Zeng Gao, Liu Jie, Wu Ning, Jia Cong-wei, Guo Shu-bin
Department of Emergency Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
Department of Thoracic Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China.
Chin Med Sci J. 2015 Mar;30(1):7-17. doi: 10.1016/s1001-9294(15)30002-x.
To determine whether the onset of acute lung injury (ALI) induces the up-regulation of pentraxin 3 (PTX3) expression in mice and whether PTX3 concentration in the biofluid can help recognizing sepsis-induced ALI.
Wild-type C57BL/6 mice (12-14 weeks old) were randomly divided into 3 groups. Mice in the group 1 (n=12) and group 2 (n=12) were instilled with lipopolysaccharide via intratracheal or intraperitoneal routes, respectively. Mice in the group 3 (n=8) were taken as blank controls. Pulmonary morphological and functional alterations were measured to determine the presence of experimental ALI. PTX3 expression in the lung was quantified at both protein and mRNA levels. PTX3 protein concentration in blood and bronchoalveolar lavage fluid was measured to evaluate its ability to diagnose sepsis-induced ALI by computing area under receiver operator characteristic curve (AUROCC).
ALI was commonly confirmed in the group 1 but never in the other groups. PTX3 expression was up-regulated indiscriminately among lipopolysaccharide-challenged mice. PTX3 protein concentration in the biofluid was unable to diagnose sepsis-induced ALI evidenced by its small AUROCC. PTX3 concentration in bronchoalveolar lavage fluid did not correlate with that in serum.
Lipopolysaccharide challenges induced PTX3 expression in mice regardless of the presence of ALI. PTX3 may act as an indicator of inflammatory response instead of organ injury per se.
确定急性肺损伤(ALI)的发作是否会诱导小鼠中五聚体3(PTX3)表达上调,以及生物流体中的PTX3浓度是否有助于识别脓毒症诱导的ALI。
将野生型C57BL/6小鼠(12 - 14周龄)随机分为3组。第1组(n = 12)和第2组(n = 12)的小鼠分别通过气管内或腹腔内途径注入脂多糖。第3组(n = 8)的小鼠作为空白对照。测量肺部形态和功能改变以确定实验性ALI的存在。在蛋白质和mRNA水平上对肺中PTX3的表达进行定量。通过计算受试者操作特征曲线下面积(AUROCC)来测量血液和支气管肺泡灌洗液中PTX3蛋白浓度,以评估其诊断脓毒症诱导的ALI的能力。
第1组中普遍证实存在ALI,而其他组未出现。在受到脂多糖攻击的小鼠中,PTX3表达无差别地上调。生物流体中PTX3蛋白浓度因其较小的AUROCC而无法诊断脓毒症诱导的ALI。支气管肺泡灌洗液中PTX3浓度与血清中的浓度不相关。
脂多糖攻击诱导小鼠中PTX3表达,无论是否存在ALI。PTX3可能作为炎症反应的指标,而非器官损伤本身的指标。