Effects of Ulinastatin on the intestinal mucosal barrier of the mini - pigs after severe burn injury
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摘要: 目的 探讨蛋白酶抑制剂乌司他丁(Ulinastatin,UTI)对大面积烧伤后早期炎性介质、氧自由基产生和肠黏膜通透性改变的保护作用。 方法 贵州三系雄性小型猪12只,造成背部35% TBSA Ⅲ度烧伤模型,随机分为烧伤对照组(A组,6只)、UTI治疗组(B组,6只)。B组动物于伤后1 h给予UTI 5 000U/kg,缓慢静脉滴入;A组动物给予等量等渗盐水,3次/d,直至动物处死。分别于动物烧伤前(A、B两组各随机选取4只动物抽取静脉血作为正常对照)、伤后6 、24、48、72 h抽血检测血清肿瘤坏死因子α(TNFα)、白细胞介素6(IL-6)、丙二醛(MDA)、超氧化物歧化酶(SOD)、血清二胺氧化酶(DAO)、D-乳酸含量。 结果 伤后6 h,各组动物血清TNFα含量较伤前显著升高,尤以A组明显,高峰为伤后24 h,随后呈下降趋势。B组各时相点TNFα含量均低于A组,差异有显著性意义(
P <0.05)。IL-6的改变与TNF-α基本一致。A组动物伤后6~72 h血清MDA较伤前显著升高,SOD消耗明显增多。B组各时相点MDA含量均低于A组,SOD消耗明显减少,两组比较差异有显著性意义(P <0.05)。伤后小肠黏膜屏障功能受损明显,血清DAO活性及D-乳酸含量显著升高。B组肠道功能明显改善,功能特异性酶含量明显减少。 结论 UTI能显著抑制过度的炎性反应,减少氧自由基释放,降低SOD消耗,从而减轻对肠黏膜屏障的损伤和肠通透性增高的程度。Abstract: Objective To explore the protective effect of a human proteinkinase inhibitor - Ulinastatin ( UTI) on the prevention of inflammatory mediators oxidative free radical production and changes in intestinal mucosa permeability in mini - pigs at early postburn stages. Methods Twelve Guizhou male mini - pigs were randomly divided into A (control, n =6) and B( with UTI treatment, n = 6) groups. The mini-pigs were inflicted with 35% TBSA full thickness burn on the back and received fluid resuscitation immediately after injury. UTI(5 000 U/kg, 3 times a day) were administered to group B one hour after injury, while an equal amount of normal saline were administered to group A untill the pigs were sacrified. Blood samples were harvested for the determination of serum levels of TNFα , IL-6 , MDA , SOD, DAO, D-lactate at pre- (as normal control) and 6,24,48 ,72 postburn hours( PBHs). Results The serum levels of TNFα and IL-6 in each group at 6 PBH were increased dramatically, especially in group A, peaked at 24 PBH, and seemed to decrease thereafter. The serum levels of MDA and the SOD consumption in group A at 6 - 72 PBH increased obviously than that in normal control. The MDA content in each time points after burn in group B decreased and the SOD consumption increased dramatically when compared with those in group A(P <0.05). The serum DAO activity and the D - lactate content of the rats were significantly increased after burns with barrier function of the intestinal mucosa being severely damaged. The intestinal functions of the rats in group B was markedly improved with functional enzymes obviously decreased. Conclusion UTI can significantly lessen the production of inflammatory.-
Key words:
- Burn /
- Interstinal mucosa /
- Ulinastatin
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