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盲肠结扎穿孔术诱发的脓毒症对肠道干细胞增殖和分化的影响

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目的 分析盲肠结扎穿孔术(CLP)诱导的脓毒症对肠上皮细胞增殖和分化的影响。方法 ① 动物实验:将 16 只雄性C57BL/6 小鼠按随机数字表法分为假手术组(Sham组)和CLP致脓毒症模型组(CLP组),每组 8 只。术后 5d取空肠组织,用聚合酶链反应(PCR)检测富亮氨酸重复序列G蛋白耦联受体 5(LGR5)和肠型碱性磷酸酶(IAP)的转录表达水平;用蛋白质免疫印迹试验(Western blotting)检测LGR5 的翻译水平;用免疫组化法分析增殖细胞核抗原(Ki67)的表达;用改良钙钴染色法和比色法检测组织IAP水平;免疫荧光法检测肠道潘氏细胞标记分子溶菌酶 1(LYZ1)和杯状细胞标记分子黏蛋白 2(MUC2)的表达。②细胞实验:取对数生长期的大鼠小肠隐窝细胞(IEC6 细胞),并分为空白对照组和脂多糖(LPS)组(LPS 5 μg/mL)。24h后分别用PCR和Western blotting检测LGR5 的转录和翻译水平;用 5-乙炔基-2'-脱氧尿苷(EdU)染色检测IEC6 细胞增殖情况;分别用PCR和比色法检测IAP的转录和翻译水平。结果 ①动物实验:免疫组化结果显示,CLP组小鼠空肠组织Ki67 染色阳性率低于Sham组[(41。7±2。5)%比(48。7±1。4)%,P=0。01]。PCR和Western blotting结果显示,CLP组与Sham组小鼠空肠组织LGR5 表达差异均无统计学意义(Lgr5 mRNA:0。7±0。1 比 1。0±0。2,P=0。11;LGR5/β-actin:0。83±0。17 比 0。68±0。19,P=0。24);CLP组小鼠空肠组织IAP在转录水平(0。4±0。1 比 1。0±0。1,P<0。01)和蛋白水平(U/g:47。3±6。0 比 73。1±15。3,P<0。01)均低于Sham组。免疫荧光显示,CLP组小鼠空肠组织LYZ1、MUC2 的表达水平均低于Sham组。②细胞实验:PCR和Western blotting结果显示,LPS组与空白对照组IEC6 细胞LGR5 表达水平差异无统计学意义(Lgr5 mRNA:0。9±0。1 比1。0±0。2,P=0。33;LGR5/β-actin:0。71±0。18比0。69±0。04,P=0。81)。LPS组IEC6细胞增殖率低于空白对照组,但差异无统计学意义[EdU阳性率:(40。5±3。8)%比(46。5±3。6)%,P=0。11]。LPS组IAP转录水平(0。5±0。1比 1。0±0。2,P<0。01)和蛋白水平(U/g:15。0±4。0 比 41。2±10。4,P<0。01)均低于空白对照组。结论 CLP诱发的脓毒症可抑制肠上皮细胞的增殖和分化,损伤肠上皮自我更新的能力。
Impact of cecal ligation and puncture-induced sepsis on the proliferation and differentiation of intestinal stem cells
Objective To analyze the impact of cecal ligation and puncture(CLP)-induced sepsis on the proliferation and differentiation of intestinal epithelial cells.Methods ① Animal experiment:sixteen male C57BL/6 mice were divided into sham operation group(Sham group)and CLP-induced sepsis model group(CLP group)by random number table method,with 8 mice in each group.After 5 days of operation,the jejunal tissues were taken for determination of leucine-rich-repeat-containing G-protein-coupled receptor 5(LGR5)and intestinal alkaline phosphatase(IAP)by polymerase chain reaction(PCR).The translation of LGR5 was detected by Western blotting.The expression of proliferating cell nuclear antigen(Ki67)was analyzed by immunohistochemistry.IAP level was detected by modified calcium cobalt staining and colorimetry.Immunofluorescence staining was used to detect the expression of Paneth cell marker molecule lysozyme 1(LYZ1)and goblet cell marker molecule mucin 2(MUC2).②Cell experiment:IEC6 cells in logarithmic growth stage were divided into blank control group and lipopolysaccharide(LPS)group(LPS 5 μg/mL).Twenty-four hours after treatment,PCR and Western blotting were used to analyze the transcription and translation of LGR5.The proliferation of IEC6 cells were detected by 5-ethynyl-2'-deoxyuridine(EdU)staining.The transcription and translation of IAP were detected by PCR and colorimetric method respectively.Results ① Animal experiment:the immunohistochemical results showed that the positive rate of Ki67 staining in the jejunal tissue of CLP group was lower than that of Sham group[(41.7±2.5)%vs.(48.7±1.4)%,P=0.01].PCR and Western blotting results showed that there were no statistical differences in the mRNA and protein expressions of LGR5 in the jejunal tissue between the CLP group and Sham group(Lgr5 mRNA:0.7±0.1 vs.1.0±0.2,P=0.11;LGR5/β-actin:0.83±0.17 vs.0.68±0.19,P=0.24).The mRNA(0.4±0.1 vs.1.0±0.1,P<0.01)and protein(U/g:47.3±6.0 vs.73.1±15.3,P<0.01)levels of IAP in the jejunal tissue were lower in CLP group.Immunofluorescence saining analysis showed that the expressions of LYZ1 and MUC2 in the CLP group were lower than those in the Sham group.②Cell experiment:PCR and Western blotting results showed that there was no significant difference in the expression of LGR5 between the LPS group and the blank control group(Lgr5 mRNA:0.9±0.1 vs.1.0±0.2,P=0.33;LGR5/β-actin:0.71±0.18 vs.0.69±0.04,P=0.81).The proliferation rate of IEC6 cells in the LPS group was lower than that in the blank control group,but there was no significant difference[positivity rate of EdU:(40.5±3.8)%vs.(46.5±3.6)%,P=0.11].The mRNA(0.5±0.1 vs.1.0±0.2,P<0.01)and protein(U/g:15.0±4.0 vs.41.2±10.4,P<0.01)of IAP in the LPS group were lower than those in the blank control group.Conclusion CLP-induced sepsis inhibits the proliferation and differentiation of intestinal epithelial cells,impairing the self-renewal ability of intestinal epithelium.

SepsisCecal ligation and punctureIntestinal epitheliumProliferationDifferentiation

张学鹏、付建垒、刘茂霞、张赓、邱桐、周江元、张梓欣、龚雪、付沁怡、吉毅、陈思源

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四川大学华西医院重症医学科,成都 610041

四川大学华西医院小儿外科,成都 610041

脓毒症 盲肠结扎穿孔术 肠上皮 增殖 分化

四川省科技计划重点研发计划

2022YFS0225

2024

中华危重病急救医学
中华医学会

中华危重病急救医学

CSTPCD北大核心
影响因子:3.049
ISSN:2095-4352
年,卷(期):2024.36(5)
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