摘要目的 探讨血管活性肠肽(VIP)对ANP大鼠肠黏膜损伤的影响.方法 54只SD大鼠随机分成假手术组(SO)、ANP组和VIP组,每组分制模后1 h、6 h、12 h 3个时间点,各6只.采用4%牛磺胆酸钠胰胆管逆行注射制备ANP模型,VIP组在制模后5 min腹腔内注射VIP 5 nmol.ELISA法检测血浆及肠组织匀浆VIP水平;MB-80微生物快速动态检测系统检测血浆内毒素水平;RT-PCR法检测肠黏膜组织TNF-α、IL-6、IL-10 mRNA表达;肠黏膜行病理学检查.结果 ANP组肠黏膜结构损害明显,VIP组病变减轻.ANP组血浆及肠黏膜VIP水平在制模后6 h分别为(49.582 ±3.735)pg/ml和(87.731 ±4.601)pg/g pro,均显著低于SO组(P＜0.05),制模后12 h分别为(65.192±5.785)pg/ml和(110.978 ±6.420)pg/g pro,高于SO组;ANP组制模后6 h血浆内毒素水平、肠黏膜TNF-α、IL-6、IL-10mRNA表达量分别为(29.570±5.127)pg/ml、0.861±0.081、1.150±0.187和0.786±0.102,均显著高于SO组(P＜0.05).VIP组制模后6 h血浆内毒素水平、肠黏膜TNF-α、IL-6 mRNA表达分别为(20.486 ±2.811)pg/ml、0.707 ±0.095和0.889 ±0.136,均较ANP组下降(P＜0.05);IL-10 mRNA表达为0.992 ±0.126,较ANP组增高(P＜0.05).结论 VIP对ANP大鼠肠黏膜损伤具有明显的保护作用.

abstractsObjective To investigate the effect of VIP on gut barrier function in rats with acute neerotizing panereatitis (ANP). Methods Fifty four SD rats were randomly divided into three groups: sham operated (SO) group,ANP group and VIP group. Each group was subdivided into 1h, 6h and 12h subgroup after the models were established and each subgroup had 6 rats. The models of ANP were indueed by retrograde injection of 4% sodium taurocholate into the pancreatic duet. VIP group was induced by 5 nmol VIP intraperitoneal injection within 5 minutes after the establishment of ANP model. The serum VIP and intestinal homogenate VIP were detected with ELISA. The serum endotoxin was tested by MB-80 microbes dynamic detecting system. The expression of TNF-α, IL-6, IL-10 mRNA in gut mncosa were determined by RT-PCR.Intestinal samples were harvested for pathological examination. Results The intestinal structure was significantly damaged in ANP group, and the extent of pathological changes were ameliorated in VIP group.The serum and intestinal homogenate VIP levels 6h after the establishment of ANP model were (49. 582 ±3. 735) pg/ml and (87. 731 ±4.601 ) pg/g pro, respectively, which were significantly lower than that of SO group (P ＜ 0.05 ). 12 h after the establishment of SAP model, the serum and intestinal homogenate VIP levels in ANP group were (65. 192 ± 5. 785) pg/ml and ( 110. 978 ± 6. 420) pg/g pro, respectively, which were significantly higher than that of SO group. The serum endotoxin, expression of TNF-α, IL-6, IL-10 mRNA in gut mucosa were(29.570 4-5.127)pg/ml,0.861 ±0.081,1.150 ±0.187 and 0.786±O.102,respectively,which were significantly higher than those of SO group(P＜0.05).The serum endotoxin,expression of TNF-α,IL-6 in gut mucosa in VIP group 6h after establishment of ANP model were(20.486 ±2.81 1)pg/ml,0.707±0.095 and 0.889±0.136,respectively,which were significantly lower than those of ANP group(P＜0.05).The expression of IL-10 mRNA in VIP group was 0.992 ±0.126,which was significantly higher than that of ANP group(P＜0.05).Conclusions VIP had significant protective effects on gut barrier function in rats with ANP.