烧伤患者的血通过不同的途径诱导内皮质变异
John W Keyloun1, Edward J Kelly1, Bonnie C Carney2
1The Burn Center, Department of Surgery, MedStar Washington Hospital Center, Washington, District of Columbia; Firefighters' Burn and Surgical Research Laboratory, MedStar Health Research Institute, Washington, District of Columbia.
The Journal of surgical research
|November 12, 2024
概括
烧伤患者的血可变地破坏了内皮屏障功能,增加了透气性. 较高的syndecan-1水平与这种效应相关,尽管亡和间隙大小变化不能完全解释烧伤冲击中的透性变化.
科学领域:
- 血管生物学 血管生物学
- 烧伤伤害病理生理学
- 内皮细胞功能 内皮细胞功能
背景情况:
- 内皮损伤在烧伤休克中的作用尚不清楚.
- 烧伤患者的血可能会失调内皮屏障功能.
研究的目的:
- 研究内皮质屏障功能障碍在烧伤休克中的机制.
- 评估烧伤患者血对内皮细胞的影响.
主要方法:
- 在入院4小时内从烧伤患者 (n=8) 收集血.
- 暴露人静脉内皮细胞单层 (HUVEC-m) 患者或对照血.
- 评估了HUVEC-m的透性,细胞间隙区域,细胞亡和基因表达.
主要成果:
- 五名患者的血显著增加了HUVEC-m的透性.
- 在增加透性的等离子体中观察到更高的syndecan-1水平.
- 细胞间隙面积和细胞亡增加,但与透性变化没有完全相关.
结论:
- 烧伤患者的血可变地破坏内皮细胞平衡.
- 观察到透性增加,隙面积和亡,但不能完全由隙大小或单独的亡解释.
- 辛德坎-1可能在烧伤引起的内皮屏障功能障碍中发挥作用.
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