炎症性肠病的实验再现

A. Trushenko, V. Mamchur
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摘要

近年来,炎症性肠病的发病率有所增加,这促使科学家们寻找最具代表性和最容易复制的动物模型,以研究其发病机制和治疗这种病理的可能方法。本文综述了遗传条件和化学诱导的炎症性肠病模型的分析。讨论了基于免疫系统连接缺陷、肠上皮成分丢失或肠管壁自发病变的最常见遗传条件模型。还描述了最合适的化学诱导模型的技术,以及使用化学制剂时结肠炎发展的主要致病环节。特别是,用三硝基苯磺酸(TBSA)建立克罗恩病模型,用葡聚糖硫酸钠(DSS)建立溃疡性结肠炎模型,以及其他具有小肠和大肠炎症共同发病机制的模型,例如用乙酸、肽聚糖、λ-卡拉胶和吲哚美辛作为作用化学剂的模型。考虑到动物炎症性肠病的发病体征繁殖与人类的对应关系,繁殖的复杂性和必要成分的成本,在所讨论的技术中,不可否认的优势属于溃疡性结肠炎的DSS模型和克罗恩病繁殖的TBSA模型,以及小肠炎症过程的吲哚美辛模型。结肠,隐窝分布,隐窝基部和肌层之间出现宽门,淋巴细胞增多。TBSA还引起肠远端环形肌层的形态特征、力学特性和药理反应的显著变化。TBSA引起局部促炎介质合成的增加,这与中性粒细胞反应有关,导致远端肠的严重破坏性变化。最后,吲哚美辛是一种非特异性的强效非甾体抗炎药,对远端空肠和近端回肠的损伤更大。这些模型可以再现炎症性肠病相应的基本发病变化,从而可以研究疾病发展不同阶段和药物纠正后病理生化、组织学和病理生理水平的全身性和系统间的因果关系。我们对现有病理模型的比较分析,选择相应的适当的建模方案用于我们的条件的兴趣是由于对炎症性肠病的发病机制的进一步深入研究,以及对纠正这些病理条件的药理学方法的进一步研究。
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Reproduction of inflammatory bowel diseases in experiment
The incidence of inflammatory bowel diseases, which has recently increased, encourages sci-entists to search for the most representative and easily reproducible animal models for studying the links of pathogenesis and possible ways of treating of this pathology. This review presents analysis of the genetically-conditioned and chemically-induced models of inflammatory bowel diseases. There are discussed the most common genetically conditioned models based on defects of the immune system links, loss of components of the intestinal epithelium, or spontaneous lesions of the intestinal tube wall. It is also described the techniques of the most appropriate chemically-induced models, as well as the main pathogenetic links in the development of colitis when using chemical agents. In particular, modeling of Crohn's disease with trinitrobenzenesulfonic acid (TBSA), and ulcerative colitis – with dextran sodium sulfate (DSS), as well as other models having common pathogenetic mechanisms of inflammation in the small and large intestine, e.g. models in which acetic acid, peptidoglycan, λ-carrageenan and indomethacin are used as acting chemical agents. Taking into account the correspondence of the reproduction of pathogenetic signs of inflammatory bowel disease in animals to such in people, the complexity of reproduction and the cost of the necessary components, among the discussed techniques, the undeniable advantages belong to the DSS model of ulcerative colitis and TBSA model of the reproduction of Crohn’s disease, and also the indomethacin model of inflammatory processes of the small intestine. colon, disposition of crypts with the appearance of a wide gate between the crypt base and the muscular layer, and the occurrence of lymphocytosis. TBSA also causes significant changes in the morphological characteristics, mechanical properties and pharmacological response of the circular muscular layer of the distal intestinal regions. TBSA causes a local increase in the synthesis of proinflammatory mediators, which is associated with a neutrophil response, resulting in profound destructive changes in the distal bowel. Finally, indomethacin, which is a strong non-steroidal anti-inflammatory drug with nonspecific action, causes more damage to the distal jejunum and proximal ileum. These models allow reproducing the corresponding basic pathogenetic changes in inflammatory bowel disease, which makes it possible to study the systemic and intersystemic cause-effect relationships of pathobiochemical, histological and pathophysiological levels at different stages of the development of the disease and upon pharmacological correction. Our interest in com-parative analysis of the existing pathological models, selection of the corresponding adequate modelling schemes for use in our conditions is due to further in-depth study of the pathogenesis of inflammatory bowel disease, as well as further research of pharmacological approaches for correction of these pathological conditions.
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