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N-乙酰半胱氨酸对肺纤维化大鼠的Bcl-2/Bax的影响
作者:陈国萍 李家宁 丛莹莹 
单位:哈尔滨医科大学附属第二医院呼吸二病房
关键词:N-乙酰半胱氨酸 肺纤维化 bcl-2 bax 
分类号:
出版年·卷·期(页码):2012·40·第四期(383-390)
摘要:

目的 探讨N-乙酰半胱氨酸 (NAC)对博莱霉素(BLM)诱导的肺纤维化大鼠的Bcl-2/Bax影响及其作用机理。 方法 通过气管内注入BLM复制大鼠肺纤维化模型,造模7天前和7天后分别给予NAC进行治疗。于造模后第7、14、28天每组处死大鼠5只,取组织,通过透射电镜观察、免疫组织化学的方法来观察肺纤维化的变化情况以及Bcl-2/Bax的表达情况。明确NAC对肺纤维化的疗效及其可能的作用机制。 结果 与博莱霉素组比较,防治组、治疗组肺泡炎及肺纤维化程度均明显减轻(P<0.05),抑制了bcl-2的降低和bax的增加(P<0.05);且防治组更明显。 结论 通过抑制了bcl-2的降低和bax的增加,NAC有效地抑制了BLM诱导的肺纤维化,且7天前给药效果较7天后给药效果显著。

Objective To study the projective effect of N-Acetylcysteine on the Expression of Bcl-2/Bax of bleomycin(BLM)-induced pulmonary fibrosis in rats and its mechanism. Methods pulmonaty fibrosis was induced by intratracheal instillation of BLM in rats , the preventing group ( E group, 7 days before molding) using of NAC ,and the treating group (D group, 7 days after molding) using of NAC.5 rats of every group were sacrificed after using of BLM on days 7 , 14 and 28 ,their lungs were harvested for histological studies. Through the transmission electron microscope observation, the immunity histochemistry method observe the situation of fibrosis degree and Bcl-2/Bax expression in every group .Make clear about the curative effect of NAC to pulmonary fibrosis and its possible mechanism. Results Compared with BLM group, the degrees of pulmonary alveolitis and lung fibrosis in E group and D group obviously reduced (P<0.05),Inhibited of Bcl-2 decreasing and Bax increasing (P < 0.05 );furthermore ,the effect in E group is more obviously.Conclusion Neither before 7 days nor after 7 days ,applicating NAC can suppress effectively BLM-induced pulmonary fibrosis, through Inhibiting decreased Bcl-2 and increased Bax, NAC effectively inhibit BLM-induced pulmonary fibrosis, the medical effect of giving NAC before 7days is more remarkable.

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