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罗伊氏乳杆菌对脓毒症小鼠肠道保护机制的初步研究

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目的 初步探讨罗伊氏乳杆菌在重建脓毒症小鼠肠道菌群微生态环境、修复肠道黏膜方面的作用机制。方法 将 54 只 4 周龄雄性小鼠随机分为健康对照组、脓毒症组、罗伊氏乳杆菌干预脓毒症组,每组 18只。脓毒症组、罗伊氏乳杆菌干预脓毒症组制作脓毒症小鼠模型,三组各取 10只测定7d生存情况、体活动量变化;通过HE染色法观察肠组织病理变化。三组各取5只并采用酶联免疫吸附测定(ELISA)法测定白细胞介素-22(IL-22)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)及免疫球蛋白A(IgA)水平;采用荧光定量PCR仪检测肠组织中IL-22、IL-1β、IL-6及TNF-α mRNA表达。结果 罗伊氏乳杆菌干预脓毒症组的生存情况高于脓毒症组(P<0。001)。脓毒症组的IL-22、IL-1β、IL-6、TNF-α水平及回盲部肠组织mRNA表达均高于健康对照组(P<0。05);罗伊氏乳杆菌干预脓毒症组的IL-22、IL-1β、IL-6、TNF-α水平及回盲部肠组织mRNA表达均低于脓毒症组(P<0。05);脓毒症组的IgA水平低于健康对照组(P<0。05);罗伊氏乳杆菌干预脓毒症组的IgA水平高于脓毒症组,但低于健康对照组(P<0。05)。结论 罗伊氏乳杆菌可通过抑制炎症反应及免疫保护调节等机制在降低脓毒症小鼠死亡率及肠道屏障保护中发挥着积极的作用。
Preliminary study on the intestinal protective mechanism of Lactobacillus reuteri on sepsis mouse
Objective To investigate the mechanism of Lactobacillus reuteri in reconstructing the microecological environment of intestinal flora and repairing intestinal mucosa in sepsis mouse.Methods Fifty-four 4-week-old male mice were randomly divided into healthy control group,sepsis group and Lactobacillus re ute ri intervention sepsis group,with 18 mice in each group.The sepsis mouse model was made in the sepsis group and the Lactobacillus reuteri intervention sepsis group.Seven day survival and body activity changes of 10 mice in each of the three groups were measured;the pathological changes of intestinal tissue of mice were observed by HE coloration.Five mice were taken from each of the three groups,and the levels of interleukin-22(IL-22),interleukin-1β(IL-1β),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)and immunoglobulin A(IgA)of them were determined by enzyme-linked immunosorbent assay(ELISA);the expression of IL-22,IL-1β,IL-6 and TNF-α mRNA in intestinal tissue of mice was detected by fluorescence quantitative PCR.Results The survival of the Lactobacillus reuteri intervention sepsis group was higher than that of the sepsis group(P<0.001).The levels of IL-22,IL-1β,IL-6,TNF-α and their mRNA expression of ileocecal intestinal tissue in the sepsis group were higher than those in the healthy control group(P<0.05);the levels of IL-22,IL-1β,IL-6,TNF-α and their mRNA expression of ileocecal intestinal tissue in the Lactobacillus reuteri intervention sepsis group were lower than those in the sepsis group(P<0.05);the IgA level in the sepsis group was lower than that in the healthy control group(P<0.05);the IgA level in the Lactobacillus reuteri intervention sepsis group was higher than that in the sepsis group,but was lower than that in the healthy control group(P<0.05).Conclusion Lactobacillus reuteri can play an active role in reducing mortality and intestinal barrier protection in sepsis mouse by inhibiting inflammatory response and immune protection regulation.

sepsisLactobacillus reuteriinflammatory factorimmunoregulation

魏静、白焕焕、徐红波、张海钢

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华中科技大学协和深圳医院重症医学科,广东 深圳,518052

脓毒症 罗伊氏乳杆菌 炎症因子 免疫调节

深圳市南山区卫生科技项目(2020)

2020039

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(16)