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山东大学学报(医学版)

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同种带瓣主动脉移植供体组织钙含量的定量分析

巩性军,张供,庞昕焱,李守先,谷兴华   

  1. 山东大学齐鲁医院心脏外科, 济南 250012
  • 收稿日期:2008-06-13 修回日期:1900-01-01 出版日期:2008-09-16 发布日期:2008-09-16
  • 通讯作者: 谷兴华

Quantitative analysis of calcium content in aortic valved homograft tissues in rats

GONG Xing-jun, ZHANG Gong, PANG Xin-yan, LI Shou-xian, GU Xing-hua   

  1. Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, Jinan 250012, China
  • Received:2008-06-13 Revised:1900-01-01 Online:2008-09-16 Published:2008-09-16
  • Contact: GU Xing-hua

摘要: 目的研究同种带瓣主动脉(AVH)移植后影响供体组织钙含量的因素。方法将90只Wistar大鼠作为受体随机分成异基因组(冷冻组、治疗组)和同基因组。异基因组分别为接受低温保存的AVH移植(冷冻组)和接受1:5稀释树突状细胞(DC)单抗预处理低温保存,AVH移植后给予DC单抗治疗(治疗组),同基因组为对照组。采用改良大鼠AVH腹主动脉异位移植模型(均接受带瓣下心肌的AVH移植)。异基因组SD大鼠为供体,Wistar大鼠为受体;同基因组受体和供体均为Wistar大鼠。各组再随机分为5个小组,每组6只大鼠。DC单抗治疗时间为4周。手术后2、4、8、12、16周用流式细胞仪检测大鼠血液中T细胞抗原抗体α、β(TCRα、β)和CD28的表达。取出移植物,用光镜和电子显微镜观察移植物组织结构形态学变化,用免疫组织化学染色方法检测动脉壁CD54的表达,用原子火焰吸收法测定AVH组织钙的含量。结果①异基因组移植后TCRα、β和CD28的表达水平均较同基因组明显增强(P<0.01), 治疗组与冷冻组比较,其表达水平明显降低(P<0.01);②异基因组供体组织钙含量自移植后4周开始升高,同基因组各时点的钙含量无明显差别(P>0.05)。冷冻组于术后4、8周其供体组织钙含量为(2856±79)μg/g、(3587±168)μg/g; DC单抗治疗组为(2176±210)μg/g、(3089±176)μg/g;同基因组为(860±60)μg/g、(870±50)μg/g。结论免疫抑制治疗可减轻免疫反应,延缓钙化进程,疗效明显。

关键词: 抗体单克隆, 树突状细胞, 主动脉, 钙化, 同基因, 大鼠, 近交系, 移植

Abstract: To investigate factors affecting calcium content in aortic valved homograft(AVH) tissues in rats. Methods90 Wistar rats were randomly allocated into 3 groups: two allogene groups and one isogenenic group. Allogene group: SD→Wistar, one group received AVH of cryopreservation, the other group received AVH preconditioned with dendritic cell monoclonal antibodies(DCmAb )diluted by 1:5 and cryopreserved, and then was treated with DcmAb. Isogenenic group: Wistar→Wistar. AVH with myocardial cuff was heterotopically allografted onto the abdominal aorta of rats. Rats were postoperatively sacrificed in batches at 2, 4, 8, 12 and 16 weeks. Blood samples were obtained for detection of the TCRα, β and CD28 expressions, and the AVH specimens were obtained for detection of the changes of endotheliocyte and smooth muscle cells with a light and electron microscope, and the CD54 expression by immunohistochemistry. Also, the calcium contents of the AVH tissues after transplantation were determined. Results① Compared with the isogenic group, the expression of TCR-α, β and CD28 in the allogene group was significantly increased at each time point(P<0.01). Compared with the cryopreservation group, the expression of TCR-α, β and CD28 in the DCmAb treatment group was significantly decreased(P<0.01). ② The calcium contents of AVH tissues in the allogene group gradually increased at 4 weeks, which was significantly different from that in the isogenenic group over 5 different periods (P>0.05). In the cryopreservation group, the calcium contents of the AVH tissues were 2856±79 and 3587±168 at 4 and 8 weeks post-operatively; were 2176±210, 3089±176 in the DCmAb treatment group; and were 860±60, 870±50 in the isogenic group. Conclusion Immunosuppressive treatment has obviously effect in lightening the immune rejection response and delaying the AVH calcification course.

Key words: Transplatation, isogeneic, Aorta calcification, Antibodies monoclonal, Dendritic cell, Rat, inbred strains

中图分类号: 

  • R542.5
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