布地奈德对脂多糖所致大鼠急性肺损伤的影响

Yuan Luo, Hongyun Yue, Shiyuan Li
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摘要

目的探讨布地奈德对脂多糖(LPS)致大鼠急性肺损伤(ALI)的影响。方法30只健康成年雄性sd大鼠随机分为对照组、脂多糖组和布地奈德治疗组,每组10只。采用LPS (5 mg/kg)插管建立大鼠ALI模型。布地奈德组在LPS给予24 h后经气道给予布地奈德(500 μg/kg)。48 h后测定肺水清除率和肺干湿重比。采用酶联免疫吸附法测定支气管肺泡灌洗液中白细胞介素-1β的水平。苏木精-伊红染色观察肺组织病理变化。免疫组化观察细胞间粘附分子-1的表达。结果与LPS组比较,布地奈德治疗组大鼠肺结构损伤减轻,炎性细胞浸润减少,肺泡液清除率显著升高(均P<0.01),肺干湿重比降低(P<0.05),支气管肺泡灌洗液中中性粒细胞和巨噬细胞的蛋白含量及渗出量降低(P<0.05或P<0.01),细胞间粘附分子-1表达降低。结论布地奈德对LPS诱导的ALI大鼠有保护作用。其机制可能与减少炎症、减少细胞间粘附分子-1表达和增强肺泡液清除有关。关键词:急性肺损伤;脂多糖;布地奈德;肺泡液清除率;细胞间细胞粘附分子-1
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Effect of budesonide on lipopolysaccharides-induced acute lung injury in rats
Objective To investigate the effect of budesonide on lipopolysaccharides (LPS)-induced acute lung injury (ALI) in rats. Methods Thirty healthy adult Sprague-Dawley male rats were randomly divided into control group, LPS group and budesonide treated group, ten in each group.LPS (5 mg/kg) was given by intubation to establish ALI model in rats.In budesonide group, budesonide (500 μg/kg) was given through airway after LPS given for 24 hours.After 48 hours, the clearance rate of lung water and the ratio of wet to dry weight of lung were measured.The level of interleukin-1β in bronchoalveolar lavage fluid was measured by enzyme-linked immunosorbent assay.The histopathological changes of lung were observed by hematoxylin-eosin staining.The expression of intercellular adhesion molecule-1 was observed by immunohistochemistry. Results Compared with LPS group, the lung structure damage was alleviated, the infiltration of inflammatory cells decreased, alveolar fluid clearance increased significantly (all P<0.01), the ratio of wet to dry weight of lung decreased (P<0.05), the protein content and the exudation of neutrophils and macrophages in bronchoalveolar lavage fluid decreased (P<0.05 or P<0.01), and the expression of intercellular adhesion molecule-1 decreased in budesonide treated group. Conclusions Budesonide has a protective effect on ALI rats induced by LPS.The mechanism may be associated with decreasing inflammation, reducing intercellular adhesion molecule-1 expression and enhancing alveolar fluid clearance. Key words: Acute lung injury; Lipopolysaccharides; Budesonide; Alveolar fluid clearance; Intercellular cell adhesion molecule-1
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