首页|IL-13Ra2作为一种独立生物标志物诊断肺动脉高压的实验研究

IL-13Ra2作为一种独立生物标志物诊断肺动脉高压的实验研究

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目的 探讨IL-13Ra2在肺动脉高压模型大鼠中的诊断和评估作用.方法 采用随机数字表法将6~8周龄的无特定病原体(SPF)雄性Sprague-Dawley大鼠9只分为对照组(4只)和肺动脉高压组(5只).使用野百合碱构建大鼠肺动脉高压模型,进行超声心动图检测,同时收集大鼠的心脏、肺脏、肺动脉等组织,进行H&E染色和免疫组化.结果 超声心动图可见肺动脉高压组的大鼠心脏室间隔厚度较前增厚,心脏体积较前增大.肺动脉高压组大鼠肺动脉压高于对照组,室间隔厚度较对照组厚,右心室内径较对照组长,但差异无统计学意义(P>0.05);肺动脉高压组大鼠心脏重量、心体指数均高于对照组,右心室肥厚指数与对照组比较未见明显增高.HE染色可见肺动脉高压组大鼠的肺泡壁增厚、炎症细胞浸润,肺泡结果明显变形,肺动脉血管壁增厚、平滑肌增生、管腔狭窄甚至闭塞,心肌细胞排列明显紊乱、心肌细胞间隙变窄、心肌细胞肥大.免疫组化结果显示,肺动脉高压组大鼠的肺组织、肺动脉、心肌中的IL-13Ra2的表达量明显增高.结论 IL-13Ra2可作为肺动脉高压患者诊断的一种独立生物标志物.
Experimental Study of IL-13Ra2 as an Independent Biomarker in the Diagnosis of Pulmonary Hypertension
Objective To investigate the role of IL-13RA2 in the diagnosis and evaluation of pulmonary hypertension in rats.Methods Nine specific pathogen free(SPF)male Sprague-Dawley rats aged 6-8 weeks were divided into control group(4 rats)and pulmonary hypertension group(5 rats)by random number table method.The rat model of pulmonary hypertension was constructed by monocrotaline,and echocardiography was performed.At the same time,the heart,lung,pulmonary artery and other tissues of the rats were collected for H & E staining and immunohistochemistry.Results Echocardiography showed that the thickness of ventricular septum in the pulmonary hypertension group was thicker than before,and the heart volume was larger than before.The pulmonary artery pressure of the pulmonary hypertension group was higher than that of the control group,the thickness of the ventricular septum was thicker than that of the control group,and the inner diameter of the right ventricle was longer than that of the control group,but the difference was not statistically significant(P>0.05).The heart weight and heart body index of the pulmonary hypertension group were higher than those of the control group,and the right ventricular hypertrophy index was not significantly higher than that of the control group.HE staining showed that the alveolar wall of the rats in the pulmonary hypertension group was thickened,the inflammatory cells were infiltrated,the alveolar results were obviously deformed,the pulmonary artery wall was thickened,the smooth muscle was proliferated,the lumen was narrowed or even occluded,the arrangement of myocardial cells was obviously disordered,the gap between myocardial cells was narrowed,and the myocardial cells were hypertrophic.The results of immunohistochemistry showed that the expression of IL-13Ra2 in lung tissue,pulmonary artery and myocardium of rats in pulmonary hypertension group was significantly increased.Conclusion IL-13Ra2 can be used as an independent biomarker in the diagnosis of patients with pulmonary hypertension.

Pulmonary hypertensionIL-13Ra2Biomarkers

胡航、孙知晓、刘忠祥

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盐城市第一人民医院呼吸与危重症医学科,江苏 盐城 224006

肺动脉高压 IL-13Ra2 生物标志物

盐城市医学科技发展计划项目

YK2021029

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(15)