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1、塞来昔布对大鼠重症急性胰腺炎血清TNFα,IL1β,IL6及IL8水平的影响作者:薛翠华,高振军,李秋萍,许亚平,周春锁,姚俊,付白清【摘要】目的:探讨重症急性胰腺炎(severeacutepancreatitis,SAP)大鼠血清促炎性细胞因子TNFα,IL1β,IL6和IL8的变化及意义,以及应用塞来昔布(celecoxib)的干预效应。方法:胆胰管内注射5%牛磺胆酸钠造模。将动物随机分成对照组、SAP组及塞来昔布组,各组分别于术后3,6,12和24h4个时间点处死大鼠,测血清淀粉酶,TNFα,IL
2、1β,IL6和IL8水平,每次每组5只;取各组术后24h处死大鼠的胰腺组织,行HE染色,分别观察大鼠胰腺组织病理学变化。结果:对照组胰腺组织基本正常,SAP模型组胰腺腺泡结构严重破坏消失,塞来昔布组病理改变明显减轻;SAP组、塞来昔布组大鼠血清中TNFα,IL1β,IL6和IL8水平随病程进展而升高(P<0.01),各时相SAP组水平明显高于对照组(P<0.01),塞来昔布组水平明显低于SAP模型组(P<0.01)。结论:TNFα,IL1β,IL6和IL8与SAP的进展有关,塞来昔
3、布可以减轻SAP的炎症反应,抑制促炎性细胞因子的产生。【关键词】重症急性胰腺炎;促炎性细胞因子;塞来昔布10 [Abstract]Objective:Toexplorethechangesandsignificanceofserumtumornecrosisfactorα(TNFα),interleukin1β(IL1β),IL6andIL8inratswithsevereacutepancreatitis(SAP),andtodetecttheeffectofcelecoxibonthechangesof
4、theseserumcytokines.Methods:TheSAPmodelwasestablishedbyusingretrogradeinjectionofSodiumTaurocholateintocholangiopancreaticduct.Ratsineachgroupwerekilled3,6,12and24h(5ratsforeachtimepoint)afteroperationtodetermineserumlevelsofamylase,TNFα,IL1β,IL6andIL8.Thepan
5、creastissuesoftherats24hafteroperationwereobtainedtoexaminehistopathologicalchangesbyHEdyeing.ThechangesofserumTNFα,IL1β,IL6andIL8indifferentgroupsanddifferenttimepointsweredetectedbyELISAassay.Amylaseinserumwasdetectedbyautomatedbiochemistryanalysis.Results:
6、Thepathologyofcontrolgroupwasrelativelynormal.ThepathologicaldamageinratsofSAPgroupwasveryseverely,butcelecoxibcouldamelioratethepathologicaldamageinratsofSAPgroup.ThelevelsofserumTNFα,IL1β,IL6andIL8inratsofSAPgroupweresignificantlyhigherthanthoseofcontrolgro
7、up(P<0.01)ateverytimepoint.ComparedtoSAPgroup,thelevelsofTNFα,IL1β,IL6andIL8weresignificantlydecreasedin10celecoxibgroup(P<0.01).Conclusion:ThecytokinesofTNFα,IL1β,IL6andIL8wereinvolvedinthepathologicalinjuryofSAP.Celecoxibcanamelioratethepathologic
8、aldamageandinhibittheproductionofproinflammatorycytokineinseruminratsofSAP. [Keywords]severeacutepancreatitis;proinflammatorycytokine;celecoxib重症急性胰腺炎(severea