细菌脂蛋白耐受对脓毒症老龄及成年小鼠心脏功能保护作用的对比
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Comparison of cardiac protection of bacterial lipoprotein tolerance between aged and adult sepsis mice
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    摘要:

    目的 探讨细菌脂蛋白(BLP)耐受对老龄小鼠心肌细胞的保护作用,并比较其对老龄小鼠与成年小鼠心功能影响的差异。方法 选取86只健康雄性C57BL/6老龄小鼠(SPF级,24月龄)和55只成年雄性C57BL/6小鼠(6~8周龄),用小剂量BLP预处理老龄小鼠及成年小鼠诱导BLP耐受,分别比较正常对照组、假手术(sham)组、脓毒症(剖腹手术行盲肠结扎穿孔致脓毒症,CLP)组、BLP耐受+CLP组,其中成年小鼠在盲肠结扎穿孔0,2,6,12h四个时间点做小鼠二维超声心动图,老龄小鼠在0,3,6,12h四个时间点做小鼠二维超声心动图,选择左心室短轴缩短率(FS)、射血分数(EF)、左心室舒张末期内径(LVIDd)等做为观测指标。结果 老龄小鼠CLP组与BLP耐受+CLP组的FS、EF、LVIDd自手术后均呈下降趋势,但是BLP耐受+CLP组的降幅较CLP组小。成年小鼠BLP耐受+CLP组0~6h时段FS、EF、LVIDd的变化趋势与CLP组相同,但各时间点数值均低于CLP组;而6h后BLP耐受+CLP组的3项指标转而上升,至12h时高于CLP组,其中FS、EF差异均有统计学意义(P<0.05)。BLP耐受+CLP组老龄小鼠的FS呈现出进行性下降趋势,而在成年小鼠中6h后为进行性增高趋势,12h明显高于假手术组和CLP组(P<0.05)。成年小鼠CLP组在术后EF上升,6h后出现下降的趋势,12h低于术前水平;而老龄小鼠CLP组术后EF进行性下降。成年小鼠BLP耐受+CLP组术后出现的EF值呈逐渐上升趋势,相反,老龄组则进行性下降。老龄小鼠BLP耐受+CLP组的LVIDd术后进行性下降,而成年小鼠BLP耐受+CLP组术后2h时低于术前水平(P<0.05),6h后逐渐回升。结论 脓毒症对FS、EF、LVIDd有抑制作用,老龄小鼠心脏收缩功能和舒张功能所受抑制更加严重;BLP耐受对心功能有一定的保护作用,此作用在成年小鼠较明显,在老龄小鼠未见明显保护作用。

    Abstract:

    Objective To determine the protective effect of bacterial lipoprotein (BLP) tolerance on myocardiocytes in aged mice, and compare its effect on cardiac function between aged and adult mice. Methods A total of 86 healthy male aged C57BL/6 mice (SPF grade, 24 months old) and another 55 healthy male adult C57BL/6 mice (SPF grade, 6 to 8 weeks old) were employed in this study. Low-dose BLP was used to pretreat the aged and adult mice to induce BLP tolerance. Then the mice were respectively divided into control, sham operation group (sham), sepsis group (CLP, inflicted by cecal ligation and puncture) and BLP tolerance+CLP group. Echocardiography was carried out in adult mice in 0, 2, 6 and 12h after CLP to measure left ventricle shortening fraction (FS), ejection fraction (EF), left ventricular internal diameter at end-diastole (LVIDd) in adult mice, and in aged mice at time points of 0, 3, 6 and 12h for above-mentioned indices. Results The FS, EF and LVIDd showed a downward trend after operation in the sepsis group and BLP tolerance+CLP group in aged mice, with the stronger decreases in the former than in the latter group. In the time from 0 to 6h, the BLP tolerance+CLP group in adult mice had similar tendencies in the FS, EF and LVIDd with sepsis group, but lower than the later. Then the 3 indices were increased in the BLP tolerance+CLP group in 6h after CLP, and became higher than those of sepsis group in 12h, with FS and EF having significant differences (P<0.05). The FS in the BLP tolerance+CLP aged mice presented a progressive decline tendency, but it was in a progressive increase trend after 6 h in adult mice, and was significantly higher than those of the sham and CLP groups at 12h (P<0.05). The EF of CLP group in adult mice increased after operation, then decreased from 6h and became lower than the preoperative level at 12h. While the EF of CLP group in aged mice showed a progressive decline tendency after surgery. The EF of BLP tolerance+CLP group in adult mice was in a progressive increase trend; on the contrary, the corresponding group in aged mice was tending downwards. The LVIDd of the BLP tolerance+CLP group in aged mice was progressively reduced, while that of corresponding group in adult mice was below the preoperative level in 2h after operation (P<0.05), then gradually recovered in 6h. Conclusion Sepsis has inhibitory effects on FS, EF and LVIDd, and the effects on cardiac systolic and diastolic functions are stronger in aged mice. BLP tolerance exerts protective effect on cardiac function. This protection is apparently effective in adult mice than in aged mice.

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王 磊,周 静,周苏明*.细菌脂蛋白耐受对脓毒症老龄及成年小鼠心脏功能保护作用的对比[J].中华老年多器官疾病杂志,2015,14(04):276~281

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  • 在线发布日期: 2015-04-27
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