Influence of hydrogen sulfide on the intestinal biological barrier of rats with severe burn injury
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摘要: 目的 应用外源性硫化氢和硫化氢合成酶抑制剂干预严重烧伤大鼠,探讨硫化氢对其肠道生物屏障的作用。 方法 将104只SD大鼠按照随机数字表法分为假伤组(8只)以及烧伤对照组、硫氢化钠组、炔丙基甘氨酸(PPG)组,后3组每组32只。假伤组大鼠模拟致伤,不予补液复苏;后3组大鼠背部造成30%TBSAⅢ度烫伤(以下称烧伤),伤后即刻腹腔注射平衡盐溶液40 mL/kg补液复苏。伤后1 h内,硫氢化钠组和PPG组大鼠分别腹腔注射硫氢化钠56 μmol/kg、PPG 45 mg/kg;伤后第2天起,硫氢化钠组和PPG组大鼠每日定时分别腹腔注射硫氢化钠56 μmol/kg、PPG 45 mg/kg。各烧伤组分别于伤后2、7、14、21 d,每组取8只大鼠采集盲肠标本,匀浆、稀释后加入相应培养基分别培养双歧杆菌、乳酸菌、肠球菌、肠杆菌、白色念珠菌,行菌落计数后计算细菌含量。假伤组大鼠同前行相应检测。对数据行log函数处理及单因素方差分析、析因设计方差分析、SNK–
q 检验。 结果 伤后各时相点,各烧伤组大鼠盲肠中双歧杆菌、乳酸菌含量均少于假伤组(q 值为4.12~20.74,P 值均小于0.05),肠球菌、肠杆菌、白色念珠菌含量均多于假伤组(q 值为2.84~68.29,P 值均小于0.05)。与烧伤对照组比较,硫氢化钠组大鼠盲肠中双歧杆菌和乳酸菌含量在伤后各时相点均增多(q 值为2.88~17.57,P 值均小于0.05)。硫氢化钠组大鼠双歧杆菌含量在伤后7 d最多,为(6.54±0.35)lg(CFU/g);乳酸菌含量在伤后21 d最多,为(7.25±0.71)lg(CFU/g)。与烧伤对照组比较,硫氢化钠组大鼠盲肠中肠球菌、肠杆菌、白色念珠菌含量在伤后各时相点均减少(q 值为2.79~29.59,P 值均小于0.05)。与烧伤对照组比较,PPG组大鼠盲肠中双歧杆菌和乳酸菌含量在伤后各时相点均减少(q 值为2.82~46.56,P 值均小于0.05),肠球菌、肠杆菌、白色念珠菌含量在伤后各时相点均明显增多(q 值为2.93~41.42,P 值均小于0.05)。PPG组大鼠肠球菌含量在伤后21 d最多,为(9.41±0.22)lg(CFU/g);肠杆菌含量在伤后14 d最多,为(9.96±0.24)lg(CFU/g);白色念珠菌含量在伤后14 d最多,为(3.94±0.84)lg(CFU/g)。 结论 严重烧伤大鼠补充外源性硫化氢可减少肠道致病菌,增加肠道益生菌,对肠道生物屏障有保护作用。Abstract: Objective To explore the influence of hydrogen sulfide on the intestinal biological barrier, by applying exogenous hydrogen sulfide and hydrogen sulfide synthase inhibitor for the treatment of rats with severe burn injury. Methods One hundred and four SD rats were divided into sham injury (SI,n =8), burn control (BC,n =32), sodium hydrosulfide (SH,n =32), and propargylglycine groups (PPG,n =32) according to the random number table. Rats in group SI were sham injured without fluid resuscitation. Rats in the latter 3 groups were inflicted with 30% TBSA full–thickness scald (referred to as burn below) on the back and intraperitoneally injected with 40 mL/kg balanced salt solution immediately after injury. Rats in groups SH and PPG were respectively intraperitoneally injected with SH (56 μmol/kg) and PPG (45 mg/kg) within 1 hour post injury. From post injury day (PID) 2, SH (56 μmol/kg) and PPG (45 mg/kg) were respectively intraperitoneally injected once a day to rats in groups SH and PPG. Eight rats from groups BC, SH, and PPG were sacrificed on PID 2, 7, 14 and 21, and ceca samples were collected. Ceca samples were added to the appropriate culture medium after being homogenized and diluted, for the culture ofBifidobacterium, Lactobacillus, Enterococcus, Enterobacter, andCandida albicans . The content of bacteria was calculated after the bacteria number was counted. The same procedure was performed for rats in group SI. Data were processed with logarithmic function, one–way analysis of variance, analysis of variance of factorial design, and SNK–q test. Results On each PID, the content ofBifidobacterium andLactobacillus in the ceca of each group with burned rats was less than that of group SI (withq values from 4.12 to 20.74,P values below 0.05); while the content ofEnterococcus, Enterobacter, andCandida albicans was more than that of group SI (withq values from 2.84 to 68.29,P values below 0.05). Compared with that of group BC, the content ofBifidobacterium andLactobacillus in the ceca of rats in group SH were increased on each PID (withq values from 2.88 to 17.57,P values below 0.05). In group SH, the content ofBifidobacterium peaked as (6.54±0.35) lg (CFU/g) on PID 7, the content ofLactobacillus peaked as (7.25±0.71) lg (CFU/g) on PID 21. Compared with that of group BC, the content ofEnterococcus, Enterobacter, andCandida albicans in the ceca of rats in group SH was reduced on each PID (withq values from 2.79 to 29.59,P values below 0.05). Compared with that of group BC, the content ofBifidobacterium andLactobacillus in the ceca of rats in group PPG was decreased on each PID (withq values from 2.82 to 46.56,P values below 0.05); while the content ofEnterococcus, Enterobacter, andCandida albicans was significantly increased on each PID (withq values from 2.93 to 41.42,P values below 0.05). In group PPG, the content ofEnterococcus peaked as (9.41±0.22) lg (CFU/g) on PID 21, the content ofEnterobacter peaked as (9.96±0.24) lg (CFU/g) on PID 14, and that ofCandida albicans peaked as (3.94±0.84) lg (CFU/g) on PID 14. Conclusions Exogenous hydrogen sulfide can subdue the growth of pathogenic bacteria while promote that of probiotics, thus helping maintain the integrity of intestinal biological barrier of rats with burn injury.-
Key words:
- Burns /
- Intestines /
- Infection /
- Hydrogen sulfide /
- Biological barrier
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