细胞粘附分子CHL1缺失对炎症性肠病的影响

目的：探讨细胞粘附分子CHL1缺失对炎症性肠病（IBD）的影响。方法：采用葡聚糖硫酸钠（DSS）建立CHL1（-/-）炎症性肠病小鼠模型,将10只C57/BL6为遗传背景的CHL1（+/+）型小鼠分为对照组、DSS模型组（n=5）;将10只C57/BL6为背景的CHL （-/-）型小鼠分为CHL1缺失组、CHL1缺失DSS模型组（n=5）。DSS模型组和CHL1缺失DSS模型组自主饮用7 d含1.5% DSS蒸馏水,随后改用蒸馏水饲喂2 d;对照组和CHL1缺失组连续饮用蒸馏水9 d,观察小鼠体重、血便、生存率及结肠组织长度的变化。结果：CHL1缺失DSS模型组小鼠在炎症性肠病的发生中便血明显,从应激的第7天开始,体重明显减轻,在第9天,CHL1缺失DSS模型组型小鼠死亡率明显增加;结肠长度明显缩短,损伤加重。结论：细胞粘附分子CHL1缺失加重炎症性肠病的发生。     

即刻电针介入对IBS模型大鼠血浆ET,CGRP水平及结肠ETR-A,CGRPmRNA表达的影响

目的：比较即刻电针天枢穴、足三里穴对肠易激综合征（ms）模型大鼠血浆降钙基因相关肽（CGRP）、内皮素（ET）水平及结肠组织中内皮素受体A（ETR－A）、CGRPmRNA表达的影响,旨在探讨电针即刻治疗IBS的部分机制。方法：采用WISTAR幼鼠制备肠易激综合征模型,随机分为空白对照组、模型组、天枢组、足三里组,每组8只。空白对照组不作任何处理,模型组只束缚不针刺,天枢组和足三里组在实验第8周电针治疗一次,留针20min。治疗结束后处死大鼠,取大鼠血浆及部分结肠组织进行生物活性物质检测。采用酶联免疫法检测血浆中CGRP、ET、结肠组织中ETR—A的含量,采用RT—PCR法检测结肠组织中CGRPmRNA表达。结果：（1）即刻电针对IBS模型大鼠血浆CGRP、ET水平的影响：与空白对照组比较,模型组CGRP水平明显降低（P〈0．01）;与模型组比较,天枢组、足三里组CGRP水平明显升高（P〈0．01）。与空白对照组比较,模型组ET水平升高（P〈0．05）;与模型组比较,天枢组ET水平明显降低（P〈0．01）。（2）即刻电针对IBS模型大鼠结肠组织ETR—A水平的影响：与空白对照组比较,模型组ETR—A水平明显升高（P〈0．01）;与模型组比较,足三里组ETR-A水平明显降低（P〈0．01）。（3）即刻电针对IBS模型大鼠结肠组织CGRPmRNA表达的影响：与空白对照组比较,模型组、天枢组、足三里组CGRPmRNA表达明显增强（P〈0．01,P〈0．05）;与模型组比较,足三里组CGRPmRNA表达减弱（P〈0．05）。结论：即刻电针介入后,能够调节机体的内环境紊乱和CGRP、ET的平衡失调。这种调节作用因穴位不同而具有不同的特点,天枢穴对血浆中CGRP、ET调节作用较强,足三里穴在受体和基因表达方面作用明显。     

Pim-1在炎症性肠病小鼠结肠组织中的表达研究

目的:观察Pim-1在炎症性肠病发病过程中的动态表达,并观察其与炎症程度的相关性.方法:BALB/c小鼠饮用5％葡聚糖硫酸钠溶液建立急性炎症性肠病模型,分别在第0、1、4、7天取结肠标本,利用real time PCR、免疫组化动态观察Pim-1表达,分析Pim-l的表达和疾病活动指数、组织学炎症评分的相关性.结果:饮用5％葡聚糖硫酸钠7天后成功建立小鼠急性炎症性肠病动物模型;Real time PCR、免疫组化结果显示在饮用5％DSS第4、7天后Pim-1表达较正常组及第1天均明显升高,P＜0.05,而且Pim-1蛋白主要在淋巴细胞、中性粒细胞等炎症细胞表达;Pearson相关分析表明,结肠组织中Pim-1蛋白与疾病活动指数呈正相关(R=0.868,P＜0.01),与组织病理学评分亦呈正相关(R=0.851,P＜0.01).结论:在炎症性肠病起病过程中Pim-1的表达与肠道炎症程度呈正相关,提示Pim-1信号参与肠道炎症反应.     

益生菌对炎症性肠病幼鼠 Th17细胞的调节作用

目的观察鼠李糖乳杆菌(LGG)对炎症性肠病(IBD)幼鼠结肠白细胞介素-17A (IL-17A)水平的影响,探讨益生菌对Th17细胞的调节作用。方法 36只健康雄性SD幼鼠随机分4组:空白对照组、LGG对照组各8只,IBD组、IBD-LGG组各10只。利用2,4,6-三硝基苯磺酸(TNBS)诱导幼鼠IBD模型,观察一般状况、IBD疾病活动指数评分。第8天处死所有幼鼠,留取结肠标本,观察病理改变并采用免疫组织化学法测定结肠组织IL-17A的表达。结果相比两对照组,IBD组、IBD-LGG组幼鼠一般状态差,IBD-LGG组便性状及隐血较IBD组缓解;IBD组、IBD-LGG组幼鼠结肠组织均见炎症改变,但IBD-LGG组较轻。IBD-LGG组DAI评分、IL-17A水平均低于IBD组,差异有统计学意义(Ps0.05)。结论益生菌可减轻IBD幼鼠肠道炎症,其机制可能与益生菌调节Th17细胞进而调控IL-17A表达有关。     

白头翁汤对炎症性肠病中促炎细胞因子表达的影响

目的：探讨白头翁汤治疗炎症性肠病的分子机制。方法：40只Wistar雄性大鼠随机分为5组（n=8）：正常对照组、模型组、模型＋阳性药物对照组（美沙拉嗪）、模型＋白头翁中、高剂量治疗组。阳性对照组、中药治疗组分别灌胃给药。疗程结束后取大鼠结肠组织提取RNA,利用realtimePCR的方法检测白介素-1β（IL-1β）、白介素-6（IL-6）YL肿瘤坏死因子-α（TNF-α）在各组中的表达变化。结果：相对于模型组,阳性药物及白头翁汤治疗组尤其是高剂量组可有效抑制IL-1β、IL-6及TNF-α的表达。结论：白头翁汤可通过抑制促炎因子的表达从而发挥了在炎症性肠病中的治疗作用。     

马齿苋多糖对溃疡性结肠炎大鼠肠组织IL-6/STAT3及NF-κB的影响

目的：采用TNBS （2,4,6-三硝基苯磺酸）复制溃疡性结肠炎大鼠模型,探索马齿苋多糖对溃疡性结肠炎大鼠肠组织IL6/STAT3及NF-κB的影响,明确IL-6/STAT3信号通路与慢性炎症性肠病发病的关系,为慢性溃疡性结肠炎的治疗寻找新靶点。方法：将40只SD大鼠随机分为对照组、模型组、美沙拉嗪组和马齿苋组（n=10）。采用TNBS诱导复制结肠炎模型,造模成功后第3天开始灌胃给药：美沙拉嗪组剂量为每次10 mg/kg,每日1次,连续3周;马齿苋组给予马齿苋多糖,每次10 ml/kg,每日1次,连续3周;模型组和对照组大鼠给予等体积生理盐水灌胃,每日1次,连续3周。收集大鼠结肠内容物称重,干燥后再次称重,取结肠组织作病理切片。采用ELISA试剂盒检测血清IL-6、IL-1β、TNF-α和核转录因子-kappa B （NF-κB）含量;免疫组化染色法测定结肠髓过氧化物酶（MPO）;RT-PCR法检测信号转导和转录激活因子（STAT3）、IL-6的mRNA。结果：与模型组、美沙拉嗪组比较,马齿苋组大鼠排便状态明显改善,肠粘膜水肿减轻;血清IL-6、sIL-6Rα、gp130,肠组织MPO、NF-κB含量均降低（P<0.01）。与模型组比较,马齿苋组STAT3、IL-6mRNA的表达水平明显降低（P<0.01）。与对照组比较,上述指标无显著性差异（P>0.05）。结论：马齿苋多糖通过降低大鼠血清IL-6、sIL-6Rα、gp130含量及肠组织MPO、NF-κB水平,减轻sIL-6Rα与IL-6形成复合物所致的炎症反应;经IL-6/STAT3信号通路下调大鼠肠组织STAT3和IL-6的mRNA水平,从而抑制炎症的发生。     

sIgA在炎症性肠病小鼠肠黏膜中的表达及布拉酵母菌的干预作用

目的建立TNBS小鼠炎症性肠病(IBD)模型,探讨肠道sIgA含量变化与IBD发病的相关性。研究布拉酵母菌(Saccharomyces boulardii,SB)对炎症状态下肠道sIgA调节作用。方法采用随机法将小鼠分成3组:WT组、TNBS组、TNBS+SB组;14d后观察小鼠一般状态,行疾病活动指数(DAI)评分;处死小鼠后收集结肠组织,行形态观察和大体形态损伤评分;HE染色;ELISA法检测肠液中sIgA浓度;免疫组化法和Western blot对结肠组织sIgA蛋白进行定位和定量研究。结果 TNBS组小鼠较WT组腹泻次数增加、体重下降明显,SB干预后症状缓解,体重增加,DAI评分明显下降(P0.01);TNBS组与WT组比较结肠大体损伤评分明显升高(P0.01),SB治疗2周后评分明显下降(P0.01);光镜下TNBS组炎症改变较WT组、TNBS+SB组明显;sIgA主要表达于肠腺腺腔内,肠腺之间以及肠绒毛固有层中;肠液中sIgA浓度水平及结肠组织中sIgA表达,TNBS组较WT组和TNBS+SB组均明显下降(P0.01;P0.01),TNBS+SB组与WT组相比差异无统计学意义(P0.05)。结论 sIgA含量的变化与炎症性肠病的发生有相关性。布拉酵母菌能够上调sIgA水平,说明其可能是通过相应途径促进sIgA表达从而减轻IBD的肠道炎症反应。     

白头翁汤治疗炎症性肠病的分子机制研究

目的：探讨白头翁汤治疗炎症性肠病的分子机制。方法：40只Wistar雄性大鼠随机分为5组（n=8）：正常对照组、模型组、模型＋阳性对照组（美沙拉嗪）、模型＋中药治疗组,中药治疗组又分为中、高剂量组。阳性对照组、中药治疗组分别灌胃给药。疗程结束后取大鼠结肠组织利用免疫组织化学、Western blot等方法检测Smad7及p-Smad3在各组中的表达变化。结果：模型与组相比较,阳性药物及中药组尤其是高剂量组可有效抑制Smad7的表达,同时增强p-Smad3的表达。结论：白头翁汤可能通过激活TGF-β1/Smad3信号通路从而发挥了对炎症性肠病中的抗炎作用。     

白细胞介素23受体、白细胞介素17A在炎症性肠病患者中的表达及临床意义

目的：通过检测白细胞介素23受体（1L-23R）及白细胞介素17A（IL-17A）在炎症性肠病（IBD）患者肠黏膜及血清中的表达水平,探讨其在IBD发病过程中的作用及意义。方法：收集32例克罗恩病（CD）患者、29例溃疡性结肠炎（UC）患者及27例对照者的内镜肠黏膜活检标本,采用荧光定量PCR技术检测肠黏膜内IL-23R、IL-17AmRNA的表达情况,免疫组化技术分析IL-23R、IL-17A在肠黏膜中的原位表达。结果：与健康对照组相比,CD及UC患者肠黏膜组织内IL-23RmRNA表达显著增高（P〈0．05）,CD及UC组间的表达量差异无统计学意义（P〉0．05）。CD及UC患者肠黏膜组织内IL-17AmRNA表达显著增高（P〈0．05）,CD组肠黏膜组织内IL．17AmRNA表达显著高于uc组（P〈0．05）。免疫组化分析显示IL-23R阳性细胞在CD与uc肠黏膜固有层内有较多表达,较正常黏膜内的肠上皮细胞相比,CD及UC患者肠黏膜IL-23R蛋白表达量最著增高（P〈0．05）,UC及CD组间的表达量差异无统计学意义（P〉0．05）。IL-17A阳性细胞在CD与UC肠黏膜固有层内有较多表达,较正常黏膜内的肠上皮细胞相比,CD及UC患者肠黏膜IL-17A蛋白表达量最著增高（P〈0．05）。结论：IL．23R及IL-17A在IBD患者肠黏膜中表达显著增高,提示IL-23R及IL-17A表达异常与IBD的发生发展密切相关,有可能成为IBD治疗的新靶点。     

SHIP在炎症性肠病结肠组织中的表达及其临床意义

目的：观察SHIP 在溃疡性结肠炎(UC)和克罗恩病(CD)患者结肠组织标本中的表达情况,探讨其在炎症性肠病发生过程中 所起的作用及意义。方法：收集活动期UC患者,活动期CD 患者,及结直肠癌旁正常粘膜组织（NC组）标本各20 例。将活检标本 进行苏木精- 伊红染色及SHIP 免疫组化染色观察;利用Western blot 半定量比较分析SHIP 蛋白表达及组间差异;Real-time RT-PCR 分析SHIP在RNA水平的表达情况和组间差异。统计学处理采用Student''s t检验。结果：免疫组化染色示UC组SHIP阳 性表达积分为（7.20± 2.53）,CD 组积分为（6.50± 2.76）,对照组积分为（1.10± 0.74）。t 检验组间比较UC组和CD组无统计学差异 (t=0.59,P＞0.05);而UC组与NC组（t=7.32,P＜0.05）,CD组与NC组（t=5.98, P＜0.05）,差异均有统计学意义。Western blot 检测 结肠组织SHIP表达,UC组SHIP 相对表达量为（0.314± 0.021）,CD组（0.301± 0.019）,NC 组（0.163± 0.027）。UC和CD组表达 无差异(t=1.44,P＞0.05),而UC组,CD组与NC 组相比表达明显升高（t=13.88、13.16, P均＜0.05）。Real-time RT PCR 检测UC 组 结肠粘膜SHIP mRNA相对表达量为（0.649± 0.028）,CD 组为（0.645± 0.021）,NC 组为（0.140± 0.015）。同样,UC组与CD 组没 有统计学差异,而其相较对照组表达均升高（P＜0.05）。结论：炎症性肠病患者结肠组织SHIP 表达明显高于正常结肠组织,但其在 溃疡性结肠炎和克罗恩病间没有明显差异;提示SHIP可能在炎症性肠病的发病中发挥重要作用。     

The role of substance P in inflammatory disease

The diffuse neuroendocrine system consists of specialised endocrine cells and peptidergic nerves and is present in all organs of the body. Substance P (SP) is secreted by nerves and inflammatory cells such as macrophages, eosinophils, lymphocytes, and dendritic cells and acts by binding to the neurokinin-1 receptor (NK-1R). SP has proinflammatory effects in immune and epithelial cells and participates in inflammatory diseases of the respiratory, gastrointestinal, and musculoskeletal systems. Many substances induce neuropeptide release from sensory nerves in the lung, including allergen, histamine, prostaglandins, and leukotrienes. Patients with asthma are hyperresponsive to SP and NK-1R expression is increased in their bronchi. Neurogenic inflammation also participates in virus-associated respiratory infection, non-productive cough, allergic rhinitis, and sarcoidosis. SP regulates smooth muscle contractility, epithelial ion transport, vascular permeability, and immune function in the gastrointestinal tract. Elevated levels of SP and upregulated NK-1R expression have been reported in the rectum and colon of patients with inflammatory bowel disease (IBD), and correlate with disease activity. Increased levels of SP are found in the synovial fluid and serum of patients with rheumatoid arthritis (RA) and NK-1R mRNA is upregulated in RA synoviocytes. Glucocorticoids may attenuate neurogenic inflammation by decreasing NK-1R expression in epithelial and inflammatory cells and increasing production of neutral endopeptidase (NEP), an enzyme that degrades SP. Preventing the proinflammatory effects of SP using tachykinin receptor antagonists may have therapeutic potential in inflammatory diseases such as asthma, sarcoidosis, chronic bronchitis, IBD, and RA. In this paper, we review the role that SP plays in inflammatory disease.     

粪便微生物系移植通过影响炎症因子和肠道菌群结构缓解大鼠实验性结肠炎

炎症性肠病（inflammatory bowel disease,IBD）病因虽未明确,但目前认为,肠道细菌和肠黏膜免疫功能紊乱与IBD的发病密切相关。将40只SD大鼠分为健康对照组、模型组、粪便微生物系移植组（fecal microbiota transplantation,FMT）和柳氮磺胺吡啶组,后3组用2,4,6-三硝基苯磺酸（2,4,6-trinitrobenzene sulfonic acid, TNBS）灌肠造模,造模2 d后分别用粪便悬液和柳氮磺胺吡啶治疗1 w。末次给药后禁食1 d,对大鼠粪便进行菌群成分分析,股动脉取血,对K⁺ 、Na⁺ 、血清白蛋白（ALB）、白细胞计数（WBC）、中性粒细胞百分率（N%）、C-反应蛋白（CRP）、IL-1β、IL-10、IL-12和IL-17 水平进行检测,取结肠行病理学检查。结果发现,通过TNBS灌肠成功建立大鼠实验性结肠炎模型。与模型组比较,FMT组的K⁺和ALB明显升高(P<0.05),WBC、N%和CRP明显降低(P<0.05),IL-1β和IL-17明显降低(P<0.05),IL-10和IL-10/IL-12含量升高(P<0.05)。FMT能显著改善TNBS引起的肠道菌群变化,促进双歧杆菌的增殖而抑制脆弱拟杆菌和大肠杆菌的生长。上述结果证明,FMT可有效治疗炎症性肠病,其机制与其影响血清炎症因子水平和改善肠道菌群有关。     

肠道微生物群落与炎症性肠病关系研究进展

目的炎症性肠病（IBD）包括克罗恩病（CD）和溃疡性结肠炎（UC）,以持续性肠道非特异性炎症为特征,通常反复发作、迁延不愈,临床上仍无特效性的治疗手段。IBD确切的发病机制尚不清楚,涉及免疫、环境及遗传等因素,这些因素共同诱导肠道炎症、黏膜损伤和修复。肠道微生物群落及其代谢产物、宿主基因易感性及肠道黏膜免疫三方面共同参与了IBD的发病机制。本文从消化道微生态角度出发,对目前IBD相关的肠道微生物群落研究现状、宿主-微生物间免疫应答及益生菌治疗等内容进行探讨。     

炎症性肠病动物模型的研究进展

克罗恩病和溃疡性结肠炎统称为炎症性肠病（IBD）,病因虽不明确,但对其发病机理已有了较多的了解。该病的发生是由于个体易感性、肠道菌群和粘膜免疫相互作用所致。炎症性肠病动物模型可通过化学性诱导、免疫学、遗传学等方法获得。三硝基苯磺酸与乙醇灌肠致炎法是目前最常用的方法,本文侧重概述介绍三硝基苯磺酸诱导的炎症性肠病的机制、模型、应用及优缺点,为疾病的研究、治疗和新药的开发提供指导。     

Therapeutic effects of lentinan on inflammatory bowel disease and colitis‐associated cancer

In this study, we investigated the therapeutic potential of lentinan in mouse models of inflammatory bowel disease (IBD) and colitis‐associated cancer (CAC). Lentinan decreased the disease activity index and macroscopic and microscopic colon tissue damage in dextran sulphate sodium (DSS)‐induced or TNBS‐induced models of colitis. High‐dose lentinan was more effective than salicylazosulfapyridine in the mouse models of colitis. Lentinan decreased the number of tumours, inflammatory cell infiltration, atypical hyperplasia and nuclear atypia in azoxymethane/DSS‐induced CAC model. It also decreased the expression of pro‐inflammatory cytokines, such as IL‐13 and CD30L, in IBD and CAC model mice possibly by inhibiting Toll‐like receptor 4 (TLR4)/NF‐κB signalling and the expression of colon cancer markers, such as carcinoembryonic antigen, cytokeratin 8, CK18 and p53, in CAC model mice. In addition, lentinan restored the intestinal bacterial microbiotal community structure in IBD model mice. Thus, it shows therapeutic potential in IBD and CAC model mice possibly by inhibiting TLR4/NF‐κB signalling‐mediated inflammatory responses and disruption of the intestinal microbiotal structure.     

Estrogen receptor-β signaling modulates epithelial barrier function

Impaired epithelial barrier function and estrogens are recognized as factors influencing inflammatory bowel disease (IBD) pathology and disease course. Estrogen receptor-β (ERβ) is the most abundant estrogen receptor in the colon and a complete absence of ERβ expression is associated with disrupted tight-junction formation and abnormal colonic architecture. The aim of this study was to determine whether ERβ signaling has a role in the maintenance of epithelial permeability in the colon. ERβ mRNA levels and colonic permeability were assessed in IL-10-deficient mice and HLA-B27 rats by RT-PCR and Ussing chambers. ERβ expression and monolayer resistance were measured in HT-29 and T84 colonic epithelial monolayers by RT-PCR and electric cell-substrate impedance sensing. The effect of 17β-estradiol and an estrogen agonist [diarylpropionitrile (DPN)] and antagonist (ICI 182780) on epithelial resistance in T84 cells was measured. Expression of ERβ and proinflammatory cytokines was investigated in colonic biopsies from IBD patients. Levels of ERβ mRNA were decreased, whereas colonic permeability was increased, in IL-10-deficient mice and HLA-B27 transgenic rats prior to the onset of colitis. T84 cells demonstrated higher resistance and increased levels of ERβ mRNA compared with HT-29 cells. 17β-estradiol and DPN induced increased epithelial resistance in T84 cells, whereas an ERβ blocker prevented the increased resistance. Decreased ERβ mRNA levels were observed in colonic biopsies from IBD patients. This study suggests a potential role for ERβ signaling in the modulation of epithelial permeability and demonstrates reduced ERβ mRNA in animal models of colitis and colon of patients with inflammatory bowel disease.     

Molecular evidences on the benefit of N-acetylcysteine in experimental colitis

Inflammatory bowel disease (IBD) is a chronic recurrent disease of the digestive tract with an unknown etiology. The aim of this study was to examine the possible protective effects of N-acetylcysteine (NAC) in the mouse model of IBD by measuring specific biomarkers in the colon cells. Colitis was induced by administration of dextran sodium sulfate (DSS) in drinking water (3%) for 7 days. Three doses of NAC (106, 160, and 240 mg/kg) were given after induction of colitis (4 days post DSS) for 4 days by gavage. Lipid peroxides (LP), total antioxidant power (TAP), total thiol molecules (TTM), tumor necrosis factor-α (TNF-α), nitric oxide (NO), superoxide dismutase (SOD), and catalase (CAT) were measured in the colon homogenate of the treated animals. NAC (160 and 240 mg/kg) significantly decreased LP, TNF-α, NO and increased TTM, SOD, and CAT. The TAP was also increased by NAC (240 mg/kg). It is concluded that moderate to high doses of NAC improves cellular biomarkers of IBD in mice. Further studies should be trialled in humans suffering from two common inflammatory bowel disease called ulcerative colitis and Crohn’s disease.     

炎症性肠病小鼠模型的建立及其影响因素探讨

目的:通过单次灌肠和皮肤致敏联合灌肠,构建2,4,6-三硝基苯磺酸(TNBS)诱导的炎症性肠病小鼠模型,探讨最佳造模方法,并分析影响模型构建的因素。方法:55只SPF雄性BALB/c小鼠随机分为7组,包括对照组、不同剂量TNBS(100、150、175、200、225 mg/kg)单次灌肠组及皮肤致敏联合灌肠组。于造模后5 d处死各组小鼠,观察结肠大体形态并评分;取病变处进行石蜡包埋切片,HE染色,并进行病理组织学评分。结果:100、150 mg/kg TNBS单次灌肠组动物未见明显的溃疡形成;其余剂量组动物均有不同程度的溃疡形成,成模率与剂量成正比,其中225 mg/kg剂量组动物成模率为100%,但病变较重、病变不均一且偶有小鼠眼睛失明的副作用出现。皮肤致敏联合灌肠组动物均有溃疡形成,成模率100%,病变适中且未发现小鼠眼睛失明的副作用。结论:175-225 mg/kg TNBS单次灌肠及皮肤致敏联合TNBS灌肠均可制备小鼠炎症性肠病模型,但皮肤致敏联合TNBS灌肠制备的炎症性肠病模型成模率高,病变适中,模型稳定,适合用作科学研究模型。