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热损伤通过内毒素血症以外的机制诱导大鼠极早期产生白细胞介素-1α。

Thermal injury induces very early production of interleukin-1 alpha in the rat by mechanisms other than endotoxemia.

作者信息

Mester M, Carter E A, Tompkins R G, Gelfand J A, Dinarello C A, Burke J F, Clark B D

机构信息

Surgical Service, Massachusetts General Hospital, Boston.

出版信息

Surgery. 1994 May;115(5):588-96.

PMID:8178258
Abstract

BACKGROUND

Cytokines are putative mediators of thermal injury-induced systemic changes. We studied the effects of thermal injury on cytokine activation in vivo with a sensitive radioimmunoassay specific for rat interleukin-1 alpha (IL-1 alpha).

METHODS

We characterized the organ distribution and expression kinetics of IL-1 alpha in rats submitted to either 20% total body surface area cutaneous burn, muscle burn, or endotoxic shock. Rats were killed at various time points, and liver, lung, spleen, ileum, thymus, kidney, skin, and plasma were harvested. Tissues were homogenized, and the supernates were assayed for rat IL-1 alpha. The assay detection limit was 1.5 ng/gm wet tissue (WT).

RESULTS

Thermal injury induced marked elevations of IL-1 alpha levels in the liver and lung, and maximal levels were reached at 2.5 hours when compared with controls. In the liver mean IL-1 alpha levels in cutaneous burn injury were 16.5 +/- 6.2 ng/gm WT, whereas in sham injury they were 1.7 +/- 0.1 ng/gm WT, p < or = 0.05; in the lung IL-1 alpha levels with cutaneous burn injury were 10.3 +/- 1.3 ng/gm WT, whereas sham injury levels were 1.9 +/- 0.8 ng/gm WT, p < or = 0.002). Levels in all other organs and plasma were below detection limits. Muscle burn injury had similar elevated levels of IL-1 alpha in the liver at 1 hour, indistinguishable from cutaneous burn. In contrast, endotoxin challenge resulted in dramatic elevation of IL-1 alpha levels in all organs tested except for the kidney, whereas the skin maintained its usual large amounts of IL-1 alpha.

CONCLUSIONS

These data indicate that thermal or mechanical injury induce very early and organ-specific association of IL-1 alpha in vivo by mechanisms other than endotoxemia.

摘要

背景

细胞因子被认为是热损伤诱导全身变化的介质。我们采用一种针对大鼠白细胞介素-1α(IL-1α)的灵敏放射免疫分析法,研究了热损伤对体内细胞因子激活的影响。

方法

我们对遭受20%体表面积皮肤烧伤、肌肉烧伤或内毒素休克的大鼠,进行了IL-1α的器官分布及表达动力学特征研究。在不同时间点处死大鼠,采集肝脏、肺、脾脏、回肠、胸腺、肾脏、皮肤和血浆。将组织匀浆,检测上清液中的大鼠IL-1α。该检测方法的检测限为1.5 ng/g湿组织(WT)。

结果

热损伤导致肝脏和肺中IL-1α水平显著升高,与对照组相比,在2.5小时时达到最高水平。在肝脏中,皮肤烧伤损伤组的平均IL-1α水平为16.5±6.2 ng/g WT,而假手术损伤组为1.7±0.1 ng/g WT,p≤0.05;在肺中,皮肤烧伤损伤组的IL-1α水平为10.3±1.3 ng/g WT,而假手术损伤组为1.9±0.8 ng/g WT,p≤0.002)。所有其他器官和血浆中的水平均低于检测限。肌肉烧伤损伤在1小时时肝脏中IL-1α水平也有类似升高,与皮肤烧伤难以区分。相比之下,内毒素攻击导致除肾脏外所有检测器官中IL-1α水平急剧升高,而皮肤中IL-1α含量仍维持在较高水平。

结论

这些数据表明,热或机械损伤通过内毒素血症以外的机制在体内诱导IL-1α非常早期且器官特异性的关联。

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