首页|黏膜上皮趋化因子28表达与肺移植术后急性肺损伤的关系

黏膜上皮趋化因子28表达与肺移植术后急性肺损伤的关系

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目的 探讨黏膜上皮趋化因子28(CCL28)与肺移植术后急性肺损伤发生的关系.方法 高通量筛选低氧条件下人肺毛细血管内皮细胞(PCEC)mRNA-CCL28高表达,同时检测肺移植术后患者血清以及肺移植小鼠肺组织mRNA-CCL28表达.观察低氧条件下PCEC培养基趋化人单核细胞(THP-1)的作用;利用腺病毒携带CCL28转染动物模型,观察过表达CCL28对肺移植小鼠炎性因子及肺损伤的影响.多组比较采用方差分析,术前及术后数据采用配对t检验.结果 肺移植术后血清 CCL28 表达高于术前,0.970±0.100 比 0.766±0.148,t=-3.217,P<0.05;经 PCR 检测,术后 mRNA-CCL28 高于术前(2.438±0.210 比 1.000±0.088),t=-17.844,P<0.05;低氧条件下PCEC培养基趋化THP-1,低氧组迁移细胞高于对比组(252.000±20.662比140.670±12.662),t=-7.957,P<0.05;过表达CCL28使支气管灌洗液内肿瘤坏死因子-α(TNF-α)(231.17±22.27)、白细胞介素(IL)-1β(92.81±11.44)和 IL-6(317.14±39.14)分别与移植组 TNF-α(184.84± 14.38)、IL-1β(74.57±9.63)、IL-6(252.22±29.03)比较,表达水平高于移植组,同时过表达 CCL28加重肺损伤.结论 低氧条件下CCL28高表达并趋化THP-1加重肺移植术后急性炎性反应以及肺损伤.
Relationship between C-C motif chemokine ligand 28 expression and acute lung injury after lung transplantation
Objective To investigate the relationship between C-C motif chemokine ligand 28(CCL28)and acute lung injury after lung transplantation.Methods High throughput screening was per-formed for determining mRNA-CCL28 expression in human primary pulmonary capillary endothelial cells(PCEC)under the hypoxia condition.The CCL28 expression in patients and rat lung tissue after lung trans-plantation was detected.The chemotactic effect on THP-1 by PCEC medium under the hypoxia condition was observed by co-culture system.The effects of overexpression of CCL28 on inflammatory factors and lung injury were observed in animal models transfected with adenovirus carrying CCL28.One way analysis of va-riance was applied to determine statistical significance among multiple groups.Data collected before and af-ter surgery were analyzed with paired t-test.Results The expression of CCL28 in serum after lung trans-plantation was higher than that before surgery(0.970±0.100 vs.0.766±0.148,t=-3.217,P<0.05).The PCR results showed that mRNA-CCL28 was significantly higher after operation than that before operation(2.438±0.210 vs.1.000±0.088,t=-17.844,P<0.05).The number of migrating THP-1 cells in hypoxia group was significantly higher than that in control group(252.000±20.662 vs.140.670± 12.662,t=-7.957,P<0.05).Overexpression of CCL28 increased the expression of tumor necrosis fac-tor-α(TNF-α)(231.17±22.27),interleukin(IL)-1β(92.81±11.44)and IL-6(317.14±39.14)in bronchial lavage fluid as compared with that in transplantation group[TNF-α:(184.84±14.38);IL-1β:(74.57±9.63);and IL-6(252.22±29.03)].Meanwhile,overexpression of CCL28 aggravated acute lung injury.Conclusion The expression of CCL28 increased under the hypoxia condition,which induced THP-1 chemotactic migration and aggravated the inflammation and acute lung injury.

C-C motif chemokine ligand 28Lung transplantationAcute lung injury

李基伟、关荷、韩志军、李强明、魏立

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河南省人民医院胸外科,郑州 450003

黏膜上皮趋化因子28 肺移植 急性肺损伤

河南省肺移植体外肺灌注(EVLP)工程研究中心项目河南省肺移植体外肺灌注(EVLP)工程研究中心项目河南省人民医院"23456"人才工程项目

LHGJ20200021222102310308011045005820

2024

中华实验外科杂志
中华医学会

中华实验外科杂志

CSTPCD
影响因子:0.759
ISSN:1001-9030
年,卷(期):2024.41(5)
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