肺炎克雷伯杆菌肺炎大鼠血清白介素-2、12和单核细胞趋化蛋白-1水平及干预研究

    The levels of interleukin-2,interleukin-12 and monocyte chemotactic protein-1 in rat with pneumonia induced by Klebsiella pneumonia and its intervention study

    • 摘要: 目的:观察幼龄SD大鼠肺炎克雷柏杆菌肺炎的临床表现、白介素(IL)和单核细胞趋化蛋白-1(MCP-1)的水平及其干预后的变化。方法:将4~6周龄清洁级SD大鼠随机分为对照组、模型组和干预组,每组又分为3小组,每小组8只,其中模型组、干预组接种相同浓度、剂量的肺炎克雷伯杆菌菌液,对照组接种0.9%氯化钠注射液,接种成功24 h左右,干预组给予头孢哌酮钠舒巴坦钠治疗。各小组抽样行X线检查,并分别于第3、5、7天取血清检测IL-2、IL-12和MCP-1。结果:模型组血清MCP-1水平在接种后各时间点均高于对照组和干预组(P0.05~P0.01),干预组接种后第3天血清MCP-1水平明显高于对照组(P0.01)。对照组各时间点MCP-1差异均无统计学意义(P0.05),模型组大鼠在接种后第5天和第7天血清MCP-1水平均显著高于第3天(P0.01),干预组在接种后第5天和第7天血清MCP-1水平均明显低于第3天(P0.01)。模型组血清IL-2和IL-12水平在接种后第5天和第7天均高于对照组和干预组(P0.01),模型组和干预组接种后第3天血清IL-2和IL-12水平均显著高于对照组(P0.01)。模型组接种后第5天和第7天血清IL-2和IL-12水平均明显高于第3天(P0.01),而干预组第5天和第7天IL-2和IL-12水平均显著低于第3天(P0.01)。结论:幼龄SD大鼠肺炎克雷伯杆菌肺炎模型急性感染期IL-2、IL-12和MCP-1升高,说明这些细胞因子参与了肺炎克雷伯杆菌肺炎的病理生理过程,动态监测血清IL-2、IL-12和MCP-1水平可作为判断肺炎克雷伯杆菌肺炎病情轻重、转归的重要指标。

       

      Abstract: Objective: To investigate the clinical manifestation and the levels of interleukin-2 (IL-2) , interleukin-12 (IL-12) and monocyte chemotactic protein-1 (MCP-1 ) of SD rats with pneumonia induced by Klebsiella pneumonia and their changes after intervention. Methods: Four to six weeks old SD rats were randomly divided into the model group, control group and intervention group (8 rats each group) . The model and intervention group were inoculated with the same concentration and dose of Klebsiella pneumoniae bacteria, and the control group were inoculated with normal saline. The intervention group were treated with cefoperazone sodium and sulbactam sodium at 24 hours after inoculation. Each group were detected by X-ray through random sample method. The levels of IL-2, IL-12 and MCP-1 of all groups were measured at d3 ,d5 and d7 . results: The levels of IL-2, IL-12 and MCP-1 in model group increased at d3. Compared with the control group, there was significant difference(P < 0. 01) . Compared with intervention group, there was no significant difference(P > 0. 05) . The levels of IL-2, IL-12 and MCP-1 in model group continued to increase at d5 . Compared with the control and intervention group, their differences were statistically significant(P < 0. 01 and P < 0. 05) . The levels of IL-2, IL-12 and MCP-1 in intervention group droped to normal. The levels of IL-2, IL-12 and MCP-1 in model group continued to increase at d7 . Compared with the control and intervention group, their differences had statistical significance(P < 0. 01) . Conclusions: The serum levels of IL-2,IL-12 and MCP-1 increase gradually in the acute infection period of rats with pneumonia induced by Klebsiella pneumonia,which indicates that these factors involve the pathophysiological process of Klebsiella pneumoniae. Dynamic monitoring the serum levels of IL-2, IL-12 and MCP-1 can judge the illness and prognosis of pneumonia induced by Klebsiella pneumonia.

       

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