艾国平,粟永萍,刘晓宏,王东海,王军平,程天民,冉新泽.放烧复合伤小鼠小肠粘膜免疫变化与肠源性感染关系的研究[J].中华放射医学与防护杂志,1999,19(1):15-17
放烧复合伤小鼠小肠粘膜免疫变化与肠源性感染关系的研究
Relationship between change of small intestinal mucosal immunity and enterogenous infection in mice with combined radiation burn injury
投稿时间:1998-09-26  修订日期:1998-11-11
DOI:
中文关键词:  放烧复合伤  小肠粘膜免疫  肠源性感染
英文关键词:Combined radiation burn injury  Mucosal immunity  Enterogenous infection
基金项目:国家自然科学基金
作者单位
艾国平 400038 重庆, 第三军医大学预防医学系全军复合伤研究所 
粟永萍 400038 重庆, 第三军医大学预防医学系全军复合伤研究所 
刘晓宏 400038 重庆, 第三军医大学预防医学系全军复合伤研究所 
王东海 解放军第二六四医院烧伤科 
王军平 400038 重庆, 第三军医大学预防医学系全军复合伤研究所 
程天民 400038 重庆, 第三军医大学预防医学系全军复合伤研究所 
冉新泽 400038 重庆, 第三军医大学预防医学系全军复合伤研究所 
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中文摘要:
      目的 探讨放射损伤、烧伤与放烧复合伤后小鼠小肠粘膜免疫变化及其用细胞因子调控后与肠源性感染的关系。方法 采用斑点杂交、免疫组化、免疫酶联吸附实验、细菌培养等方法。结果 ①三类伤组伤后均出现小肠粘液sIgA含量显着降低, 浆细胞数量减少, 肠道细菌移居增多, 肠系膜淋巴结IL-4mRNA表达降低, 尤以复合伤组最重。②用IL-4蛋白调控后, 三类伤组肠道浆细胞的数量增多, 小肠粘液中sIgA含量相应增加, 肠道细菌移居减少。结论 伤后粘液中sIgA的降低与肠源性感染的发生密切相关, 其原因与分泌sIgA的淋巴细胞数量减少和功能障碍有关;而促进粘膜免疫功能恢复, 对减低肠源性感染发生较为有利。
英文摘要:
      Objective To explore the change of intestinal mucosal immunity and its relation with enterogenous infection after irradiation or burn alone or both combined.Methods Spot hybridization, immunohistochemistry, ELISA and bacterial culture were used. Results (1) After the three modes of injury the quantity of mucosal sIgA and numbers of IgA secreting plasma cells in the intestine were all significantly decreased, enterogenous infection was increased, the IL-4mRNA expression of mesenteric lymphocytes was reduced, and the damage in the combined radiation burn group was more severe. (2) After treatment with IL-4, the number of plasma cells and the quantity of IgA secretion were obviously increased and the incidence of enterogenous infection was reduced. Conclusion Enterogenous infection is highly related with depression of sIgA mainly owing to reduction of quantity and function of IgA-secreting plasma cells. It is beneficial to enchance the recovery of mucosal immunity and diminish incidences of entergenous infection.
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