构建基于体表神经源性渗出反应的急性胃黏膜损伤大鼠病情分级模型研究
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1.福建中医药大学;2.福建省中医药科学院

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多元统计及空间自相关分析与急性胃黏膜损伤相关穴位分布特征及其效应研究


Establishment of a Grading Model for Acute Gastric Mucosal Injury in Rats based on Cutaneous Neurogenic Exudation Response
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1.College of Acupuncture,Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian Province,China;2.Institute of Acupuncture and Meridian,Fujian Academy of Chinese Medical Sciences,Fuzhou,Fujian Province,China

Fund Project:

Study on the distribution characteristics and effects of acupoints related to acute gastric mucosal injury by multivariate statistics and spatial autocorrelation analysis

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    摘要:

    目的:本研究旨在构建不同浓度梯度盐酸诱导下的急性胃黏膜损伤(AGMI)大鼠模型,并研究尾静脉注射不同浓度和剂量的伊文思蓝(EB)对其生存率和体表渗出情况的影响。方法:研究一:将Wistar大鼠根据体重随机分为150-180g组、180-200g组、200-250g组、300-400g组、400-500g组,共5组。并根据盐酸浓度分为8个亚组,0.40M组、0.45M组、0.50M组、0.55M组、0.60M组、0.65M组、0.70M组,生理盐水组作为对照,共40组,每组3只,共120只。评估各组大鼠生存率(造模后24h),并分析体重和盐酸浓度对大鼠生存情况的交互关系。在确定5个梯度盐酸浓度的基础上,采用苏木精-伊红染色法观察胃黏膜镜下的病理变化。研究二:选择盐酸浓度中最高的浓度进行模型制备,并根据不同EB浓度与剂量将AGMI大鼠随机分为0.5% (0.4ml)组、1%(0.1ml/100g)组、1%(0.2ml/100g)组、2%(0.1ml/100g)组、2%(0.2ml/100g)组、5%(0.1ml)组,每组5只,共30只。评估各组大鼠注射后的生存率(注射后24h)和体表渗出程度。结果:研究一:AGMI大鼠造模后症状与盐酸浓度成正比,0.65M和0.70M在各体重组中的24h生存率均为0%。各体重的Kaplan-Meier生存曲线结果表明,不同浓度盐酸的大鼠生存率存在显著差异(P<0.00)。交互作用分析结果显示,盐酸浓度和体重对观察存活时间存在显著的交互作用(P<0.00)。确定的5个梯度盐酸浓度(0.40M、0.45M、0.40M、0.45M、0.50M、0.55M和0.60M),大鼠胃黏膜组织病理学观察结果显示,生理盐水组的大鼠胃黏膜组织结构完整,无炎性细胞浸润。AGMI大鼠可见胃黏膜炎性细胞浸润程度与盐酸浓度成正比。研究二:在0.60M盐酸制备的AGMI大鼠中,尾静脉注射EB 5%(0.1ml)后的24小时生存率仅为40%。Kaplan-Meier生存曲线结果显示,AGMI大鼠在伊文思蓝(EB)不同浓度和注射量下的生存率之间无统计学差异(P>0.05)。AGMI大鼠在尾静脉注射EB的体表渗出情况结果显示0.5%(0.4ml)组大鼠皮肤和眼睛未发生颜色变化,体表渗出点较少,甚至尚未出现;而其余组大鼠可见较明显的EB渗出点。其中,2%(0.1ml/100g)和2%(0.2ml/100g)组大鼠皮肤颜色和渗出情况较好,EB后24小时(造模后28小时)2%(0.2ml/100g)组大鼠的皮肤颜色随着时间的推移进一步加深。AGMI大鼠在尾静脉注射EB后的体表渗出情况结果显示,0.5%(0.4ml)组的大鼠皮肤和眼睛未发生颜色变化,体表渗出点较少甚至未出现;而其余组的大鼠可见较明显的EB渗出点。其中,2%组的大鼠皮肤颜色和渗出情况较好,EB注射后24h的体表渗出情况进一步显示2%(0.2ml/100g)组的大鼠皮肤颜色随时间的推移进一步加深。 结论:盐酸造模能够实现多个精确浓度梯度的设置。禁食后体重为180-200g的大鼠灌胃0.40M、0.45M、0.50M、0.55M、0.60M浓度的盐酸可以制备AGMI模型,以及尾静脉注射2% EB(0.2ml/100g),将有利于开展AGMI大鼠体表EB渗出点分布特征随时间和病情变化的研究分析。

    Abstract:

    Objective: This study aims to establish an acute gastric mucosal injury (AGMI) rat model induced by different concentrations of hydrochloric acid (HCl) and investigate the effects of intravenous injection of different concentrations and doses of Evans Blue (EB) on the survival rate and surface exudation of the model. Methods: Study 1: Wistar rats were randomly divided into five groups based on body weight: 150-180g group, 180-200g group, 200-250g group, 300-400g group, and 400-500g group, with a total of 40 rats in 8 subgroups based on HCl concentration (0.40M, 0.45M, 0.50M, 0.55M, 0.60M, 0.65M, 0.70M) and a control group treated with physiological saline, with 3 rats in each group and a total of 120 rats. The survival rate of rats in each group was evaluated after modeling for 24 hours, and the interaction between body weight and HCl concentration on rat survival was analyzed. On the basis of determining the five gradient HCl concentrations, the pathological changes of gastric mucosa were observed under microscopy using hematoxylin-eosin staining. Study 2: The highest concentration of HCl was selected for model preparation, and AGMI rats were randomly divided into six groups based on different concentrations and doses of EB: 0.5% (0.4ml) group, 1% (0.1ml/100g) group, 1% (0.2ml/100g) group, 2% (0.1ml/100g) group, 2% (0.2ml/100g) group, and 5% (0.1ml) group, with 5 rats in each group and a total of 30 rats. The survival rate (24 hours after injection) and degree of surface exudation of rats in each group were evaluated. Results: Study 1: The symptoms of AGMI rats after modeling were positively correlated with HCl concentration, and the 24-hour survival rates of rats in the 0.65M and 0.70M groups were both 0% across all body weight groups. The Kaplan-Meier survival curves of rats of different body weights showed significant differences in survival rates among rats treated with different concentrations of HCl (P<0.00). The interaction analysis showed a significant interaction between HCl concentration and body weight in terms of observed survival time (P<0.00). The histopathological observation of gastric mucosa in rats treated with the determined five gradient HCl concentrations (0.40M, 0.45M, 0.40M, 0.45M, 0.50M, 0.55M, and 0.60M) showed that the gastric mucosal tissue of rats in the physiological saline group had intact structure without inflammatory cell infiltration. The degree of inflammatory cell infiltration in AGMI rats was positively correlated with HCl concentration. Study 2: In AGMI rats prepared with 0.60M HCl, the survival rate after intravenous injection of 5% EB (0.1ml) was only 40% at 24 hours. The Kaplan-Meier survival curves showed no statistically significant difference in survival rates among AGMI rats treated with different concentrations and doses of Evans Blue (EB) (P>0.05). The results of surface exudation in AGMI rats after intravenous injection of EB showed that rats in the 0.5% (0.4ml) group did not have any color change in the skin and eyes, and had fewer surface exudation points, or even no exudation points. Rats in the other groups had more obvious exudation points. Among them, rats in the 2% (0.1ml/100g) and 2% (0.2ml/100g) groups had better skin color and exudation conditions. The skin color of rats in the 2% (0.2ml/100g) group further deepened over time at 24 hours after EB injection (28 hours after modeling). The results of surface exudation in AGMI rats after intravenous injection of EB showed that rats in the 0.5% (0.4ml) group did not have any color change in the skin and eyes, and had fewer surface exudation points, or even no exudation points. Rats in the other groups had more obvious exudation points. Among them, rats in the 2% group had better skin color and exudation conditions. The surface exudation at 24 hours after EB injection further showed that the skin color of rats in the 2% (0.2ml/100g) group deepened over time. Conclusion: Modeling with HCl can achieve the establishment of multiple precise concentration gradients. Fasting rats with a body weight of 180-200g can be administered HCl at concentrations of 0.40M, 0.45M, 0.50M, 0.55M, and 0.60M to prepare the AGMI model. Intravenous injection of 2% EB (0.2ml/100g) will be conducive to the study and analysis of the distribution characteristics of surface exudation points in AGMI rats over time and with changes in the condition.

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  • 收稿日期:2023-12-10
  • 最后修改日期:2024-03-09
  • 录用日期:2024-06-18
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