腹裂胎儿的免疫不成熟,皮质类固醇对肠道白细胞介素谱有影响,对肝脏白细胞介素谱有轻微影响。类固醇的作用可能不仅是抗炎的,也是促炎的,且随孕期时间而变化。