中国中医急症2024,Vol.33Issue(4) :591-594,624.DOI:10.3969/j.issn.1004-745X.2024.04.006

丹参酮ⅡA对脓毒症肺微血管内皮细胞损伤的保护作用

Protective Effect of Tanshinone ⅡA on Pulmonary Microvascular Endothelial Cell Injury in Sepsis

邵沙沙 殷惠美 杨家乐 潘勇军 王敏 刘俊雅 冯俊
中国中医急症2024,Vol.33Issue(4) :591-594,624.DOI:10.3969/j.issn.1004-745X.2024.04.006

丹参酮ⅡA对脓毒症肺微血管内皮细胞损伤的保护作用

Protective Effect of Tanshinone ⅡA on Pulmonary Microvascular Endothelial Cell Injury in Sepsis

邵沙沙 1殷惠美 2杨家乐 1潘勇军 3王敏 1刘俊雅 1冯俊1
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作者信息

  • 1. 华中科技大学同济医学院附属同济医院,湖北武汉 430030
  • 2. 新疆维吾尔自治区博尔塔拉蒙古自治州人民医院,新疆博乐 833499
  • 3. 南方科技大学医院,广东深圳 518055
  • 折叠

摘要

目的 探寻丹参酮ⅡA对脓毒症肺血管内皮细胞损伤的保护作用.方法 采用盲肠结扎穿孔术构建脓毒症肺损伤小鼠模型,分为6组:假手术组、模型组、丹参酮1组(10 mg/kg)、丹参酮2组(30 mg/kg)、丹参酮3组(50 mg/kg)、丹参酮4组(100 mg/kg).药物干预24 h后检测肺组织病理变化、肺微血管通透性、肺组织湿/干重比、白细胞计数以及炎症因子等各项指标,假手术组仅行盲肠探查术.结果 丹参酮各组较模型组小鼠肺组织损伤及评分均减轻(P<0.05).与模型组比较,丹参酮各组小鼠肺组织Evans Blue含量、肺组织湿/干比明显降低(P<0.05),BALF白细胞计数、蛋白含量、炎症因子明显减少(均P<0.05),且呈剂量依赖性,其中丹参酮2组、丹参酮3组和丹参酮4组之间,肺组织病理损伤、Evans Blue含量、肺组织湿/干比以及肺泡灌洗液中白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)表达水平差异无统计学意义(均P>0.05).结论 丹参酮ⅡA能够剂量依赖性地降低脓毒症所致的肺微血管内皮细胞损伤,从而改善肺损伤;30 mg/kg剂量的丹参酮Ⅱ A即可达到最佳效果.

Abstract

Objective:To explore the protective effect of Tanshinone Ⅱ A(Tan Ⅱ A)on endothelial cell injury in septic pulmonary vasculature.Methods:A mouse model of septic lung injury was constructed using cecal ligation and puncture(CLP).Mice were divided into six groups:sham operation group,model group,experimental group 1[CLP+10 mg/kg Tan ⅡA],experimental group 2[CLP+30 mg/kg Tan Ⅱ A],experimental group 3[CLP+50 mg/kg Tan Ⅱ A],and experimental group 4[CLP+100 mg/kg Tan Ⅱ A].After 24 hours of treatment,various indicators such as lung tissue pathology,pulmonary microvascular permeability,lung tissue wet/dry weight ratio,white blood cell count,and inflammatory factors were measured.The sham group underwent only cecal exploration.Results:The experimental groups showed reduced lung tissue injury and scores compared with the model group(P<0.05).Compared with the model group,the experimental groups exhibited significantly lower Evans Blue content and lung tissue wet/dry weight ratio(P<0.05).Compared with the model group,the experimental groups had signifi-candy reduced white blood cell count,protein content,and inflammatory factors in bronchoalveolar lavage fluid,with statistically significant differences(all P<0.05).There were no significant differences in lung tissue pathologi-cal damage,Evans Blue content,lung tissue wet/dry weight ratio,and the expression levels of IL-6,TNF-α,IL-1β,and other inflammatory factors in bronchoalveolar lavage fluid among experimental group 2,experimental group 3,and experimental group 4(all P>0.05).Conclusion:Tan ⅡA can dose-dependently reduce endothelial cell inju-ry in septic pulmonary microvasculature,thus improving lung injury,and 30 mg/kg Tan ⅡA can achieve the best ef-fect.

关键词

脓毒症/丹参酮ⅡA/肺微血管内皮细胞/肺损伤/小鼠

Key words

Sepsis/TanshinoneⅡA/Pulmonary microvascular endothelial cells/Lung injury/Mice

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基金项目

湖北省病理生理学会科研项目(2021HBAP002)

湖北省自然科学基金(2021CFB026)

中央财政医疗服务能力建设、卫生健康人才培养项目(新财社[2022]255号)

深圳市南山区科技计划重点项目(NS2022014)

吴阶平医学基金会临床科研专项(320.6750.2021-11-12)

出版年

2024
中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
参考文献量18
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