宫内节育器避孕大鼠模型无创法与开腹法建模腹腔冲洗液TNF-α、TGF-β、ICAM-1变化的研究
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基金项目:

国家自然科学基金(青年基金);国家教育部博士点基金;山东省自然科学基金项目(博士基金)


Study on TNF-α、TGF-β、ICAM-1 of peritoneal lavage fluid for IUD contraception rat model with non-invasive modeling and laparotomy modeling
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Fund Project:

The National Natural Science Foundation of China(Young Scholars program);Ph.D. Programs Foundation of the Ministry of Education of China;The Natural Science Foundation of ShanDong province(Young Scholars program)

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    摘要:

    目的 分析宫内节育器(intrauterine device,IUD)避孕大鼠模型无创法(经阴道—宫颈途径)与开腹法建模腹腔冲洗液肿瘤坏死因子-α(TNF-α)、转化生长因子-β(TGF-β)、细胞间粘附分子-1(ICAM-1)的变化,初步评价成模效果。方法 选择已生育SD雌性大鼠50只,随机分为无创组、开腹组、无创假手术组、开腹假手术组、空白对照组,每组10只;无创组、开腹组分别采用无创法(经阴道—宫颈)和开腹法(经腹腔—子宫)置入单侧宫腔含铜IUD,假手术组置入IUD后立即取出,造模后第16天,检测各组大鼠腹腔冲洗液TNF-α、TGF-β、ICAM-1浓度,并观察子宫内膜病理学改变。结果 无创组、开腹组TNF-α浓度较空白对照组均明显升高(P<0.05或P<0.01),开腹组TNF-α浓度较无创组明显升高(P<0.01),开腹假手术组TNF-α浓度较无创假手术组明显升高(P<0.01);无创组TGF-β浓度较空白对照组略有升高(P>0.05),开腹组TGF-β浓度较无创组明显升高(P<0.01),开腹假手术组TGF-β浓度较空白对照组明显升高(P<0.05);各组ICAM-1浓度较空白对照组均略有升高(P>0.05);无创组、开腹组子宫内膜均存在上皮缺损,炎细胞浸润、充血水肿伴增生,血管腔扩大并散在血栓,开腹组IUD置入侧的病理损伤更为明显。结论 模拟临床IUD放置的无创式造模法,较之传统的开腹法,能够明显降低IUD避孕大鼠模型非造模目的的腹腔干扰因素刺激,可能更能反映临床IUD避孕过程。

    Abstract:

    Objective To analysis TNF-α、TGF-β、ICAM-1 of peritoneal lavage fluid for IUD contraception rat model with non-invasive modeling and laparotomy modeling.Methods 50 SD female given birth mice were assigned into non-invasive、laparotom、non-invasive control、laparotom control and blank control groups randomly.Copper-IUD of noninvasive group were placed into mice unilateral uterine through vagina–cervix way and that of invasive group through intraperitoneal-uterus way,which were also operated for noninvasive control and laparotom control groups without IUD.16 days after modeling,TNF-α、TGF-β、ICAM-1 of abdominal cavity fluid and pathological change of endometrium would be observed.Results The TNF-a of laparotomy control group、intraperitoneal group and non-invasive group were significantly higher than blank control group(P<0.01 or P<0.05),compared with non-invasive group,a significant rise in the laparotomy group of TNF-a(P<0.01);Compared with non-invasive control group,a significant rise in laparotomy control group of TNF-a(P<0.01);The TGF-β of laparotomy control group、laparotomy group were significantly higher than blank control group(P<0.01 or P<0.05),compared with non-invasive group,a significant rise in the laparotomy group of TGF-β(P<0.01);The ICAM-1 of all group but blank control group rised. The endometrium appeared epithelial defect、inflammatory cell infiltration、congestion、edema and hyperplasia、vascular dilatation and scattered in the thrombus for non-invasive group、intraperitoneal group,which were more obvious pathological injury in intraperitoneal group.Conclusion Compared with laparotomy placing IUD,non-invasive group IUD contraceptive rats model with non-invasive method were significantly decreased intraperitoneal interference factors which were not related to experimental purposes. IUD contraceptive rats with non-invasive method would better reflect clinical process of IUD contraceptive.

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师伟.宫内节育器避孕大鼠模型无创法与开腹法建模腹腔冲洗液TNF-α、TGF-β、ICAM-1变化的研究[J].中国比较医学杂志,2013,23(8).

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  • 收稿日期:2013-05-15
  • 最后修改日期:2013-06-03
  • 录用日期:2013-06-24
  • 在线发布日期: 2013-08-29
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