不同來源間充質(zhì)干細(xì)胞治療小鼠放射性肺損傷的研究
[Abstract]:Radiotherapy is an effective treatment for chest tumors, and radionuclide injury is a common complication. Radioactive lung injury is divided into early acute injury and late injury after 3 months of radiotherapy, which seriously affects the quality of life of the patients and even causes death. At present, the treatment of acute phase injury is mainly treated with large dose glucocorticoid. This will cause serious complications such as diabetes and necrosis of the femoral head; the process of late radiation lung injury is relatively slow and the symptoms are more obvious after 3-6 months of irradiation. At this time, the lung radiation fibrosis has formed, the best treatment time has been missed, and the effective treatment is very few. If an early prediction index is taken, the radioactivity can reduce the radioactivity. The occurrence of pneumonia. At present, it is urgent to prevent and treat radiation-induced lung injury by effective, low-toxic means, but also the need for effective, easy to predict indicators.
Mesenchymal stem cells (MSCs) is an important member of the stem cell family, which can be derived from a variety of tissues, including bone slices, bone marrow, embryonic lung and dorsal aorta, and more and more human MSC studies, such as human umbilical cord and amniotic membrane, can be induced under specific induction conditions in vivo or in vitro. The differentiation of cells into adipose tissue, cartilage, myocardium and lung epithelium has also been emphasized.
The purpose of this study is to isolate and cultivate the MSC of the rat source and the different parts of the source of human origin, and to transfuse MSC to the mice model of radionuclide injury, to compare the curative effect at different time points and to explore a variety of observation indexes to provide reference for the clinical treatment of radiation lung injury by MSC.
First, the study was separated from mouse bone marrow, embryo lung and embryonic dorsal aorta, and MSCs was cultured to compare the therapeutic effect of MSC on radiation lung injury in mice. 25 8-10 weeks old C57BL/6 female rats were divided into 5 groups: normal group, single illumination group, bone marrow MSC treatment group, embryo lung MSC treatment group, DA region source MSC treatment group, and 5 after irradiation. At different time points (4 weeks, 9 weeks, 13 weeks, 17 weeks, 23 weeks), the appearance of mice and the pathological changes of lung tissue were observed. The dose of chest irradiation in mice was the result of single 18Gy.: the order of appearance score of mice was normal group (10 + 0), DA group (8 + 0.71), Embryo Lung Group (7.6 + 0.57), bone marrow group (6.1 + 1.75), control group (4.8 + 0), normal group. Obviously better than all groups, all were P0.01, the radiotherapy group was significantly worse than the group DA, the lung MSC group was all p0.01.DA, the 22 paired t test of the MSC group and the bone marrow group were all p0.05. lung pathological examination in the normal group (0.12 + 0.16), the lung MSC group (0.22 + 0.1), the bone marrow MSC group (0.33 + 0.18), DA group (0.35 + 0.18), (0.35 + 0.18), and Group (0.54 + 0.27). Pulmonary pathological image analysis of the proportion of pulmonary interstitial area from good to poor order: normal group (64.3 + 1.6), lung MSC group (76.1 + 2.8), group DA (76.8 + 3.3), bone marrow MSC group (77.2 + 2.7), control group (80.8 + 3.5). Correlation test of appearance score and pathological examination p=0.040, and correlation test of image analysis with p=0.039. conclusion: p=0.039.: MSC from different sources reduced radioactivity lung injury, and its effect was similar. The origin of embryo lung and DA area was slightly better.
Two, this part of the study verified the therapeutic effect of rat MSC and detected the indexes of blood and lung tissue. 40 8-10 weeks old C57BL/6 female rats were randomly divided into 4 groups (normal control group, simple irradiation group, embryo lung MSC treatment group, DA region MSC treatment group), and two time interval (4,8 week) detection. The dose of mouse chest irradiation was single 18Gy.. The appearance and score of mice were observed and lung injury was observed under light microscope. The level of TGF- beta and IL-6 in the plasma of mice was detected by ELISA and the content of hydroxyproline in lung tissue was detected. Results: there was no significant difference between the groups at fourth weeks, and the difference was significant at eighth weeks, among which the normal group was 9.6 + 0.9, obviously better than the group DA (7.6 + 0.9, p=0.008), embryo lung. Group (7.8 + 0.4, p0.001), single group (6.6 + 0.5, p0.001), single illumination group was worse than group DA (p=0.066), Embryo Lung Group (p=0.005), DA group was similar to Embryo Lung Group (p=0.374). Pathological examination score was 0 + 0 in normal group fourth weeks, obviously better than DA group (0.19 + 0.05, P0.01), Embryo Lung Group (0.29 + 0.22, p=0.019), single illumination group (0.38 + 0.35, p0.001); eighth Zhou Zhengchang group It was better than group DA (0.26 + 0.17, p=0.044), Embryo Lung Group 0.23 + 0.10, p=0.016), single illuminated group (0.30 + 0.18, p=0.025). The comparison of pathological scores between the embryo lung group, DA group and single photo group was fourth weeks, and there was no significant difference in.IL-6 level (489.3 + 75.3421.2 + 80.1) in the normal group (489.3 + 75.3421.2 + 80.1) at eighth weeks, and the comparison of the single illumination group (437.9 + 87.1398.1 + 116.3) at the two time points. There was no significant difference in.TGF- beta 1 (pg/m1) normal group at two time points, respectively, 20.2 + 12.8,16.3 + 4.6, p=0.542, and DA group was 27.5 + 13.5,12.4 + 2.6, P = 0.039, and 15.5 + 8.4,28.3 + 18.4 and p=0.194 in Embryo Lung Group, respectively. The hydroxyproline content of lung of p=0.110. mice was 9 + 2.8,31.5 + 27.9, respectively. (ng/ml) the difference was not obvious in each group. The content of each group at 4 weeks was significantly lower than that of 8 weeks. The normal group was 812.9 + 68.41080.8 + 189.5, p=0.018, and DA group was 823.3 + 14.61266.4 76.9, P0.01: the embryo lung group was 796.2 + 62.71234 + 153.9, p0.001: the single photo group was 839 + 17.01260.9 + 218, p=0.003. conclusion: the mice from different sources MSC pairs Radiative lung injury has therapeutic effect, and the difference of appearance score is obvious. Only normal group in pathological score is better than other groups. There is no significant difference between other groups. TGF- beta 1 and IL-6 detection need to be further studied. The level of hydroxyproline is obviously increased with time, and it reacts with fibrosis in the later stage of lung injury.
Three, the human amniotic mesenchymal stem cells (amnion MSC, AMSC) and the umbilical cord (umbilical cord MSC, UMSC) were cultured and the phenotype was identified. AMSC and UMSC were transplanted to the mice of the chest irradiation. 46 8-10 week old female mice were divided into 4 groups, two time intervals (7 weeks and 11 weeks), 11 normal controls (5+6) and simple irradiation group (5+). 6) the human amniotic membrane MSC group (group AMSC) (group 7+8), human umbilical cord MSC treatment group (UMSC group) (4+5). The mice chest dose was single 20Gy. through the appearance and pathology of the injury, and the CBA method was used to detect a variety of cytokines at different time points in the plasma, including IL-6, IL-I0, MCP-1, etc. RESULTS: mice transplanted from human MSC were not out. Accidental death or other adverse events showed that human MSC had good safety in mice. Seventh weeks, 11 weeks after irradiation, the normal group was 9.8 + 0.4 and 10 + 0, obviously better than 8.2 + 0.4 and 8 + 0 in the single photo group. The group AMSC was 8 + 0.6 and 7.8 + 9.8. There was no significant difference between the group of AMSC and the UMSC group. The score in the normal group was 0.06 + 0.05 and 0.12 + 0.05 in the normal group. The group UMSC was 0.11 + 0.01 and 0.12 + 0.04, and the group AMSC was 0.14 + 0.09 and 0.14 + 0.06.
There was no significant difference in the level of 6 plasma cytokines in the normal group for eleventh weeks and seventh weeks. The plasma levels of various cytokines in each group were significantly lower than the level of seventh weeks at eleventh weeks. The level of plasma cytokines in the seventh week single group was significantly higher than that in the normal group, and there was no significant difference in plasma factor levels among the groups at eleventh weeks. Except for the normal group, inflammatory reaction was found in all groups.
The innovation points of this study: 1. using the appearance score, lung histopathology and image analysis to determine the degree of lung injury in mice.2. found that the rat source MSC has a definite therapeutic effect on the radiation lung injury..3. human MSC transplantation in the ordinary C57BL/6 mice has a good safety,.4. using CBA method to detect the plasma cytokines is to observe the inflammatory reaction In a better way,.5. successfully established a model of radiation lung injury in mice, and analyzed the influencing factors preliminarily.
In conclusion, rat MSC has a definite therapeutic effect on radionuclide injury. Appearance score, pathological manifestation and hematological detection can be used as an observation method to evaluate the radiation injury. Human MSC has good safety in mice and the effect needs to be further confirmed.
【學(xué)位授予單位】:中國人民解放軍軍事醫(yī)學(xué)科學(xué)院
【學(xué)位級別】:博士
【學(xué)位授予年份】:2012
【分類號】:R818
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