前列腺素E1注射液对急性放射性肺损伤的保护作用

The protective effect of prostaglandin E1 injection on acute radiation pneumonitis

  • 摘要: 目的 探讨前列腺素E1注射液对放射诱发的早期肺损伤的保护作用。方法 健康雌性SD大鼠39只,随机分为3组:正常对照组、单纯照射组、照射加药组。用8MeV电子线单次20Gy照射右全肺,照射当日即给予前列腺素E1注射液(10μg·kg-1·d-1)尾静脉注射,另外两组给予等量生理盐水。照后第5、15、30日采血测定血清转化生长因子β1(TGF-β1)浓度,肺组织进行苏木素-伊红染色。结果 照射后肺组织炎症和肺水肿进行性加重;照射后5、15、30d,单纯照射组、照射加用药组血清TGF-β1水平较正常对照组进行性升高,尤以照射后15、30d升高明显(P<0.05),照射加用药组较单纯照射组的TGF-β1水平低,15、30d比较有统计学意义(P<0.05)。结论 前列腺素E1注射液能降低血清TGF-β1水平,增加肺组织对放射性损伤的耐受。

     

    Abstract: Objective To explore the protection of prostaglandin E1 injection with radiation-induced lung injury. Methods Thirty-nine female Sprague-Dawley rats were randomly divided into three groups:blank control group, radiation alone group and radiation plus drug group. Irridiation was given to the whole right lung by a single dose of 20Gy with 8MeV electon. Prostaglandin E1 injection 10μg·kg-1·d-1 was injected into the rats of radiation plus drug group by vena candalis per day for five days, starting on the first day. Animal of each group were sacrificed on days 5, 15, 30 respectively after irradiation. Transforming growth factor-β1 (TGF-β1) level in serum was measured and sections of right lung tissues were observed by hematoxylin and eosin staining. Results Pulmonary edema and pneumonia aggravated gradually. TGF-β1 increased significantly beginning from day 5, especially on days 15, 30 (P<0.05) in group radiation and radiation plus drug. TGF-β1 decreased on days 15, 30 (P<0.05) in group radiation plus drug. Conclusions Prostaglandin E1 injection could decrease serum TGF-β1 content. Inhabiting expression of TGF-β1 in the lung tissue might be one of the mechanisms in treatment of radiation lung injury.

     

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