首页|丹参酮ⅡA对脓毒症肺微血管内皮细胞损伤的保护作用

丹参酮ⅡA对脓毒症肺微血管内皮细胞损伤的保护作用

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

SepsisTanshinoneⅡAPulmonary microvascular endothelial cellsLung injuryMice

邵沙沙、殷惠美、杨家乐、潘勇军、王敏、刘俊雅、冯俊

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华中科技大学同济医学院附属同济医院,湖北武汉 430030

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

南方科技大学医院,广东深圳 518055

脓毒症 丹参酮ⅡA 肺微血管内皮细胞 肺损伤 小鼠

湖北省病理生理学会科研项目湖北省自然科学基金中央财政医疗服务能力建设、卫生健康人才培养项目深圳市南山区科技计划重点项目吴阶平医学基金会临床科研专项

2021HBAP0022021CFB026新财社[2022]255号NS2022014320.6750.2021-11-12

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
年,卷(期):2024.33(4)
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