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  • 高志荣,李永渝.热休克蛋白60和胰蛋白酶在胰腺组织中的表达及意义[J].同济大学学报(医学版),2011,32(2):24-30.    [点击复制]
  • GAO Zhi-rong,LI Yong-yu.Alternation of HSP60 and trypsin expression in pancreatic tissues in experimental acute pancreatitis[J].同济大学学报(医学版),2011,32(2):24-30.   [点击复制]
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热休克蛋白60和胰蛋白酶在胰腺组织中的表达及意义
高志荣1,2,李永渝2
0
(1. 台州学院医学院临床医学系,浙江台州,318000;2. 台州学院医学院附属市立医院消化内科,浙江台州,318000;3. 同济大学医学院病理生理教研室,上海 200092)
摘要:
目的 通过复制离体和在体不同程度的急性胰腺炎(acute pancreatitis,AP)动物模型,动态观测胰腺组织中热休克蛋白60(heat shock protein60,HSP60)和胰蛋白酶(Trypsin)表达的变化。探讨它们在AP发病机制中的可能作用。方法 采用雨蛙肽(cerulein,Cer)50μg·kg-1·h-1,连续6次腹腔注射复制小鼠轻型急性胰腺炎(mild acute pancreatitis,MAP)模型,正常对照组小鼠以等体积生理盐水(normal saline,NS)替代雨蛙肽腹腔注射,其他操作同MAP组。于造模后3 h麻醉处死动物,留取各组小鼠胰腺组织标本。重型急性胰腺炎(severe acutepancreatitis,SAP)大鼠模型用3%去氧胆酸钠(1ml·kg-1体质量)胰胆管逆行推注而复制,造模后1、5、10 h分别处死动物,取各大鼠胰腺组织标本。大鼠离体胰腺组织块参照Jaffrey等的方法分离培养,用不同浓度的脂多糖(1ipopolysaccharide,LPS)(10、20μg·ml-1)、雨蛙肽(10-11、10-5mol·L-1)刺激,以NS作为对照,在刺激后的4 h收集组织标本。采用HE染色观察AP时胰腺组织病理学改变。通过双重免疫荧光技术检测HSP60和胰蛋白酶在胰腺组织中表达的变化。结果 MAP小鼠胰腺组织呈现轻度充血水肿性病理改变,组织中HSP60和胰蛋白酶表达在造模组表达明显升高(P<0.01)。SAP大鼠的胰腺组织出血坏死性改变明显,HSP60在造模后1 h即明显升高,在造模后5、10h一直持续在一定的高水平,与正常对照组比较,差异有统计学意义(P<0.05),但在这几个时间点之间,HSP60的表达无明显差异(P>0.05);而胰蛋白酶表达水平在SAP大鼠1h组稍有升高,与对照组比较,差异有统计学意义(P>0.05),但随着造模时间延长,其水平呈不断升高的趋势,与对照组的比较,差异有统计学意义(P<0.05)。离体胰腺组织在LPS高、低浓度和雨蛙肽低浓度刺激下HSP60和胰蛋白酶的表达明显降低(P<0.05)。结论 在本实验条件下,实验性急性胰腺炎无论轻、重型,胰腺组织中的胰蛋白酶表达升高的同时,HSP60也增高,但HSP60和胰蛋白酶升高的幅度在不同严重程度胰腺损伤时是不同的,表明AP时HSP60和胰蛋白酶的失衡可能参与该病的发生发展。LPS等刺激因子损伤离体胰腺组织,HSP60和胰蛋白酶的表达均降低。
关键词:  急性胰腺炎  热休克蛋白60  胰蛋白酶
DOI:10.3969/j.issnl008-0392.2011.02.006
基金项目:国家自然科学基金(30971168)
Alternation of HSP60 and trypsin expression in pancreatic tissues in experimental acute pancreatitis
GAO Zhi-rong1,2,LI Yong-yu2
(1.Dept.of Cinic,School of Medicine,Taizhou University,Taizhou 318000,Zhejiang Province,China;2.Dept.of Gastroenterology,Taizhou Municipal Hospital,Taizhou University,Taizhou 318000,Zhejiang Province,China;3.Dept.of Pathophysiology,School of Medicine,Tongji University,Shanghai 200092,China)
Abstract:
Objective To observe dynamically the alternation of heat shock protein 60(HSP60) and trypsin expressions in the pancreatic tissues with different severities of inflammation in vivo and in vitro,and to explore their potential role in the pathogenesis of acute pancreatitis(AP).Methods In vivo study,the mild acute pancreatitis(MAP) in mice was induced by cerulein intraperitoneal injections six times hourly at a dose of 50μg·kg-1,while normal control animals received injections with an equal volume of normal saline(NS).The animals were killed 3 hrs after the last injection,and the pancreatic tissues were taken for further examination.The severe acute pancreatitis(SAP) in rats was induced by a retrograde injection of 3%sodium deoxycholate into the bilio-pancreatic duct at a dose of 1 ml·kg-1.The control rats received a sham operation without the retrograde injection.The animals were killed respectively after 1 hr,5 hrs and 10 hrs of the SAP modeling and the pancreatic tissues were taken for further examination.In vitro study,rat pancreas were isolated and the pancreatic tissue snips were prepared,cultured, and stimulated with different concentrations of lipopolysaccharide(LPS,10,20μg·ml-1) and cerulein (10-11,10-5 mol·L-1),while the normal control group got NS.The tissue samples were taken 4 hrs after stimulation.All the harvested pancreatic tissues were examined for the pathological changes with HE,and for the alternation of HSP60 and trypsin expressions by immunohistology with double immunofluorescence. Results The pancreatic tissues of MAP in mice showed a mild congestion and edema,and the expressions of HSP60 and trypsin in the pancreatic tissues were significantly higher(P<0.01).The pancreatic tissues of SAP rats showed obvious hemorrhagic and necrotic changes.The expression of HSP60 in the tissues increased 1 hr after the modeling of SAP and maintained at a high level at the time points of 5 hrs,10 hrs after the SAP modeling,and the differences were significant compared with those in the normal control group(P<0.05).While the expression of trypsin in the tissues,compared with that in the control group (P<0.05 ),increased unsignificantly 1 hr after the SAP modeling(P>0.05 ),and then elevated significantly with the extension of modeling time.The expressions of HSP60 and trypsin in the isolated rat pancreatic tissue,compared with those in the normal control group,decreased significantly under the stimulation of LPS or cerulean(P<0.05).Conclusions In the experimental conditions,whether in mild or severe AP,the expression of trypsin in the pancreatic tissues was elevated and the same to the expression of HSP60;however,the increase ranges of HSP60 and trypsin expression in different degrees of severity of pancreatic injury are of different trend.This indicates that the imbalance of HSP60 and trypsin expression may be involved in AP development.The expressions of HSP60 and trypsin may be reduced when stimulating directly the isolated pancreas fragments with different concentrations of LPS and cerulein.
Key words:  acute pancreatitis  heat shock protein 60  trypsin

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