首页|探索二甲双胍对博来霉素所诱导的大鼠肺纤维化的影响

探索二甲双胍对博来霉素所诱导的大鼠肺纤维化的影响

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目的 了解二甲双胍对博来霉素所诱导大鼠肺纤维的影响,探索AMPK、NF-κB、TGF-β信号因子在肺组织内的变化情况.方法 将大鼠随机分为空白组、模型组、二甲双胍组、泼尼松组及吡非尼酮组,向大鼠气管内注入生理盐水作为空白对照组;余下大鼠被采取单次向气管内注入博莱霉素以建立肺纤维化模型,待14d后分别予以不同药物干预:生理盐水、二甲双胍、泼尼松、吡非尼酮,经连续灌服药物14d后处死大鼠取材,肺组织进行HE染色及Masson染色,对比各组肺泡炎症及肺纤维化程度评分比较.采用酶链接免疫吸附法检测肺组织匀浆液、肺泡灌洗液中的TGF-β、NF-κB、AMPK细胞因子的含量.结果 HE染色炎性评分提示模型组高于对照组、二甲双胍组、吡非尼酮组,泼尼松组高于二甲双胍组;Masson染色评分二甲双胍组及吡非尼酮组相较模型组有所降低.在肺泡灌洗液中二甲双胍组AMPK的含量较其余各组有所增高.NF-κB模型组较二甲双胍组、泼尼松组、吡非尼酮组有所增高,且二甲双胍组相较泼尼松组及吡非尼酮组有所增加.在肺组织匀浆液中TGF-β的含量模型组较其余各组增高.结论 二甲双胍能缓解由博来霉素所诱导的大鼠肺纤维化程度,可能是通过影响机体中TGF-β、NF-κB、AMPK信号因子的表达所产生.
To explore the effect of metformin on bleomycin-induced pulmonary fibrosis in rats
Objective To investigate the effect of metformin on bleomycin-induced pulmonary fibrosis in rats,and to explore the changes of AMPK,NF-κB and TGF-β signalling factors in lung tissue.Methods Rats were randomly divided into blank group,model group,metformin group,prednisone group and pirfenidone group.Normal saline was injected into the trachea of rats as blank control group.The remaining rats were injected bleomycin into the trachea for a single time to establish pulmonary fibrosis model,and were treated with different drugs after 14 days:the rats were sacrificed after 14 days of continuous administration of normal saline,metfor-min,prednisone and pirfenidone.The lung tissues were stained with HE and Masson staining,and the scores of alveolar inflammation and pulmonary fibrosis in each group were compared.The levels of TGF-β,NF-κB and AMPK in lung tissue homogenate and alveolar lavage fluid were detected by enzyme-linked immunosorbent assay.Results HE staining showed that the inflammatory score of model group was higher than that of control group,metformin group,pirfenidone group,and prednisone group was higher than that of metfor-min group.The Masson staining scores in the metformin and pirfenidone groups were lower than those in the model group.The content of AMPK in BALF in the metformin group was higher than that in the other groups.The expression of NF-κB in the model group was higher than that in the metformin group,prednisone group and pirfenidone group,and the expression in the metformin group was higher than that in the prednisone group and pirfenidone group.The content of TGF-β in lung tissue was higher in the model group than in the other groups.Conclusion Metformin can alleviate the degree of pulmonary fibrosis induced by bleomycin in rats,which may be pro-duced by affecting the expression of TGF-β,NF-κB and AMPK signalling factors.

metforminpulmonary fibrosisAMPKNF-κBTGF-β

简悦、江洪艳、伍义兰、赵勇

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遵义市第一人民医院遵义医科大学第三附属医院呼吸与危重症医学科,贵州遵义 563000

遵义医科大学附属医院呼吸与危重症医学科一科,贵州遵义 563000

二甲双胍 肺纤维化 AMPK NF-κB TGF-β

2024

新疆医学
新疆维吾尔自治区医学会

新疆医学

影响因子:0.385
ISSN:1001-5183
年,卷(期):2024.54(5)