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COPD大鼠呼吸道损伤的动态改变
作者:陶玉坚1 林勇2 孙思庆2 华锋2 
单位:1.东南大学医学院附属扬州医院,呼吸科,江苏扬州,225001; 2.东南大学,临床医学院,江苏南京,210009
关键词:肺疾病 阻塞性 呼吸道损伤 脂多糖 白细胞介素-8 大鼠 
分类号:R563, R-33
出版年·卷·期(页码):2003·22·第六期(384-387)
摘要:

目的:观察建立慢性阻塞性肺疾病(COPD)大鼠模型时呼吸道损伤的动态变化过程.方法:通过气管内注入脂多糖加香烟烟熏法建立COPD大鼠模型;观察大鼠气管和肺组织的病理变化;检测大鼠血清和支气管肺泡灌洗液(BALF)中白细胞介素-8(IL-8)的含量.结果:大鼠气管纤毛受损,肺泡周围炎症细胞浸润程度逐渐加重,黏膜下腺体肥厚;肺泡结构破坏、互相融合形成肺大泡;肺泡腔内巨噬细胞溶酶体增多,线粒体肿胀;随着造模时间的延长,大鼠平均肺内衬间隔逐渐增加;平均肺泡数逐渐下降;血清和BALF中的IL-8逐渐升高.结论:大鼠气道内注射脂多糖加烟熏的复合刺激法能够成功地建立COPD大鼠模型;呼吸道的炎症程度与其损伤程度相一致.

Objective  To observe dynamical changes of injured airway by way of establishing rat models of chronic obstructive pulmonary disease (COPD).Methods  The rats were intratracheally instilled with lipopolysaccha- ride(LPS) twice and exposed to cigarette smoke to make COPD models,whose morphological changes of airways and lung tissue were dynamically observed; interleukin-8(IL-8) in the serum and bronchoalveolar lavage fluid (BALF) were detected. Results  After the model are established,the epithelial cilia cohered,partially fell off;the amount of macrophage lysosome in pulmonary alveolus lumen increased and emphysema was noted;mean lung internal lining interval(MLI)significantly increased, mean alveolar number(MAN) decreased significantly, IL-8 in serum and BALF increased significantly.Conclusion  COPD rat models are successfully established by passive cigarette smoking plus intratracheal instillation of LPS,and their degree of inflammation in the airway is correlated with its morphological change.

参考文献:

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[7] 李红梅, 崔德健, 佟欣. 熏香烟加气管注内毒素和单纯熏香烟法建立大鼠COPD模型. 中国病理生理杂志2002(7)
[8] Yamamoto C, YONEDA T, YOSHIKAWA M. Airway inflammation in COPD assessed by sputum levels of interleukin-8. 1997. doi:10.1378/chest.112.2.505 

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