Kilicdag Hasan, Daglioglu Yusuf Kenan, Sencar Leman, Erdogan Seyda, Zorludemir Suzan, Polat Sait, Bagir Emine Kilic, Coskun Gulfidan
a Division of Neonatology, Department of Pediatrics , Acıbadem Adana Hospital , Adana , Turkey .
b Medical and Experimental Research Center, Çukurova University , Adana , Turkey .
J Matern Fetal Neonatal Med. 2016;29(12):1935-40. doi: 10.3109/14767058.2015.1068286. Epub 2015 Aug 13.
Necrotizing enterocolitis has been investigated and debated extensively in recent years; however, there is still no effective treatment. The aim of this study was thus to examine the effects of β-estradiol on intestinal injury in rats.
Twenty-four newborn female rat pups were divided into three groups. In group 1 (sham), hypoxia-re-oxygenation was not performed. In group 2 (saline), the rats were injected with saline after hypoxia-re-oxygenation, and the process was repeated for 5 d. In group 3 (β-estradiol treatment), the rats were subjected to hypoxia-re-oxygenation and then given β-estradiol intraperitoneally once a day for 5 d. After these procedures, the terminal ileum was removed for analysis.
Statistically significant differences in histological grades were found between groups 1 and 2 (p = 0.000), groups 1 and 3 (p = 0.028), and groups 2 and 3 (p = 0.021). There were also differences in TNF-α and IL-6 levels between groups 2 and 3 (p = 0.000 and p = 0.038, respectively) and between groups 1 and 2 (p = 0.000 and p = 0.000); there was no difference between groups 1 and 3 (p = 0.574 and p = 0.195, respectively). Electron microscopy examination revealed a decrease in lipid droplets at the apical cytoplasm of the columnar cells in group 2; in group 3, the absorption of the lipids as lipid droplets was similar to that of group 1.
In this study, β-estradiol was found to decrease the intensity of intestinal injury significantly by inhibiting TNF-α and IL-6.
近年来,坏死性小肠结肠炎已得到广泛研究和讨论;然而,仍没有有效的治疗方法。因此,本研究的目的是探讨β-雌二醇对大鼠肠道损伤的影响。
将24只新生雌性大鼠幼崽分为三组。第1组(假手术组)不进行缺氧复氧处理。第2组(生理盐水组)大鼠在缺氧复氧后注射生理盐水,并重复该过程5天。第3组(β-雌二醇治疗组)大鼠进行缺氧复氧处理,然后每天腹腔注射β-雌二醇,持续5天。这些操作完成后,取出回肠末端进行分析。
第1组和第2组(p = 0.000)、第1组和第3组(p = 0.028)以及第2组和第3组(p = 0.021)之间的组织学分级存在统计学显著差异。第2组和第3组之间(分别为p = 0.000和p = 0.038)以及第1组和第2组之间(分别为p = 0.000和p = 0.000)的肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)水平也存在差异;第1组和第3组之间无差异(分别为p = 0.574和p = 0.195)。电子显微镜检查显示,第2组柱状细胞顶端细胞质中的脂滴减少;在第3组中,脂滴对脂质的吸收与第1组相似。
在本研究中,发现β-雌二醇通过抑制TNF-α和IL-6显著降低肠道损伤的强度。