不同刺激因素诱导的慢性阻塞性肺疾病小鼠模型肺小血管重塑的比较研究
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1.河南中医药大学呼吸疾病中医药防治省部共建协同创新中心,河南省中医药防治呼吸病重点实验室,郑州 450046;2.河南中医药大学中医药科学院,郑州 450046

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R-33


Comparative study of pulmonary vascular remodeling in chronic obstructive pulmonary disease mouse models induced by different stimuli
Author:
  • CUI Lili

    CUI Lili

    1. Co-construction Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases by Henan Education Ministry of P. R, Henan University of Chinese Medicine, Henan Key Laboratory of Chinese Medicine for Respiratory Disease, Henan University of Chinese Medicine, Zhengzhou 450046, China.
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Affiliation:

1. Co-construction Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases by Henan Education Ministry of P. R, Henan University of Chinese Medicine, Henan Key Laboratory of Chinese Medicine for Respiratory Disease, Henan University of Chinese Medicine, Zhengzhou 450046, China. 2. Academy of Chinese Medicine Sciences, Henan University of Chinese Medicine, Zhengzhou 450046

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    摘要:

    目的 比较香烟烟雾(cigarette smoke,CS)、肺炎克雷伯杆菌(Klebsiella pneumoniae,KP)和CS 联合KP(CS+KP)三种方法建立的慢性阻塞性肺疾病(COPD)小鼠模型肺小血管重塑变化,为进一步研究提供依据。 方法 将72 只雄性小鼠随机分为正常组(Normal 组)、细菌组(KP 组)、香烟烟雾组(CS 组)、香烟烟雾联合细菌组(CS+KP 组),每组18 只。CS 组采用CS 暴露(3000±500 ppm),KP 组采用KP 稀释液(5×109 CFU/ L,每7 d 一次)滴鼻,CS+KP 组给予联合处理,Normal 组给予生理盐水滴鼻,共8 周。停止刺激后观察至第16 周,分别于第4、8、16周结束后取材。检测肺功能呼气中期流速(50% expiratory flow,EF50)、潮气量(tidal volume,TV),观察肺组织病理及肺小血管结构,包括管壁厚度百分比(WT%)、管腔面积百分比(LA%)和管壁面积百分比(WA%)变化,免疫组化法检测肺组织血管内皮生长因子(vascular endothelial growth factor,VEGF)表达。 结果 与Normal 组比较,CS 组TV 第8~12 周降低,EF50 第8~16 周降低(P<0. 05),WT%第8~16 周升高,WA%及VEGF 蛋白表达仅第8 周升高、LA%仅第8 周降低(P<0. 05);KP 组肺功能无显著变化,WT%仅第8 周升高,LA%第8 周降低(P<0. 05);CS+KP 组TV 第4~12 周降低,EF50 第8~16 周降低(P<0. 05),WT%、WA%、VEGF 蛋白表达在第4~16 周升高,LA%第4~16周降低(P<0. 05)。与CS 组比较,CS+KP 组WT%及VEGF 蛋白表达第8~16 周升高,WA%第16 周升高,LA%第16周降低(P<0. 05)。与KP 组比较,CS+KP 组WT%、WA%及VEGF 表达第8~16 周升高,LA%第4~16 周降低(P<0. 05);CS 组WT%第8 周升高、LA%第8 周降低,VEGF 蛋白表达第16 周升高(P<0. 05)。 结论 CS、KP 及其联合刺激8 周小鼠均出现肺泡破裂、炎性细胞浸润、肺血管重塑等COPD 病理特征,但各有特点:CS 组第8 周出现肺功能下降、肺泡结构断裂融合增厚,并在第16 周仍存在,但肺血管重塑仅第8 周明显;KP 组肺功能下降不明显,肺组织炎症细胞浸润明显并持续存在,肺泡结构改变及肺血管重塑仅第8 周存在;CS+KP 组第4 周即出现肺功能下降、肺泡结构的破坏及肺血管重塑,第16 周仍持续存在。

    Abstract:

    Objective To compare differences in pulmonary vascular remodeling among chronic obstructive pulmonary disease (COPD) mouse models established via different method, cigarette smoke (CS) exposure, Klebsiella pneumoniae (KP) infection, and CS combined with KP (CS+KP), at different time points and to provide the basis for further study. Methods A total of 72 male mice were randomly divided into normal, CS, KP and CS+KP groups, with 18 per group. Mice in the CS group were exposed to cigarette smoke (3000±500 ppm) twice per day. KP was dripped into the nasal cavities of mice in the KP group (5×109 CFU/ L, times/7 d). Mice in the CS+KP group were subjected to CS exposure and KP nasal administration. Stimulation was stopped at the end of week 8. The mice were observed until week 16 and sacrificed at the end of weeks 4, 8, and 16. Lung function, including 50% expiratory flow (EF50) and tidal volume (TV), was measured every 4 weeks. Pulmonary small-vessel structures, including wall thickness percentage (WT%), lumen area percentage (LA%), and wall area percentage (WA%), were assessed by lung histopathology. Vascular endothelial growth factor (VEGF) levels in lung tissue were detected by immunohistochemistry. Results Compared with the normal group, the CS group showed decreased TV from weeks 8 to 12, decreased EF50 from weeks 8 to 16, increased WT% from weeks 8 to 16, increased WA% and VEGF in week 8 only, and decreased LA% in week 8 only (P<0. 05). In the CS+KP group, TV decreased from weeks 4 to 12; EF50 decreased from weeks 8 to 16; WT%, WA%, and VEGF increased from weeks 4 to 12; and LA% decreased from weeks 4 to 16 (P<0. 05). In the KP group, lung function did not change significantly, WT% increased only in week 8, and LA% decreased only in week 8 (P<0. 05). Compared with the CS group, the CS+KP group showed increased WT% and VEGF from weeks 8 to 16, increased WA% in week 16, and decreased LA% in week 16 (P<0. 05). Compared with the KP group, the CS+KP group showed increased WT%, WA%, and VEGF from weeks 8 to 16 and decreased LA% from weeks 4 to 16 (P<0. 05). In the CS group, WT% increased in week 8, VEGF increased in week 16, while LA% decreased in week 8 (P<0. 05). Conclusions Mice in the CS, KP, and combination groups had significant pathological COPD characteristics, including alveolar destruction, inflammatory infiltration, and pulmonary vascular remodeling, but each had its own characteristics. In the CS group, lung function decreased, and alveolar structure showed destruction and thickening in week 8 and were still observed in week 16, while pulmonary vascular remodeling was only observed in week 8. In the KP group, lung function did not decrease significantly, inflammatory infiltration was evident and persistent in lung tissue, but alveolar structure destruction and pulmonary vascular remodeling were only observed in week 8. In the CS+KP group, lung function decreased and alveolar structure destruction and pulmonary vascular remodeling were observed in week 4 and were still observable in week 16.

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崔莉莉.不同刺激因素诱导的慢性阻塞性肺疾病小鼠模型肺小血管重塑的比较研究[J].中国比较医学杂志,2022,32(12):24~31.

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  • 收稿日期:2022-05-17
  • 在线发布日期: 2023-08-02
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