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门静脉输注低剂量内毒素:一种模拟牛瘤胃内毒素移位的模型。

Portal infusion of low dosage endotoxin: a model simulating translocation of ruminal endotoxin in cattle.

作者信息

Andersen P H

机构信息

Department of Clinical Studies, Surgery, Royal Veterinary and Agricultural University, Frederiksberg, Denmark.

出版信息

Acta Vet Scand. 1994;35(1):111-4. doi: 10.1186/BF03548363.

Abstract

Translocation of bacteria and endotoxin from the gastro-intestinal tract to the portal blood is described to occur in healthy humans and animals, and is probably facilitated by ruminai epithelium damage in cattle ( 1992). Controversy exists regarding the possible role of endotoxin in the pathogenesis of ruminai acidosis. Systemic disease during ruminai acidosis is clinically characterized by forestomach stasis, anorexia, depression, tachycardia, tachypnea and fever. It has been shown that blood concentrations of arachidonic acid metabolites increase during ruminai acidosis, which may explain many of these clinical signs ( 1994). At the same time, we found that only few cows with experimentally induced rumen acidosis had endotoxin in the systemic blood ( 1990, 1994), while other authors describe systemic endo-toxaemia as an occasional finding in similar or milder cases of grain-engorgement ( 1990, 1992). Arachidonic acid metabolites are readily produced in the presence of endotoxin, but might also be expected to be produced during a chemical inflammation process of ruminai epithelium, damaged by a low pH and high osmolar concentration. The purpose of the present study was to evaluate the role of low grade portal endotoxaemia for pre-hepatic release of inflammatory mediators 6-ketoprostaglandin F (6-keto-PGF) and thromboxane B (TXB) and the relation to systemic disease. Four healthy cows were surgically equipped with chronic catheters in the portal vein, in a mesenteric vein 20 cm distally to portae hepa-tis and in a hepatic vein. After recovery, the cows received at maximum 3 different treatments at monthly intervals in a randomized design. Treatments were saline solution infused into the mesenteric vein at 2.5 üL/kg body weight per min (control), endotoxin (055:B5 Westphals extraction, Sigma) at 0.025, 0.25 and 2.5 ng/kg body weight per min (Model I, Model II and Model III, respectively, Table 1). Infusions were continued for 180 min, or until respiratory distress (respiration rate > 40 per min) occurred. One h before a session, a jugular catheter was inserted, and blood samples were collected from the portal, hepatic and jugular vein for determination of clinical-chemical parameters (acid-base balance, packed cell volume (PCV), leukocyte and thrombocyte counts), endotoxin, TXB and 6-keto-PGF. Methods are described elsewhere ( 1994). After initiation of the experimental infusion, sampling was continued for 330 min at intervals of 30 min. Clinical parameters (rectal temperature, pulse and respiratory rates and ruminai movements) were determined hourly.

摘要

细菌和内毒素从胃肠道转移至门静脉血的现象在健康人类和动物中已有描述,且在牛身上可能因瘤胃上皮损伤而更易发生(1992年)。关于内毒素在瘤胃酸中毒发病机制中可能发挥的作用存在争议。瘤胃酸中毒期间的全身性疾病临床特征为前胃积食、厌食、抑郁、心动过速、呼吸急促和发热。研究表明,瘤胃酸中毒期间花生四烯酸代谢产物的血浓度会升高,这或许可以解释其中的许多临床症状(1994年)。同时,我们发现,实验性诱导瘤胃酸中毒的奶牛中只有少数在全身血液中检测到内毒素(1990年、1994年),而其他作者则称在类似或较轻的谷物过食病例中偶尔会发现全身性内毒素血症(1990年、1992年)。花生四烯酸代谢产物在内毒素存在时很容易产生,但也可能在瘤胃上皮因低pH值和高渗透压浓度而受损的化学炎症过程中产生。本研究的目的是评估轻度门静脉内毒素血症在炎性介质6 - 酮前列环素F(6 - 酮 - PGF)和血栓素B(TXB)肝前释放中的作用及其与全身性疾病的关系。对4头健康奶牛进行手术,在门静脉、肝门20厘米远的肠系膜静脉和肝静脉中植入慢性导管。恢复后,奶牛按照随机设计每月最多接受3种不同处理。处理方式包括:以每分钟2.5微升/千克体重的速度向肠系膜静脉输注生理盐水(对照);分别以每分钟0.025、0.25和2.5纳克/千克体重的速度输注内毒素(055:B5 Westphals提取物,Sigma公司)(分别为模型I、模型II和模型III,表1)。输注持续180分钟,或直至出现呼吸窘迫(呼吸频率>40次/分钟)。在每次处理前1小时,插入颈静脉导管,并从门静脉、肝静脉和颈静脉采集血样,用于测定临床化学参数(酸碱平衡、红细胞压积(PCV)、白细胞和血小板计数)、内毒素、TXB和6 - 酮 - PGF。方法在其他文献中有描述(1994年)。实验性输注开始后,每隔30分钟继续采样330分钟。每小时测定临床参数(直肠温度、脉搏和呼吸频率以及瘤胃蠕动)。

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