Abstract

目的 探讨维甲酸(RA)对高氧暴露下早产大鼠肺组织胰岛素样生长因子Ⅱ(IGF-Ⅱ)、Ⅱ型IGF受体(IGF-2R)及IGF结合蛋白2(IGFBP-2)mRNA和多肽表达的影响及其抗损伤机制.方法260只孕21 d剖宫产鼠为早产鼠,生后第2天随机分为四组,Ⅰ组:空气+生理盐水;Ⅱ组:高氧(85%O2)+生理盐水;Ⅲ组:空气+RA;Ⅳ组:高氧+RA.Ⅱ、Ⅳ组持续暴露于85%氧气中,Ⅰ、Ⅲ组置于空气中;Ⅲ、Ⅳ组从生后第3天起每日腹腔注射RA,Ⅰ、Ⅱ组每日注射生理盐水.分别于生后4、7、10、14、21 d记病死率,取肺标本作辐射状肺泡计数(RAC);测IGF-Ⅱ、IGF-2R和IGFBP-2mRNA表达强度(RT-PCR)或多肽表达强度(Western印迹).结果(1)存活率:7 d内四组差异无统计学意义;7 d后各时间点Ⅱ、Ⅳ组明显低于Ⅰ、Ⅲ组(P<0.05或<0.01),但Ⅳ组明显高于Ⅱ组(P<0.01).(2)RAC结果:4 d时,Ⅱ、Ⅳ组RAC值即明显减少(P<0.01);随后与对应Ⅰ、Ⅲ组比较差异有统计学意义(P<0.01),但Ⅳ组明显高于Ⅱ组(P<0.01).(3)RT-PCR结果:IGF-ⅡmRNA表达强度:与Ⅰ、Ⅲ组相比,Ⅱ、Ⅳ组4 d时表达即增强(P<0.01);14 d时,Ⅱ组较Ⅰ组、Ⅳ组较Ⅲ组表达差异有统计学意义(P<0.01);其中Ⅳ组表达较Ⅱ组相对降低(P<0.01);IGF-2 R mRNA表达强度在4和14 d时,Ⅱ、Ⅳ组明显高于Ⅰ、Ⅲ组(P均<0.01),而Ⅳ组明显低于Ⅱ组(P<0.01);IGFBP-2mRNA表达强度:Ⅱ、Ⅳ组明显强于相应的Ⅰ、Ⅲ组,但14d时Ⅳ组表达低于Ⅱ组(P<0.01).肽表达强度结果:IGF-Ⅱ多肽、IGF-2R膜蛋白、IGFBP-2多肽的表达强度与其各自的mRNA表达变化相似.结论RA可部分逆转高氧引发的肺发育阻滞;RA下调高氧暴露下肺组织中IGFBP-2、IGF-Ⅱ和IGF-2R的表达可能是其干预肺损伤的机制之一。

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