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脓毒症期间肠通透性的测量。

Measurement of Intestinal Permeability During Sepsis.

机构信息

Department of Surgery and Emory Critical Care Center, Emory University School of Medicine, Atlanta, GA, USA.

Department of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.

出版信息

Methods Mol Biol. 2021;2321:169-175. doi: 10.1007/978-1-0716-1488-4_15.

DOI:10.1007/978-1-0716-1488-4_15
PMID:34048016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8301743/
Abstract

Gut barrier function has been hypothesized to play a critical role in the pathophysiology of sepsis. Measuring intestinal permeability allows for a determination of barrier dysfunction under conditions of health and disease. Fluorescence-conjugated dyes such as fluorescein isothiocyanate-4 kDa dextran (FD4) have been commonly used for evaluating hyperpermeability. Here we describe a common method to measure gut permeability in vivo, following gavage with different sized dyes. In addition, we describe an ex vivo everted gut sac model that allows for discrimination of permeability by segmental geographic location along the intestine.

摘要

肠道屏障功能被认为在脓毒症的病理生理学中起着关键作用。测量肠道通透性可以确定在健康和疾病状态下的屏障功能障碍。荧光素异硫氰酸酯-4 kDa 葡聚糖(FD4)等荧光染料已被广泛用于评估高通透性。在这里,我们描述了一种使用不同大小染料经灌胃后测量体内肠道通透性的常用方法。此外,我们还描述了一种外翻肠囊模型,该模型允许根据肠道的节段地理位置来区分通透性。

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本文引用的文献

1
The Claudins: From Tight Junctions to Biological Systems.紧密连接蛋白 Claudin:从紧密连接到生物系统。
Trends Biochem Sci. 2019 Feb;44(2):141-152. doi: 10.1016/j.tibs.2018.09.008. Epub 2018 Oct 25.
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IL-22 Upregulates Epithelial Claudin-2 to Drive Diarrhea and Enteric Pathogen Clearance.白细胞介素-22上调上皮细胞紧密连接蛋白-2以引发腹泻并清除肠道病原体。
Cell Host Microbe. 2017 Jun 14;21(6):671-681.e4. doi: 10.1016/j.chom.2017.05.009.
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Myosin light chain kinase knockout improves gut barrier function and confers a survival advantage in polymicrobial sepsis.肌球蛋白轻链激酶敲除可改善肠道屏障功能,并在多微生物脓毒症中提供生存优势。
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Intestinal epithelial claudins: expression and regulation in homeostasis and inflammation.肠道上皮紧密连接蛋白:在稳态和炎症中的表达与调控
Ann N Y Acad Sci. 2017 Jun;1397(1):66-79. doi: 10.1111/nyas.13360. Epub 2017 May 10.
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New insights into the gut as the driver of critical illness and organ failure.深入了解肠道在危重症和器官衰竭中的作用机制。
Curr Opin Crit Care. 2017 Apr;23(2):143-148. doi: 10.1097/MCC.0000000000000386.
6
The intestinal epithelial barrier: a therapeutic target?肠上皮屏障:一个治疗靶点?
Nat Rev Gastroenterol Hepatol. 2017 Jan;14(1):9-21. doi: 10.1038/nrgastro.2016.169. Epub 2016 Nov 16.
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Mechanisms of Intestinal Barrier Dysfunction in Sepsis.脓毒症中肠屏障功能障碍的机制
Shock. 2016 Jul;46(1):52-9. doi: 10.1097/SHK.0000000000000565.
8
Redefining the gut as the motor of critical illness.将肠道重新定义为危重症的驱动因素。
Trends Mol Med. 2014 Apr;20(4):214-23. doi: 10.1016/j.molmed.2013.08.004. Epub 2013 Sep 18.
9
Everted gut sac model as a tool in pharmaceutical research: limitations and applications.外翻肠囊模型作为药物研究工具:局限性与应用。
J Pharm Pharmacol. 2012 Mar;64(3):326-36. doi: 10.1111/j.2042-7158.2011.01391.x. Epub 2011 Nov 10.
10
Intestinal mucosal barrier function in health and disease.健康与疾病状态下的肠道黏膜屏障功能
Nat Rev Immunol. 2009 Nov;9(11):799-809. doi: 10.1038/nri2653.