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Research in experimental medicine. Zeitschrift fur die gesamte experimentelle Medizin einschliesslich experimenteller Chirurgie最新文献

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Simulation of lung lesions for validating the sonography of the flooded lung. 模拟肺部病变,以验证肺淹水的超声检查。
T Lesser, S Klinzing, H Schubert, M Bartel

The quality of sonography of a unilaterally flooded lung needs to be validated on lesions of different echogenicity, size and subpleural position. Lesions were simulated in 12 young pigs with three different methods. After transbronchial (method 1) or transpleural puncture (method 2), diverse substances were injected into the lung. After 4 weeks, the thorax was opened and the lung flooded for the sonographic location of the lesions. In method 3, pulmonary lesions were simulated in an acute experiment after thoracotomy by transpleural injection or by filling of a Fogarty catheter balloon and were located sonographically. Transbronchial injection of alcohol invariably led to subsegment atelectasis. Only 25% of thoracoscopically controlled transpleural injections produced focal lesions in experiments in which the animals survived. Representative lesions were found only after alcohol injections. Transpleural injection of blood or a blood/Echovist suspension (method 3) simulated isoechogenic or echo-rich lesions with indistinct boundaries. By filling a Fogarty catheter balloon with saline solution or Echovist suspension, we succeeded in simulating echo-free or echo-rich lesions with smooth contours, located in different subpleural depths. After unilateral lung flooding, sonography successfully detected the locations of all these lesions and revealed their correlation with functional structures. Sonography of the flooded lung might be helpful in the intraoperative location of lesions, especially in the context of video-assisted thoracoscopic surgery.

单侧淹水肺的超声质量需要在不同回声强度、大小和胸膜下位置的病变上进行验证。用三种不同的方法模拟12头仔猪的病变。经支气管穿刺(方法1)或经胸膜穿刺(方法2)后,向肺内注射各种物质。4周后,胸腔被打开,肺被淹以便超声定位病变。在方法3中,在开胸后的急性实验中,通过经胸膜注射或填充Fogarty导管球囊来模拟肺部病变,并进行超声定位。经支气管注射酒精不可避免地导致亚段不张。在动物存活的实验中,只有25%的胸腔镜控制的经胸膜注射产生局灶性病变。只有在酒精注射后才发现有代表性的病变。经胸膜注射血液或血液/回声悬浮液(方法3)模拟边界模糊的等回声或丰富回声病变。通过在Fogarty导管球囊内填充生理盐水溶液或Echovist悬浮液,我们成功地模拟了位于不同胸膜下深度的无回声或富含回声的平滑病灶。在单侧肺泛洪后,超声检查成功地发现了所有这些病变的位置,并揭示了它们与功能结构的相关性。肺积水的超声检查可能有助于术中病灶的定位,特别是在视频胸腔镜手术的背景下。
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引用次数: 4
Organ growth and lung maturation in rabbit fetuses. 兔胎儿器官生长和肺成熟。
I Karnak, S Müftüoğlu, N Cakar, F C Tanyel

The rabbit fetus is one of the most commonly used animal models in experimental studies investigating fetal organ development. However, there is no detailed information about normal growth of organs of rabbit fetuses in English language literature. Fetal rabbits were studied in the second half of gestation between 18th and 30th days. Amniotic fluid volume, body mass (BM), lung, heart and liver masses (LM, HM, LiM), lung and thorax volumes (LV, TV) were determined and LM/BM, HM/BM, LiM/BM, TV/BM and LV/TV ratios were calculated. Additionally fetal lungs were evaluated histologically, BM, LM, HM, LiM and LV were increased until 27th gestational day and then remained unchanged. TV was always increased between 18th gestational day and term. The lung maturation was almost completed in the 27th-28th gestational days. Therefore, BM, LM, HM, LiM and LV are the parameters that can be used to evaluate normal fetal growth between 18th and 27th gestational days. TV seems to be the predictive parameter for evaluation of normal fetal growth during the second half of gestation in rabbit fetuses; 20th and 27th days of gestation are more appropriate for experiments to evaluate lung maturation.

兔胎儿是胚胎器官发育实验研究中最常用的动物模型之一。然而,在英语文献中没有关于兔胎儿器官正常发育的详细资料。在妊娠后半期(18 ~ 30天)对胎兔进行研究。测定羊水体积、体质量(BM)、肺、心、肝体积(LM、HM、LiM)、肺、胸体积(LV、TV),计算LM/BM、HM/BM、LiM/BM、TV/BM和LV/TV比值。此外,对胎儿肺进行组织学检查发现,BM、LM、HM、LiM和LV在妊娠27天前升高,此后保持不变。从妊娠第18天到足月,电视总是增加的。妊娠27 ~ 28天肺成熟基本完成。因此,BM、LM、HM、LiM和LV是评价18 ~ 27孕天胎儿正常生长的参数。TV似乎是评价兔胎妊娠后半期胎儿正常生长的预测参数;妊娠第20天和第27天比较适合进行肺成熟度的实验评价。
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引用次数: 17
Liver regeneration after partial hepatectomy is non-uniform: flow cytometric bromodeoxyuridine incorporation and cell cycle studies in a porcine model. 肝部分切除后的肝脏再生是不均匀的:猪模型中溴脱氧尿苷掺入和细胞周期的流式细胞术研究。
L Sun, P K Chow, S M Fook-Chong, M Chew, S E Aw, K C Soo

The rate of hepatocyte regeneration at different anatomical locations of the remnant liver after partial hepatectomy was assessed in porcine hepatocytes by bromodeoxyuridine (BrdUr) incorporation and cell cycle kinetics using flow cytometric analysis. Partial hepatectomy was performed in five Yorkshire pigs. A single intravenous injection of BrdUr at 50 mg/kg was administered on the 2nd post-operative day and the animals were sacrificed 1 h later. The remnant liver tissue was harvested and divided into four equal zones, from the liver periphery towards the surgical cut-edge. Biopsy samples were obtained from the centre of each of these zones and similarly from identical anatomical locations in two control pigs that had undergone sham surgery. Hepatocyte nucleus suspension was prepared, double labelled with anti-BrdUr and propidium iodide and analysed by a flow cytometer. The cells in S-phase was used as the parameter to measure the regeneration status. A gradient increase in S-phase from the periphery to the cut edge was observed in all five pigs that had undergone partial hepatectomy. The percentage of S-phase cells in all four zones from the hepatectomy group was significantly higher when compared with that in the controls. Liver regeneration after partial hepatectomy was not uniform but was greatest adjacent to the surgical cut edge and decreased towards the periphery of the liver.

采用溴脱氧尿苷(BrdUr)结合和细胞周期动力学流式细胞术分析,对猪肝细胞在部分肝切除术后不同解剖位置的肝细胞再生率进行了评估。对5头约克郡猪进行部分肝切除术。术后第2天单次静脉注射BrdUr 50 mg/kg, 1 h后处死。取下残余肝组织,从肝周向手术切口分成四个相等的区域。活检样本取自每个区域的中心,同样取自两只接受假手术的对照猪的相同解剖位置。制备肝细胞核悬液,用抗brdur和碘化丙啶双标记,流式细胞仪分析。以s期细胞作为衡量再生状态的参数。在所有接受部分肝切除术的5头猪中,观察到从周围到切边的s期梯度增加。与对照组相比,肝切除术组在所有四个区中s期细胞的百分比明显更高。肝部分切除术后的肝脏再生并不均匀,但在手术切口附近再生最多,而在肝周围再生较少。
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引用次数: 11
Antithrombin III prevents 60 min warm intestinal ischemia reperfusion injury in rats. 抗凝血酶III对大鼠60 min热肠缺血再灌注损伤的保护作用。
A Ozden, C Tetik, A Bilgihan, N Calli, B Bostanci, O Yis, E Düzcan

We investigated the effect of antithrombin III on 60 min warm intestinal ischemia-reperfusion (IR) injury in rats. Sprague-Dawley rats, weighing 220-250 g, were divided into three groups: group 1 sham-operated group (no IR injury, n = 8), group 2 ischemic control group (control, Ringer's lactate infused, n = 8), group 3 Antithrombin III treated group (250 U/kg before ischemia, n = 8). Intestinal ischemia was induced in rats by occluding the superior mesenteric artery for 60 min. Malondialdehyde (MDA) levels, myeloperoxidase activity (MPO) and mucosal damage were investigated after 120 min reperfusion. Elevated MDA levels and MPO activity and severe histopathological damage were observed in the control group compared with the sham group (P < 0.05). Decreased MDA levels and MPO activity and less histopathological damage were detected in group 3 compared with the control group (P < 0.05). Accumulation of lipid peroxidation products and neutrophils in mucosal tissues were significantly inhibited by antithrombin III treatment. We conclude that treatment with antithrombin III before intestinal ischemia prevents histological damage in rats.

研究了抗凝血酶III对大鼠60 min热肠缺血再灌注损伤的影响。取体重220 ~ 250 g的Sprague-Dawley大鼠分为3组:1组假手术组(无IR损伤,n = 8)、2组缺血对照组(对照组,乳酸林格氏液输注,n = 8)、3组抗凝血酶III治疗组(缺血前250 U/kg, n = 8)。阻断肠系膜上动脉60 min诱导肠缺血,再灌注120 min后观察丙二醛(MDA)水平、髓过氧化物酶活性(MPO)及黏膜损伤。与假手术组比较,对照组大鼠MDA水平和MPO活性升高,组织病理损伤严重(P < 0.05)。与对照组相比,3组MDA水平和MPO活性降低,组织病理损伤减轻(P < 0.05)。抗凝血酶III治疗可显著抑制粘膜组织中脂质过氧化产物和中性粒细胞的积累。我们得出结论,在肠缺血前用抗凝血酶III治疗可以防止大鼠的组织损伤。
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引用次数: 40
The effects of intraperitoneal piroxicam and low molecular weight heparin in prevention of adhesion reformation in rat uterine horn. 吡罗昔康联合低分子肝素腹腔注射对大鼠子宫角粘连重建的影响。
M Tayyar, M Başbuğ

Our objective was to determine the effectiveness of intraperitoneal single dose piroxicam and low molecular weight heparin (LMWH) on prevention of adhesion reformation in the rat uterine horn. This study was carried out in the Surgical Research Laboratory, at Erciyes University. A standard lesion was created by unipolar electrocautery in 72 uterine horns of 36 female Wistar-Albino rats. After 2 weeks, adhesion formation scores were determined and adhesiolysis was performed in the second-look laparotomy. Animals were then randomly assigned into three groups. Each group contained 12 animals: group 1 was the control group where no adjuvant was given; in group 2, 1 ml 50 U Axa IC/ml solution LMWH was applied to the horns postoperatively, and in group 3, 1 ml 2 mg/ml piroxicam solution was applied to the horns after adhesiolysis. Two weeks later the rats were killed and adhesion reformation was evaluated. The number of horns with adhesion formation and the cumulative scores were not significantly different among the three groups in the second-look laparotomies, but after third-look laparotomies, the number of horns with adhesion reformation, after calculating the extent, severity and total scores of adhesion reformation, was found to be significantly less in LMWH and piroxicam groups than in the control group. Also, the effectiveness of piroxicam was significantly greater in all scores of adhesion reformation than LMWH was. In conclusion, both LMWH and piroxicam doses reduce adhesion reformation in the rat uterine horn, but the effectiveness of piroxicam is significantly greater than that of LMWH.

目的探讨单剂量吡罗昔康联合低分子肝素(LMWH)腹腔注射对大鼠子宫角粘连重建的影响。这项研究是在埃尔西耶斯大学外科研究实验室进行的。采用单极电灼法对36只雌性wistar - albin病大鼠72只子宫角进行标准损伤。2周后,测定粘连形成评分,并在二次剖腹手术中进行粘连松解。然后将动物随机分为三组。每组12只:第一组为对照组,不给予佐剂;第2组术后用50 U安盛IC/ml低分子肝素溶液1 ml,第3组术后用2 mg/ml吡罗昔康溶液1 ml。2周后处死大鼠,观察粘连改善情况。三组在二次剖腹手术中粘连形成角的数量和累计评分差异无统计学意义,但在三次剖腹手术后,低分子肝素组和吡罗昔康组在计算粘连形成程度、严重程度和总评分后发现粘连形成角的数量明显少于对照组。同时,吡罗昔康在粘连改善的各项评分上均显著高于低分子肝素。综上所述,低分子肝素和吡罗西康剂量均能降低大鼠子宫角的粘连重建,但吡罗西康的效果明显大于低分子肝素。
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引用次数: 21
The effect of continuously applied cyclic mechanical loading on the fibronectin metabolism of articular cartilage explants. 连续施加循环机械载荷对关节软骨外植体纤维连接蛋白代谢的影响。
J Steinmeyer, B Ackermann

Articular cartilage serves primarily as a load-bearing material able to regulate its own metabolic activity in response to the mechanical stimuli applied. Fibronectin plays a critical role in the organization and function of the cartilage extracellular matrix. The purpose of this study was to investigate systematically the effect of load magnitude, frequency and duration of loading on the synthesis, content and release of fibronectin and proteins by mature bovine articular cartilage explants using a novel mechanical loading system. Increasing the load magnitude, as well as the duration of loading, inhibited the synthesis and content of fibronectin and proteins; the fibronectin synthesis was more specifically affected than the overall protein synthesis indicating that fibronectin is more responsive to pressure than synthesis of other proteins. Reducing the load frequency did not modulate the inhibitory effect of a given cyclic stress on synthesis and content of fibronectin and proteins even though explants were more compressed. The release of endogenous fibronectin was significantly reduced independent of the applied loading protocols when compared with unloaded controls. This study demonstrates that the magnitude and the duration of loading influences the degree of inhibition of fibronectin and protein synthesis, while loaded explants possess an elevated but limited capacity to bind fibronectin. Compared with other studies, our present results show that the applied load function in particular has a profound effect on the metabolism of chondrocytes.

关节软骨主要作为一种承重材料,能够调节其自身的代谢活动,以响应所施加的机械刺激。纤维连接蛋白在软骨细胞外基质的组织和功能中起着关键作用。本研究的目的是系统地研究负载强度、频率和持续时间对成熟牛关节软骨外植体合成、含量和释放纤维连接蛋白和蛋白质的影响。增加负载强度和负载时间,抑制纤维连接蛋白和蛋白质的合成和含量;纤维连接蛋白的合成比整体蛋白质的合成受到更特异性的影响,这表明纤维连接蛋白比其他蛋白质的合成对压力的反应更灵敏。即使外植体受到更大的压缩,降低加载频率也不能调节给定循环胁迫对纤维连接蛋白和蛋白质合成和含量的抑制作用。与未加载对照相比,内源性纤维连接蛋白的释放显著减少,与加载方案无关。该研究表明,负载的大小和持续时间影响纤维连接蛋白和蛋白质合成的抑制程度,而负载的外植体具有提高但有限的结合纤维连接蛋白的能力。与其他研究相比,我们目前的研究结果表明,施加的负荷功能对软骨细胞的代谢有深远的影响。
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引用次数: 18
Carbonic anhydrase I and II as a differentiation marker of human and rat colonic enterocytes. 碳酸酐酶I和II作为人类和大鼠结肠肠细胞的分化标志物。
S Bekku, H Mochizuki, E Takayama, N Shinomiya, H Fukamachi, M Ichinose, T Tadakuma, T Yamamoto

Carbonic anhydrase (CA) is an enzyme that is expressed in the intestine and catalyzes the reversible hydration of CO2 in the following reaction: CO2 + H2O<==>H2CO3<==>H(+)+HCO3-. To elucidate the association of CA expression with the differentiation of colonic enterocytes, we investigated the expression and localization of CA using a Northern blotting analysis, Western blotting analysis, and immunohistochemical staining. A Northern blotting analysis revealed an abundant expression of CA I and II mRNA in the colonic epithelial cells. However, the expression of CA III mRNA was not detected. According to the results of immunohistochemical staining of the human colonic mucosa using antisera against CA I and II, both CA I and II were localized on the cytoplasm of non-goblet columnar cells in the upper half of the crypts where more differentiated cells are located. According to the results of immunohistochemical staining of the rat colonic mucosa, neither CA I and II were detected at the new-born stage. The expression of CAs in the upper half of the crypts began to rise from 1 week after birth, and thereafter increased according to the growth of the rats. At 3 weeks after birth, the expression of CAs was almost the same as that of the adult rats. The amount of CA proteins evaluated by a Western blotting analysis revealed that the expression of CAs increased gradually until reaching a maximum level at 6 or 8 weeks. These results therefore suggest that CA I and II appear to be good markers for the differentiation of enterocytes in the colonic mucosa.

碳酸酐酶(carbononic anhydrase, CA)是一种在肠道中表达的酶,在CO2 + H2OH2CO3H(+)+HCO3-的反应中催化CO2的可逆水化。为了阐明CA表达与结肠肠细胞分化的关系,我们使用Northern blotting分析、Western blotting分析和免疫组织化学染色研究了CA的表达和定位。Northern blotting分析显示,CA I和II mRNA在结肠上皮细胞中大量表达。CA III mRNA未见表达。用抗血清对人结肠黏膜进行cai和caii免疫组化染色结果显示,cai和caii均定位于隐窝上半部分非杯状柱状细胞的细胞质上,而隐窝上半部分是分化程度较高的细胞所在位置。大鼠结肠黏膜免疫组化染色结果显示,新生期未检出CA I和CA II。大鼠出生后1周开始隐窝上半部分CAs的表达开始升高,随后随着大鼠的生长而升高。出生后3周,ca的表达与成年大鼠基本相同。Western blotting分析显示,CA蛋白的表达逐渐增加,在6周或8周时达到最大水平。因此,这些结果表明,CA I和CA II似乎是结肠粘膜肠细胞分化的良好标记物。
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引用次数: 29
The alterations of vascular smooth muscle reactivity in vitro by human chorionic gonadotrophin. 人绒毛膜促性腺激素对体外血管平滑肌反应性的影响。
M Ezimokhai

The study tests the hypothesis that human chorionic gonadotrophin (hCG) alters vascular smooth muscle reactivity by examining the effect of hCG administration on the contractility and relaxation of isolated vascular smooth muscle. Aortic rings from rats pre-treated with intraperitoneal administration of 5,000 I.U of hCG and control animals were contracted to phenylephrine, angiotensin II, CaCl2 and KCl. The experiments with phenylephrine were repeated with rings that were either de-endothelialized, incubated with L-NMMA, or incubated with calcium ionophore A23187. Aortic rings precontracted with phenylephrine were relaxed to acetylcholine (endothelium-dependent), sodium nitroprusside, hydralazine (endothelium-independent) or in the presence of A23187. The contractile responses of aortic rings from hCG-treated animals of phenylephrine, angiotensin II, CaCl2 and KCl were significantly attenuated. This effect was not reversed by pre-treatment with L-NMMA or by de-endothelialisation. In aortic rings from hCG-treated animals, there was almost total inhibition of acetylcholine-induced relaxation, but unaltered relaxation responses to sodium nitroprusside and hydralazine. The inhibitory effects of hCG-treatment on both the contraction and relaxation responses were either fully or partially reversed in the presence of calcium ionophore A23187. These observations suggest that hCG attenuates both contractile and endothelium-dependent relaxation responses by a mechanism which involves inhibition of extracellular calcium ion influx and may indicate a new role for the hormone in the altered vascular responses of both normal and abnormal pregnancies.

本研究通过观察人绒毛膜促性腺激素(hCG)对离体血管平滑肌收缩性和舒张性的影响,验证了人绒毛膜促性腺激素(hCG)改变血管平滑肌反应性的假说。腹腔注射5000 iu hCG预处理的大鼠和对照动物的主动脉环被苯肾上腺素、血管紧张素II、CaCl2和KCl感染。用苯肾上腺素重复实验,用去内皮化环,用L-NMMA孵育,或用钙离子载体A23187孵育。用苯肾上腺素预收缩的主动脉环松弛为乙酰胆碱(内皮依赖性)、硝普钠、肼嗪(内皮依赖性)或A23187存在的情况。苯肾上腺素、血管紧张素II、CaCl2和KCl对hcg处理动物主动脉环的收缩反应明显减弱。这种效应不会被L-NMMA预处理或去内皮化逆转。在hcg处理的动物的主动脉环中,乙酰胆碱诱导的松弛几乎完全被抑制,但硝普钠和肼的松弛反应没有改变。在钙离子载体A23187存在的情况下,hcg对收缩和舒张反应的抑制作用全部或部分逆转。这些观察结果表明,hCG通过抑制细胞外钙离子流入的机制减弱了收缩反应和内皮依赖性松弛反应,并可能表明该激素在正常和异常妊娠血管反应改变中的新作用。
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引用次数: 2
Creation of a caecostoma in mice as a model of an enterocutaneous fistula. 在小鼠中建立盲肠瘤作为肠皮瘘模型。
O Bültmann, C Philipp, M Ladeburg, H P Berlien

In the past, physiological, oncological and pharmaceutical investigations led to the development of different models of enterocutaneous fistulas. For a few years, fistula models were also created to investigate the efficacy of minimal invasive therapies in closing these fistulas. As most experimental surgical procedures are difficult to perform and are often combined with a high mortality or spontaneous closure rate, a new model in mice was developed with the aim of avoiding these disadvantages. Twenty mice, divided into two groups of 10 animals each, had a caecostoma created surgically. The two groups differed regarding the technique of creating the stoma. All animals survived and gained weight during a postoperative period of 4 months. The operation was easy to perform and lasted no longer than about 30 min. Neither a spontaneous closure of the fistula nor any prior death of animals occurred. In conclusion, because of its simplicity and low complication rate, the presented model of an enterocutaneous fistula may offer an interesting alternative to other models for a variety of indications.

过去,生理学、肿瘤学和药学的研究导致了不同的肠皮瘘模型的发展。几年来,瘘管模型也被创建来研究微创治疗在关闭这些瘘管方面的疗效。由于大多数实验性外科手术操作困难,并且经常伴有高死亡率或自发闭合率,因此开发了一种新的小鼠模型,旨在避免这些缺点。20只老鼠被分成两组,每组10只,通过手术制造一个盲肠瘤。两组在造口技术上存在差异。所有动物均存活,术后4个月体重增加。手术操作简单,持续时间不超过30分钟,没有发生瘘管自发关闭,也没有动物死亡。总之,由于其简单和低并发症发生率,本模型可能为各种适应症提供一种有趣的替代其他模型。
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引用次数: 0
Urine activity of cathepsin B, collagenase and urine excretion of TGF-beta 1 and fibronectin in membranous glomerulonephritis. 膜性肾小球肾炎患者尿组织蛋白酶B、胶原酶活性及tgf - β 1和纤维连接蛋白排泄。
G Senatorski, L Paczek, W Sułowicz, L Gradowska, I Bartłomiejczyk

In 30% of cases nephrotic syndrome is caused by membranous glomerulonephritis (MG). Protein accumulation in glomeruli leads to progressive loss of kidney function and damage of structure in MG. The role of tissue proteolytic systems and growth factors in this process is not known. The purpose of the study was to estimate urine cathepsin B, collagenase activity and urine excretion of TGF-beta 1 and fibronectin in MG. Cathepsin B activity was greater in the urine of MG patients than in the control group (10.58 +/- 8.73 pmol AMC/mg creatinine per min-1 vs control 7.11 +/- 2.05 pmol AMC/mg creatinine per min-1; P < 0.05). Urine collagenase activity was higher in the group of patients than in the control group (8.59 +/- 4.26 pmol AMC/mg creatinine per min-1 vs control 3.84 +/- 2.09 pmol AMC/mg creatinine per min-1 P < 0.02). Urine excretion of fibronectin (45.60 ng/mg creatinine vs control 10.30 ng/mg creatinine; P < 0.04) and TGF-beta 1 levels in the urine were higher than in controls (283.55 +/- 248.13 pg/ml vs 36.11 +/- 48.01 pg/ml; P < 0.01). Results suggest glomerular overproduction of TGF-beta 1 and urinary leak of proteolytic enzymes (PE). This may result in decreased glomerular PE activity in MG and, with time, may lead to protein accumulation in renal glomeruli and to progressive loss of kidney function and damage of structures as the course of MG progresses. PE urine composition as well as ECM protein and cytokine urine excretion may allow noninvasive glomerulopathy course monitoring in humans in the future.

30%的肾病综合征由膜性肾小球肾炎(MG)引起。肾小球内蛋白质的积累导致MG的肾功能逐渐丧失和结构损伤。组织蛋白水解系统和生长因子在这一过程中的作用尚不清楚。该研究的目的是评估尿组织蛋白酶B、胶原酶活性和尿中tgf - β 1和纤维连接蛋白的排泄。MG患者尿组织蛋白酶B活性高于对照组(10.58 +/- 8.73 pmol AMC/ MG肌酐/ min-1 vs对照组7.11 +/- 2.05 pmol AMC/ MG肌酐/ min-1;P < 0.05)。患者组尿胶原酶活性高于对照组(8.59 +/- 4.26 pmol AMC/mg肌酐/ min-1 vs对照组3.84 +/- 2.09 pmol AMC/mg肌酐/ min-1 P < 0.02)。尿中纤维连接蛋白排泄量(45.60 ng/mg肌酐vs对照组10.30 ng/mg肌酐;P < 0.04),尿中tgf - β 1水平高于对照组(283.55 +/- 248.13 pg/ml vs 36.11 +/- 48.01 pg/ml;P < 0.01)。结果提示肾小球中tgf - β 1分泌过多和尿中蛋白水解酶(PE)泄漏。这可能导致MG患者肾小球PE活性降低,随着时间的推移,可能导致肾小球蛋白质积累,随着MG病程的进展,肾功能逐渐丧失和结构损伤。PE尿组成以及ECM蛋白和细胞因子尿排泄可能在未来允许无创监测人类肾小球病程。
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引用次数: 16
期刊
Research in experimental medicine. Zeitschrift fur die gesamte experimentelle Medizin einschliesslich experimenteller Chirurgie
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