目的:探讨诱导性一氧化氮合成酶(iNOS)在大鼠小体积肝移植模型中的作用。方法:选取清洁雄性Spraque—Dawley大鼠90只。采用改良的二袖套法建立吻合肝动脉的小移植物模型。实验分为3组:正常对照组、小体积肝移植组和氨基胍(AG)注射组。术后分别在1、3、6、12h等4个时间点处死5只大鼠并采取部分肝组织及血清样本。检测指标:血清丙氨酸转氨酶(ALT),实时荧光定量RT-PCR测定肝组织iNOSmRNA的表达,免疫组化法测定肝组织iNOS蛋白的表达,HE染色光镜下病理观察等。结果:AG组与小体积肝移植组相比,实时荧光定量PCR显示:肝组织中iNOSmRNA表达量明显下降(P〈0.05,n=5);免疫组化显示:肝组织中iNOS蛋白表达下降;但ALT明显升高(P〈0.05,n=5);病理显示肝细胞大量坏死。结论:AG能抑制iNOS在大鼠小体积模型中的表达,但不能减轻肝脏损伤,反而加重了损伤。
Objective:To study the role of iNOS in small-for-size graft. Methods: A non-arterialized partial liver transplantation model was used. Rats were divided into three groups:control group, small-for-size group, Aminoguanidine (AG) group. The expression of the iNOS mRNA and protein,the level of alanine aminotransferase (ALT) in serum,as well as histology were checked after reperfusion. Results: The expression of the iNOS in AG group was lower than that of the small-for-size group,but the expression of ALT in serum sample was significantly higher than that of the small-for-size group(P 〈 0.05,n = 5). Histology showed necrosis was observed both in the small-for-size group and the AG group. Conclusion: AG can inhibit iNOS in small-for-size graft,but lead to the worse injury.