摘要：

AIM: To determine the in vivo effects of phagocytic blockadeof Kupffer cell (KC) on the release of proinflammatorycytokines in small intestinal lesion and on the integrity ofintestinal tract by using gadolinium chloride (GdCI3) duringearly endotoxemia.METHODS: Wistar rats were divided into three groups: GroupA, rats were injected with endotoxin (F. coli O111:B4, a doseof 12 mg.kg-1) only; Group B, rats were pretreatedintravenously with 25 mg of GdCl3 per kg 24 h are givenendotoxin; and Group C, sham operation on ly.All animalswere sacrificed 4 h after endotoxin injection.Mn portion ofthe rats of three groups, bile duct was cannulated, which thebile was collected externally. Morphological changes of ileumwere observed under light microscopy and electronicmicroscopy. The KC were isolated from rats by collagenaseperfusion and in KC, expression of TNF-α and IL-6 mRNAwere determined by RT-PCR analysis. Plasma and bile TNF-αand IL-6 Levels were determined by enzyme-linkedimmunosorbent assay (ELISA).RESULTS: In group A, there were neutrophil infiltrationand superficial epithelial necrosis of the ileal villi, sloughingof mucosal epithelium, and disappearance of some villi. Ingroup B, the ileal mucosal damage was much reduced. whichin group C, no significant morphological changes were seen.GdCl3 pretreatment decreased significantly the expressionof TNF-α and IL-6 mRNA in group B (4.32±0.47 and 4.05±0.43) when compared to group A (9.46±1.21 and 9.04±1.09) (P<0.05). There was no significant expression of TNF-α and IL-6 mRNA in group C (1.03±0.14 and 10.4±0.13).In rats of group A, the levels of TNF-α and IL-6 in bile andplasma were 207±29 ng. L-1, 1032±107 ng. L-1, 213±33ng. L-1, and 1185±127 ng. L-1, respectively. In group B, theywere 113±18 ng. L-1, 521±76 ng. L-1, 147±22 ng. L-1, and572±54 ng. L-1, respectively. In group C, they were 67±10ng. L-1, 72±13 ng. L-1, 109±18 ng. L-1, and 118±22 ng. L-1respectively. There were significant difference between thethree group (P<O.05).CONCLUSION: KC release cytokines TNF-α and IL-6causing damage to the integrity of intestinal epithelium andplay a crucial role in the initiation and progression of intestinalmucosal damage during early endotoxemia.

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