Ares Guillermo J, McElroy Steven J, Hunter Catherine J
Division of Pediatric Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; Department of Surgery, University of Illinois at Chicago, Chicago, Illinois.
Division of Neonatology, Department of Pediatrics, University of Iowa, Iowa City, Iowa.
Semin Pediatr Surg. 2018 Feb;27(1):29-33. doi: 10.1053/j.sempedsurg.2017.11.006. Epub 2017 Nov 6.
Necrotizing enterocolitis (NEC) remains one of the highest causes of mortality and of acute and long-term morbidity in premature infants. Multiple factors are involved in the pathophysiology of NEC including the immaturity of the immune system and the complex changing composition of the intestinal microbiome. This is compounded by the fact that the premature infant should ideally still be a developing fetus and has an immature intestinal tract. Because these complexities are beyond the scope of studies in single-cell cultures, animal models are absolutely essential to understand the mechanisms involved in the pathophysiology of NEC and the effects of inflammation on the immature intestinal tract. To this end, investigators have utilized many different species (e.g., rats, mice, rabbits, quails, piglets, and non-human primates) and conditions to develop models of NEC. Each animal has distinct advantages and drawbacks related to its preterm viability, body size, genetic variability, and cost. The choice of animal model is strongly influenced by the scientific question being addressed. While no model perfectly mimics human NEC, each has greatly improved our understanding of disease. Examples of recent discoveries in NEC pathogenesis and prevention underscore the importance of continued animal research in NEC.
坏死性小肠结肠炎(NEC)仍然是早产儿死亡以及急性和长期发病的主要原因之一。NEC的病理生理学涉及多种因素,包括免疫系统不成熟以及肠道微生物群组成的复杂变化。更复杂的是,早产儿理想情况下仍应是发育中的胎儿,其肠道不成熟。由于这些复杂性超出了单细胞培养研究的范围,动物模型对于理解NEC病理生理学所涉及的机制以及炎症对不成熟肠道的影响绝对至关重要。为此,研究人员利用了许多不同的物种(如大鼠、小鼠、兔子、鹌鹑、仔猪和非人类灵长类动物)和条件来建立NEC模型。每种动物在早产生存能力、体型、遗传变异性和成本方面都有独特的优缺点。动物模型的选择受到所研究科学问题的强烈影响。虽然没有一种模型能完美模拟人类NEC,但每种模型都极大地增进了我们对该疾病的理解。NEC发病机制和预防方面的近期发现实例强调了在NEC中持续进行动物研究的重要性。