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本文应用大鼠全肠外营养(TPN)模型,观察TPN过程中表皮生长因子(EGF)对小肠谷氨酰胺(Gln)摄取及肠道免疫功能的调节作用。结果显示:常规TPN可导致血浆及各组织中Gln明显下降,肠粘膜淋巴细胞IL-2活性明显下降,细菌易位增高;而在TPN过程中加用EGF可防止肠道Gln水平下降,提高肠道对Gln的摄取率,并可有效防止肠粘膜淋巴细胞IL-2活性的下降,减少细菌易位。提示EGF具有防止TPN后肠粘膜屏障损伤和细菌易位作用。
In this paper, rat model of total parenteral nutrition (TPN) was used to observe the regulatory effect of epidermal growth factor (EGF) on intestinal glutamine (Gln) uptake and intestinal immune function in TPN. The results showed that: conventional TPN can lead to a significant decrease in plasma and tissue Gln, intestinal mucosal lymphocyte IL-2 activity was significantly decreased bacterial translocation increased; and in the TPN process with EGF to prevent intestinal Gln levels decreased, improve the intestine Glutamine uptake rate, and can effectively prevent the decline in intestinal mucosal lymphocytes IL-2 activity, reduce bacterial translocation. Tip EGF has to prevent TPN rear intestinal mucosal barrier damage and bacterial translocation.