目的研究大鼠急性肺损伤时循环及肺组织血管紧张素Ⅱ(AngⅡ)含量的变化,探讨AngⅡ在急性肺损伤发病中的作用。方法清洁级SD大鼠30只,随机分为正常对照组(n=6)和模型组(n=24),模型组又按注射脂多糖(12S)后3、6、9、12h四个时间点分成4组,每组6只。分别于静脉注射IPS后各分组时间点观察大鼠一般情况、血压、动脉血气分析、肺组织湿质量/干质量(W/D)比值、肺组织病理改变,放免法测定血浆及肺组织AngⅡ的含量的变化,所有观察指标采用单因素方差分析与正常对照组比较。结果与正常对照组比较,pH值和动脉血氧分压显著降低(P〈0.05),而二氧化碳分压及肺W/D比值均显著高于对照组(P〈0.05),病理形态学积分分析显示肺组织受损(P〈0.01)。ALI大鼠血浆及肺组织AngⅡ均升高(P〈0.05),其中血浆AngⅡ在9h时点达峰值,而组织AngⅡ浓度在各观察时间点持续上升。结论ALI时肺组织和血中AngⅡ大量释放,提示ALI时伴有全身及肺局部肾索一血管紧张素系统的激活。
Objective To investigate the changes in circulatory and pulmonary monary angiotensin Ⅱ in rats with acite lung injury (ALI) and explore the role of angiotensin Ⅱ in ALI. Method Thirty S-D rats were randomly divided into control group ( n = 6) and ALI group ( n = 24). The ALI group was further divided into four subgroups of observation at various intervals, 3, 6, 9 and 12 hours after administration of lipopolysaccharide (LPS) into the femoral vein (each n = 6). The indices rate, blood gas analysis, wet weight/dry weight (W/D) ratio of lung lobes, and pathological changes were successively observed at 3, 6, 9, and 12 hours after injury. The content of angiotensin Ⅱ in lung tissue and blood plasnm were detected at above set intervals by radioimmunoassay. Data of these assays were analyzed by one-factor analysis of vmiance. Results Compare with the control group, pH and PaO2 of arterial blood in ALI group decreased significantly ( P 〈 0.05) at all intervals and PaCO2 of arterial blood in ALI group decreased significantly (P 〈 0.05). at all intervals and PaCO2 of arterial blood and lung W/D weight ratio increased significantly (P 〈 0.05), and scores of lung histopathology denoted the lung injuried (P 〈 0. 01). After injury of lung, angiotensin Ⅱ content increased markedly in lung homogenate and blood plasma ( P 〈 0.05). Angiotensin Ⅱ content in blood plasma reached peak value at 9 hours, and content of angiotensin Ⅱ in lung homogenates kept on increasing at allintervals of observation. Conduslons A large amount of angiotensin Ⅱ releases into lung tissue and blood plasma during ALI, suggesting systemic and pulmonary rennin-angiotensin systems are activated.