分区诱导性氧化合成酶活性在败血症冲击中
D Annane1, S Sanquer, V Sébille
1Service de Réanimation Médicale, Hôpital Raymond Poincaré, Assistance Publique-Hôpitaux de Paris, Faculté de Médecine, France. djillali.annane@rpc.ap-hop-paris.fr
Lancet (London, England)
|May 3, 2000
概括
诱导性氧化合成酶 (iNOS) 活性集中在人类败血症休克的感染部位,与炎症标志物相关. 周围血液单核细胞和组织巨细胞是iNOS的关键来源.
科学领域:
- 生物医学科学 生物医学科学
- 病理生理学 病理生理学
- 免疫学 免疫学 免疫学
背景情况:
- 诱导性氧化合成酶 (iNOS) 与严重败血症的发病有关.
- 了解iNOS在各种组织中的活性对于严重败血症管理至关重要.
研究的目的:
- 描述在人类败血性休克期间不同组织中的iNOS活性.
- 在感染部位研究iNOS,TNF-alpha和IL-1beta之间的关系.
主要方法:
- 从败血症休克患者的皮肤,肌肉,脂肪和动脉样本中分析iNOS活性,TNF-alpha和IL-1beta.
- 在外周血液单核细胞 (PBMC) 和组织巨细胞中评估iNOS活性.
- 血亚酸盐/亚酸盐度与血液动力学参数的相关性.
主要成果:
- 与正常和炎症区域相比,在腐烂的肌肉,脂肪和动脉组织中观察到显著增加的iNOS活性.
- 在腐烂区域,动脉中iNOS的表达显著增加.
- 在腐烂的动脉组织中发现TNF-alpha和IL-1beta度增加,与iNOS活性相关.
结论:
- 在人体败血性休克中,iNOS的活性在感染部位被细分.
- iNOS表达与感染部位的TNF-alpha和IL-1beta水平相似.
- PBMCs和组织巨细胞在败血症休克中作为iNOS的细胞来源.
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