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目的:研究地塞米松(Dex)、噻庚啶(Cyp)、山莨菪碱(Ani)和地诺前列酮(Din)对脂多糖(LPS)诱导的肿瘤坏死因子(TNFα)基因表达的影响和抑制TNFα产生的抗休克作用.方法:Wistar大鼠静脉注射LPS(EcoliO111B4,5mg·kg-1)复制内毒素休克模型.Northern印迹杂交分析肝脏TNFαmRNA表达,放射免疫法测定血浆TNFα的含量.结果:LPS攻击后2h肝脏TNFαmRNA表达水平显著增高(放射性自显影扫描分析38±10vs盐水对照组11±8,P<001);血浆TNFα水平明显升高[(22±3)μg·L-1vs盐水对照组(22±10)μg·L-1,P<001].静脉注射LPS后立即静脉注射Dex5,Cyp5,Ani10及Din2mg·kg-1均能显著降低大鼠肝脏TNFαmRNA水平和血浆TNFα含量,提高LPS20mg·kg-1攻击的小鼠24h的存活率.结论:Dex,Cyp,Ani和Din均能显著抑制LPS诱导的TNFα基因表达,具有较强的抗休克作用.
OBJECTIVE: To study the effects of Dex, Cyp, Ani and Din on lipopolysaccharide (LPS) -induced tumor necrosis factor (TNF) gene expression and the effects of dexamethasone Inhibit the anti-shock effect of TNFα production. Methods: LPS (EcoliO111B4, 5 mg · kg-1) was intravenously injected into Wistar rats to replicate the endotoxic shock model. The expression of TNFα mRNA in liver was analyzed by Northern blotting and the level of plasma TNFα was determined by radioimmunoassay. Results: The expression of TNFαmRNA in liver increased significantly at 2h after LPS challenge (38 ± 10vs saline control group, 11 ± 8, P <001). Plasma TNFα levels were significantly increased [(22 ± 3) μg · L -1vs saline control group (2 2 ± 1 0) μg · L-1, P <0 01]. Immediate intravenous injection of Dex5, Cyp5, Ani10 and Din2mg · kg-1 could significantly decrease the level of TNFαmRNA and the level of TNFα in the liver and increase the survival rate of mice challenged with LPS 20mg · kg-1. Conclusion: Dex, Cyp, Ani and Din can significantly inhibit LPS-induced TNFα gene expression, with strong anti-shock effect.