中国寄生虫学与寄生虫病杂志 ›› 2007, Vol. 25 ›› Issue (1): 6-31.

• 论著 • 上一篇    下一篇

感染卡氏肺孢子虫大鼠血清中可溶性细胞黏附分子-1(sICAM-1)变化的研究

刘克芹1;尹卫东2;薛贵平2;张进顺3   

  1. 1 河北北方学院附属第一医院检验科, 张家口 075000; 2 河北北方学院临床检验教研室, 张家口 075000; 3 河北北方学院寄生虫学教研室, 张家口 075000
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2007-02-28 发布日期:2007-02-28
  • 通讯作者: 张进顺

Study on the Changes of Soluble Intercellular Adhesion Molecule-1 Level in Sera of Rats Infected with Pneumocystis carinii

LIU Ke-qin1;YIN Wei-dong2;XUE Gui-ping2;ZHANG Jin-shun3   

  1. 1 Department of Clinical Laboratory Medicine, The First Affiliated Hospital, Hebei North University, Zhangjiakou 075000, China; 2 Division of Clinical Laboratory Science, Hebei North University, Zhangji-akou 075000, China; 3 Department of Parasitology, Hebei North University, Zhangjiakou 075000, China
  • Received:1900-01-01 Revised:1900-01-01 Online:2007-02-28 Published:2007-02-28
  • Contact: ZHANG Jin-shun

摘要: 目的 检测卡氏肺孢子虫肺炎(PCP)大鼠血清中可溶性细胞黏附分子-1(sICAM-1)水平, 以及经复方磺胺甲噁唑(TMP-SMZ)治疗后对sICAM-1含量的影响。 方法 纯系Wistar大鼠50只, 随机分为 PCP模型组(P组18只)、TMP?鄄SMZ治疗组(S组18只)及正常对照组(N组14只)。P组及S组于大鼠后腿肌肉注射地塞米松(1 mg/只,每周2次、间隔3 d),诱导建立PCP大鼠模型。N组同法注射生理盐水。镜检确认PCP诱导成功后,S组从第3周起灌胃TMP-SMZ[每天1次, 250 mg/(kg·d)],5 d为1 疗程,间隔2周,共3个疗程。分别于第0、3、6、9及12周取血, 检测血清中sICAM-1水平,观察肺脏、肝脏病理及病原学变化。 结果 血清sICAM-1水平,P组第3周的(1.847±0.50)ng/ml显著低于第0周的(2.407±0.81) ng/ml(P<0.05); S组第3周的(1.787±0.59) ng/ml显著低于第0周的(2.478±0.59) ng/ml(P<0.01), 以后逐渐上升。P组第9周的(3.233±0.83) ng/ml、 12周(3.984±0.87) ng/ml显著高于第0周的(2.407±0.81) ng/ml(分别为P<0.05, P<0.01); S组第12周的(3.621±1.62) ng/ml显著高于第0周的(2.478±0.59) ng/ml(P<0.05)。P组与S组第9、12周[分别为(2.697±0.78) ng/ml及(3.621±1.62) ng/ml] 均显著高于N组(分别为P<0.05、P<0.01)。S组与P组间差异无统计学意义(P>0.05)。 结论 大鼠血清中sICAM-1含量较低,但在诱导PCP后其含量显著增高。

关键词: 卡氏肺孢子虫, 大鼠, 可溶性细胞黏附分子-1, 组织病理学

Abstract: Objectives To examine sICAM-1 in Pneumocystis carinii pneumonia (PCP) and the effect of TMP-SMZ therapy on its level and on pathological and immunological changes in rats. Methods 50 female Wistar rats were randomly divided into normal group (N group), PCP model group (PCP group) and TMP-SMZ therapy group (SMZ group). 1 mg of dexamethasone was injected intramuscularly twice a week for rats in PCP and SMZ groups to induce PCP. Normal saline was injected for N group in the same way. When the infection was confirmed, TMP-SMZ was given to rats in SMZ group by 25 mg/(kg.d) for 5 days for 3 courses with an interval of 2 weeks. sICAM-1 in serum was detected by ELISA, and the pathological changes in lungs and liver and the Pc in alveoli of lungs were observed. Results The level of sICAM-1 in PCP and SMZ groups at the 3rd week [(1.847±0.50) ng/ml,(1.787±0.59) ng/ml] was lower notably than that at 0 week[(2.407±0.81) ng/ml, [(2.478±0.59) ng/ml respectively](P<0.05), and then increased gradually. It was significantly higher in PCP group at 9th week[(3.233±0.83) ng/ml] and at 12th week[(3.984±0.87) ng/ml] than that of 0 week (P<0.05). Its level in SMZ group at 12th week[(3.621±1.62) ng/ml] was also higher than that in 0 week [(2.478±0.59) ng/ml] (P<0.05). sICAM-1 level in both PCP and SMZ groups at 9th week and 12th week was higher than that of N group (P<0.05,P<0.01). There was no significant difference between SMZ and PCP groups at 9th week and 12th week (P>0.05). Conclusion The sICAM-1 level in rats was low but significantly increases after the induction of PCP.

Key words: Pneumocystis carinii, Rat, Soluble intercellular adhesion molecule-1(sICAM-1), Histopathology