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1. 重庆医科大学附属第一医院普外科
2. 四川大学华西医院移植工程和移植免疫实验室
3. 四川大学华西医院普外科,重庆,400016
4. ,成都,610041
纸质出版日期:2006,
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[1]李明,李幼平,严律南.大鼠移植心慢性失功加快模型的建立[J].重庆医科大学学报,2006(01):58-62.
LI Ming, et al. A novel accelerated rat cardiac graft failure model induced by ischemia reperfusion injury[J]. Journal of Chongqing Medical University, 2006,(1):58-62.
目的:探讨封闭群SD→SD大鼠心脏移植能否建立移植物慢性失功(chronic graft failureCGF)模型
缺血再灌注损伤(ischemia reperfusion injuryI/R)是否可加速CGF的进程。方法:采用雌性封闭群SD大鼠60只
分两组
对照组供心取下后立即进行心脏移植
冷缺血组供心取下后
先在4℃生理盐水中冷保存3h
然后再进行心脏移植。对照组于术后4、12、24w
缺血组于术后4、8、12w
取移植心脏分别行H E染色和M asson三色染色观察移植心的组织病理学改变。结果:移植后4w
冷缺血组与对照组相比较
心脏血管内膜增生评分均较低
两者无显著性差异
(1.6±0.48 vs1.2±0.32
P>0.05);移植后12w
两者心脏血管内膜增生评分有显著性差异(3.6±0.48 vs2.4±0.48
P<0.05)
而且冷缺血组已发展为中度至重度血管病变;冷缺血组12w与对照组24w移植心血管内膜增生评分相比较
二者无统计学差异(3.6±0.48 vs4.0±0.40
P>0.05)。结论:采用封闭群SD→SD大鼠异位心脏移植来建立移植心CGF模型是可行的
I/R损伤可加快移植心CGF的进程
大大缩短了建模时间。
Objective: To investigate whether the heart transplantation between closed colony SD rats can establish a cardiac chronic graft failure model
and whether the ischemia reperfusion injury can accelerate this process.Method: 60 female closed colony of SD rats were divided into two group at random
control group and ischemia group.In control group
donor hearts were implanted into recipients immediately
however
in ischemia group
donor hearts were stored for 3 hrs at 4℃ in isotonic saline to induce an ischemic injury before transplantation.In control group
grafts were excised at 4
12
and 24 weeks after transplantation
while in ischemia group
grafts were excised at 4
8
and 12 weeks after transplantation.Graft vasculopathy and interstitial fibrosis were graded for degree of intimal thickening and myocardiac interstitial fibrosis using HE and Masson staining.Results: By the 4th week after transplantation
the graft vasculopathy in two groups showed no significant difference(1.6±0.48 vs 1.2±0.32
P>0.05)
however
by the 12th week
there was a significant difference(3.6±0.48 vs 2.4±0.48
P<0.05)in the graft vasculopathy in two groups.By the 24th week
grafts in control group showed the characteristic of chronic graft failure
including graft vasculopathy
interstitial fibrosis
and inflammatory cells infilatration
however
grafts in ischemia group displayed similar leisons by the 12th week.There was no significant difference(3.6±0.48 vs 4.0±0.40
P>0.05)in the graft vasculopathy between two groups.Conclusion: It is practicable to establish a cardiac chronic graft failure model between closed colony SD rats
and ischemia reperfusion injury
as an alloantigen independent factor
would accelerate the development of rat cardiac chronic graft vascular disease
which can save the time for establishing models.
移植物慢性失功缺血再灌注损伤心脏移植HE染色Masson染色
chronic graft failureischemia reperfusion injuryHeart transplantationHE stainingMasson staining
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