Abstract

目的探讨雷帕霉素对60Co辐照小鼠造血系统损伤的保护作用。方法6~8周龄C57BL/6J小鼠分为未辐照组与辐照组,每组再分为雷帕霉素预处理组和对照组。雷帕霉素预处理组小鼠给予雷帕霉素4 mg/kg,隔日腹腔注射,共5次,辐照组小鼠于末次注射后第2天接受60Co全身照射(5 Gy)。辐照后第0.5、1、2、3、5、7、40、70天取外周血检测白细胞计数(WBC)、淋巴细胞计数(LYM)、红细胞计数(RBC)、血红蛋白含量(HGB)及血小板计数(PLT),辐照后第5天观察小鼠胸骨骨髓有核细胞数量及内源性脾集落情况。结果①未辐照组:雷帕霉素预处理组WBC和LYM低于对照组(P值均<0.01),RBC和HGB高于对照组(P值均<0.05),PLT差异无统计学意义;两组小鼠骨髓有核细胞分布无差异。②辐照组:辐照后第0.5~7天雷帕霉素预处理组和对照组小鼠WBC、LYM均降低,两组比较差异无统计学意义,辐照后第40、70天均恢复,雷帕霉素预处理组均高于对照组(P<0.05);辐照后第3~7天RBC和HGB均降低,但雷帕霉素预处理组均高于单独辐照组(P<0.05),在辐照后第40、70天两组之间差异无统计学意义;PLT变化无明显规律。辐照后第5天,对照组小鼠骨髓有核细胞显著减少,但雷帕霉素预处理组有核细胞减少程度较对照组轻;雷帕霉素预处理组小鼠内源性脾集落数多于对照组(40.00±12.86对13.20±2.31,P=0.035)。结论雷帕霉素预处理可以减轻60Co辐照引起的小鼠外周血细胞和骨髓有核细胞的减少,促进造血系统恢复,保护脾造血单位。

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