McMenamy K R, Anderson M J, Zachman R D
Department of Pediatrics, University of Wisconsin, Madison.
Pediatr Pulmonol. 1994 Oct;18(4):232-8. doi: 10.1002/ppul.1950180407.
Retinol deficiency in animal models results in histopathologic airway changes that appear similar to those found in human premature infants with bronchopulmonary dysplasia (BPD). Dexamethasone (DEX), a steroid now often used in the treatment of BPD, might potentially affect lung vitamin A homeostasis since it alters serum and liver retinoid stores in certain models. Our objective was to determine the effect of DEX on neonatal rat lung retinoid status and the binding of retinoic acid (RA) to cytosolic and nuclear receptor proteins. We examined this effect both in room air and when the animals breathed 95% oxygen (O2). Twenty-four 1-day-old rat pups received either 1 microgram/g DEX subcutaneously, an equal volume of normal saline (NS) subcutaneously at 0 (start experiment time), 24, and 48 hours, or no injection at all, and were sacrificed at 72 hours. Twelve rats in each treatment group were housed in room air and 12 in each group were exposed to > 95% O2 for the 3 day period. Lung and liver were analyzed for retinyl palmitate (RP). Nuclear retinoic acid receptor (RAR) and cellular retinoic acid binding protein (CRABP) were measured by specific binding assays. DEX decreased liver RP by 33-55% and rat pup lung RP by over 60%; it also decreased lung RAR binding (mean dpm/microgram protein +/- SEM) in both room air and oxygen groups: Air (11.2 +/- 1.0) vs. Air/DEX (4.6 +/- 1.3, n = 6; P < 0.01), and O2 (18.2 +/- 0.6) vs. O2/DEX (3.2 +/- 0.6, n = 6; P < 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)
动物模型中的视黄醇缺乏会导致组织病理学上的气道变化,这些变化与患有支气管肺发育不良(BPD)的人类早产儿所出现的变化相似。地塞米松(DEX)是一种目前常用于治疗BPD的类固醇,由于它会改变某些模型中的血清和肝脏类视黄醇储存,因此可能会影响肺部维生素A的稳态。我们的目的是确定DEX对新生大鼠肺类视黄醇状态以及视黄酸(RA)与细胞溶质和核受体蛋白结合的影响。我们在常氧环境以及动物呼吸95%氧气(O2)的情况下研究了这种影响。24只1日龄的幼鼠在0(实验开始时间)、24和48小时分别皮下注射1微克/克DEX、等量的生理盐水(NS)或不注射,并在72小时时处死。每个治疗组中的12只大鼠饲养在常氧环境中,每组中的另外12只大鼠在3天内暴露于>95%的O2环境中。对肺和肝脏进行视黄醇棕榈酸酯(RP)分析。通过特异性结合测定法测量核视黄酸受体(RAR)和细胞视黄酸结合蛋白(CRABP)。DEX使肝脏RP降低了33 - 55%,幼鼠肺RP降低了60%以上;它还降低了常氧组和氧气组肺RAR的结合(平均dpm/微克蛋白±SEM):常氧组(11.2±1.0)与常氧/DEX组(4.6±1.3,n = 6;P < 0.01),氧气组(18.2±0.6)与氧气/DEX组(3.2±0.6,n = 6;P < 0.001)。(摘要截断于250字)