目的应用甲状腺球蛋白(Tg)诱导大鼠建立实验性自身免疫性甲状腺炎(EAT)动物模型,观察不同碘营养状态下大鼠甲状腺的病理改变和CD4+T淋巴细胞的浸润程度。方法4周龄雌性Lewis大鼠135只(体质量约80g),按体质量采用随机数字表法分为对照组(NC)、模型组(TG)、高碘Ⅰ组(HⅠ)、高碘模型Ⅰ组(HⅠ+TG)、高碘Ⅱ组(HⅡ)和高碘模型Ⅱ组(HⅡ+TG),NC、HⅠ、HⅡ组每组20只大鼠,TG、HⅠ+TG、HⅡ+TG组每组25只大鼠。HⅠ、HⅠ+TG组大鼠饮用含碘离子为25.7mg/L的去离子水,HⅡ组和HⅡ+TG组大鼠饮用含碘离子为423.3mg/L的去离子水,NC和TG组饮用蒸馏水。TG、HⅠ+TG、HⅠI+TG组大鼠皮下注射含8.0g/L他的不完全弗氏佐剂0.1mI,两周1次,共3次。各组大鼠于建立模型后第8周,收集尿液;于建立模型后第15周末处死动物,采集血样、取甲状腺组织。砷铈催化分光光度法测定大鼠尿碘;苏木精.伊红(HE)染色法观察甲状腺组织病理学改变;免疫组织化学方法检测甲状腺组织炎性细胞水平。结果各组大鼠甲状腺相对质量组间比较差异有统计学意义(F=44.428,P〈0.05)。其中与NC组(0.08525mg/g)比较,各实验组大鼠甲状腺相对质量(TG、HⅠ、HⅠ+TG、HⅡ、HⅡ+TG组:0.09522、0.09285、0.09748、0.09655、0.09533mg/g)均升高(P均〈0.05);各组大鼠尿碘组间比较差异有统计学意义(χ2=106.4,P〈0.05)。其中TG、HⅠ、HⅠ+TG、HⅡ、HⅡ+TG组大鼠尿碘(800.08、18633.20、13869.00、87889.97、61661.51μg/L)均高于NC组(456.45μg/L、P均〈0.05)。各组大鼠甲状腺病理改变随着碘摄入的增加逐渐加重。NC组大鼠甲状腺结构正常;TG、HⅠ组甲状腺滤泡间少量淋巴细胞浸润;HⅠ+TG组可见淋巴细胞浸润到滤泡内部;HⅡ、HⅡ+TG组滤泡
Objective To establish a experimental autoimmune thyroiditis(EAT) rat model and to observe pathological change levels of CD4 + T lymphocyte infiltration in thyroid tissues under different iodine nutrient conditions. Methods One hundred and thirty-five four weeks old female Lewis rats(body weight about 80 g) were divided into control (NC), model (TG), high iodine- Ⅰ (HⅠ ), high iodine and model- Ⅰ(HⅠ + TG), high iodine-Ⅱ (HⅡ ), high iodine and model-Ⅱ (HⅡ + TG) groups according to body weight by random number table. There were 20 rats in NC, HⅠ and HⅡ groups, and 25 rats in TG, HⅠ + TG and H Ⅱ + TG groups. The rats of HⅠ and HⅠ + TG groups drank deionized water containing iodine 25.7 mg/L; rats of HⅡ and HⅡ + TG groups drank deionized water containing iodine 423.3 mg/L; rats of NC and TG groups drank distilled water. Rats of TG, HⅠ + TG and HⅡ + TG groups were immunized with 0.1 ml thyroglobulin(Tg, 8.0 g/L) in incomplete Freunds adjuvant(IFA), once two weeks for three times. Urine samples were collected after immunization for 8 weeks; after immunization for 15 weeks, rats were killed, blood samples and thyroid tissues were taken. Urinary iodine was determined by arsenic-cerium catalytic spectrophotometry; pathological changes in thyroid tissue were observed by Hematoxylin-Eosin (HE) method ; immunohistochemical method was used to identify the infiltration of inflammatory cells in thyroid tissue. Results The difference of rat thyroid relative quality between groups was statistically significant (F = 44.428, P 〈 0.05). Compared with NC group(0.085 25 mg/g), thyroid relative qualities were increased in experimental groups (TG, HⅠ , HⅠ + TG, H H, HⅡ + TG groups: 0.095 22, 0.092 85, 0.097 48, 0.096 55, 0.095 33 mg/g, all P 〈 0.05). The difference of urinary iodine between groups was statistically significant(χ2 = 106.4, P 〈 0.05). Compared with NC group(456.45 μg/L), urinary iodine