长春瑞滨诱导化疗性静脉炎大鼠模型的构建和评价
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山西省中医药研究院

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国家自然科学基金面上项目(81973672);山西省科技创新人才团队专项资助(202204051001032);山西省基础研究计划(202203021221291);山西中医药大学科技创新团队(2022TD2005)


Construction and evaluation for chemotherapeutic phlebitis rats induced by vinorelbine through dorsalis pedis vein
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1.山西省中医药研究院;2.Shanxi Province Academy of Traditional Chinese Medicine

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the National Natural Science Foundation of China(81973672), the special fund for Science and Technology Innovation Team of Shanxi Province(202204051001032), Fundamental Research Program of Shanxi Province(202203021221291), Scientific and Technological Innovation Team of Shanxi University of Chinese Medicine(2022TD2005).

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    摘要:

    【摘要】目的 构建一种贴近临床化疗性静脉炎的大鼠模型。方法 大鼠随机分为空白组和模型组,经后肢足背静脉注射0.1 ml生理盐水设为空白对照组,模型组大鼠则分别注射等体积的2 mg/ml、3 mg/ml、4 mg/ml和5 mg/ml长春瑞滨溶液,每日测量患肢体积并计算肿胀率,连续7天,末次处死动物取病灶足背静脉组织,采用苏木精-伊红染色法(HE)观察组织学改变,同时扫描电镜观察内膜表面微观结构变化。结果 经足背静脉注射2-5 mg/ml长春瑞滨溶液可明显诱发大鼠后肢肿胀,且肿胀率随浓度递增而加剧,同时各浓度组均在第3天达峰值;第7天静脉炎分级显示2 mg/ml组50%大鼠成模,3 mg/ml组为83.3%,而4 mg/ml组和5 mg/ml组大鼠均造模成功,其中前者Ⅲ级为66.7%,后者Ⅳ级占83.3%;HE染色可见静脉周围组织随长春瑞滨溶液浓度增加呈现炎性细胞浸润、管壁增厚、管腔狭窄及血栓,扫描电镜也显示静脉内皮细胞紧密连接破坏,内膜表面粗糙且粘附血细胞。结论 经大鼠足背静脉注射0.1 ml的3-5 mg/ml长春瑞滨溶液可见局部红、肿及条索状静脉,甚至皮肤溃烂,静脉周围组织炎性细胞浸润,静脉壁增厚、管腔狭窄及血栓形成,静脉内膜表面粗糙且粘附血细胞,基本符合临床化疗性静脉炎特征。

    Abstract:

    To establish and evaluate for chemotherapeutic phlebitis rats induced by vinorelbine through dorsalis pedis vein. Methods The rats were randomly divided into the control and model group. Rats injected 0.1ml normal saline through the dorsalis pedis vein of the hind limb served as the control. While the rats in model group were injected with different concentrations of vinorelbine (2-5mg/ml) as above. General observation was performed and the hind limb volume was measured daily to calculate the swelling rate for 7 consecutive days. Then the rats were killed to collect the dorsalis pedis vein, and the histological changes were observed by HE staining. The microstructure changes on the surface of the vascular endometrium were observed by scanning electron microscopy. Results Rats injected with 2-5 mg/ml vinorelbine via dorsalis pedis vein could significantly induce hind limb swelling. The swelling rate increased with increasing concentration, and the peak of each group is reached on 3rd day. On the 7th day, the phlebitis rate in the 2 mg/ml group was 50%, while in the 3 mg/ml group of 83.3%. The 4 mg/ml group and 5 mg/ml group were all sucessful with grade Ⅲ accounting for 66.7% and grade Ⅳ accounting for 83.3%, respectively. Histopathology showed inflammatory cell infiltration, wall thickening, lumen stenosis and thrombosis in the surrounding tissues of veins. Scanning electron microscopy also showed that the tight junction of venous endothelial cells were destroyed, and the surface of the vascular lining were rough that resulting in blood cells adhesion. Conclusion Rats injected with 0.1ml 3-5mg/ml vinorelbine through the dorsalis pedis vein could induce red, swollen and cord like veins in lesions. Inflammatory cells infiltration around the vein, thickened vein wall, lumen stenosis and thrombosis were seen. Also, the surface of the vein intima was rough and adhered to a large number of blood cells. All of those were consistent with clinical chemotherapeutic phlebitis in terms of symptoms and pathological structure.

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  • 收稿日期:2023-05-13
  • 最后修改日期:2023-11-14
  • 录用日期:2023-11-14
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