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通过渗透微型泵输送博来霉素:与人类硬皮病性间质性肺病的相似性。

Bleomycin delivery by osmotic minipump: similarity to human scleroderma interstitial lung disease.

机构信息

Division of Rheumatology and Immunology, Dept. of Medicine, Medical Univ. of South Carolina, STB 233, 114 Doughty St., Charleston, SC 29425.

出版信息

Am J Physiol Lung Cell Mol Physiol. 2014 Apr 15;306(8):L736-48. doi: 10.1152/ajplung.00210.2013. Epub 2014 Feb 28.

Abstract

The interstitial lung diseases (ILD) include a large number of chronic, progressive, irreversible respiratory disorders involving pulmonary fibrosis, the most common of which are idiopathic pulmonary fibrosis and scleroderma lung disease (SSc ILD). Because bleomycin causes lung fibrosis when used in cancer chemotherapy, it is used to model human ILD in rodents. In most studies, bleomycin has been delivered directly into the lung by intratracheal or intraoral administration. Here we have compared the effects in mice of bleomycin delivered directly into the lungs (direct model) or systemically using osmotic minipumps (pump model) to determine which more closely resembles human ILD. The pump model is more similar to human SSc ILD in that: 1) lung injury/fibrosis is limited to the subpleural portion of the lung in the pump model and in SSc ILD, whereas the entire lung is affected in the direct model; 2) conversely, there is massive inflammation throughout the lung in the direct model, whereas inflammation is limited in the pump model and in SSc ILD; 3) hypertrophic type II alveolar epithelial cells are present at high levels in SSc ILD and in the pump model but not in the direct model; and 4) lung fibrosis is accompanied by dermal fibrosis. The pump model is also move convenient and humane than the direct model because there is less weight loss and mortality.

摘要

间质性肺疾病(ILD)包括许多慢性、进行性、不可逆的呼吸系统疾病,涉及肺纤维化,其中最常见的是特发性肺纤维化和硬皮病肺疾病(SScILD)。由于博莱霉素在癌症化疗中使用时会引起肺纤维化,因此它被用于在啮齿动物中模拟人类ILD。在大多数研究中,博莱霉素通过气管内或口腔内给药直接递送至肺部。在这里,我们比较了直接递送至肺部(直接模型)或通过渗透微型泵系统给药(泵模型)的博莱霉素对小鼠的影响,以确定哪种更类似于人类ILD。泵模型更类似于人类 SScILD,因为:1)肺损伤/纤维化仅限于泵模型和 SScILD 中的肺胸膜下部分,而直接模型中的整个肺都受到影响;2)相反,直接模型中整个肺都有大量炎症,而在泵模型和 SScILD 中炎症是有限的;3)在 SScILD 和泵模型中,高水平存在肥大的 II 型肺泡上皮细胞,但在直接模型中不存在;4)肺纤维化伴有皮肤纤维化。与直接模型相比,泵模型也更方便、更人道,因为它的体重减轻和死亡率更低。

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