Analysis of blood biochemistry and arterial blood gas of systemic inflammatory response syndrome in the early time after trauma

AIM: To explore the variation of blood biochemistry and arterial blood gas of patients with systemic inflammatory response syndrome (SIRS) in the early time after trauma and improve the diagnosis and first aid. METHODS: Eighty-eight patients with trauma from August 2003 to February 2004 were divided into two groups by their AIS-ISS90 score. The data of temperature, pulse, respiratory rate, white blood cell counts, Hb, blood glucose and arterial blood gas (PaO₂, PaCO₂, HCO₃^-, AG) were collected and compared with each group by statistic methods. RESULTS: Of the 88 patients, 49 underwent SIRS, 12 in light trauma group (ISS≥16) and 37 in severe trauma group (ISS<16). Compared with light trauma group, the data of pulse, respiratory rate, white blood cell counts, blood glucose, AG and rate of SIRS of severe trauma group were higher, PaO₂ and HCO₃^- were lower and the cases of PaCO₂>45 mmHg or <35 mmHg were more (P<0.01). The data of temperature and Hb had not significant difference between two groups (P>0.05). 13 patients had MODS in severe trauma group and 2 died while none had MODS or died in light trauma group. CONCLUSION: Application of AIS-ISS90 and SIRS-related blood biochemistry and arterial blood gas is beneficial for the diagnosis and treatment of patients in the early time after trauma.     

Lipopolysaccharide and cytokines modulate leukotriene (LT)B4 and LTC4 production by porcine endometrial endothelial cells

Uterine inflammatory response is mediated by inflammatory mediators including eicosanoids and cytokines produced by immune and endometrial cells. Interactions between lipopolysaccharide (LPS) and cytokines, and leukotrienes (LTs) in endothelium, important for the host defence during the inflammation, are unknown. We studied the effect of LPS, tumour necrosis factor (TNF)‐α, interleukin (IL)‐1β, IL‐4 and IL‐10 on 5‐lipooxygenase (5‐LO), LTA₄ hydrolase (LTAH) and LTC₄ synthase (LTCS) mRNA and protein expression, LTB₄ and LTC₄ release from porcine endometrial endothelial cells, and cell viability. For 24 hr, cells were exposed to LPS (10 or 100 ng/ml of medium) and cytokines (each 1 or 10 ng/ml). 5‐LO mRNA/protein expression augmented after incubation with larger doses of LPS, TNF‐α, IL‐4 and IL‐10 and smaller dose of IL‐1β. Larger dose of TNF‐α, smaller doses of LPS and IL‐1β and both doses of IL‐10 increased LTAH mRNA/protein expression. LTAH protein content was up‐regulated by larger dose of LPS, but it was reduced in response to both doses of IL‐4. LTCS mRNA expression was elevated by larger doses of LPS, IL‐4 and IL‐10 or both doses of TNF‐α and IL‐1β. LTCS protein level increased after treatment with both doses of IL‐1β, IL‐4 and IL‐10, smaller dose of LPS and larger dose of TNF‐α. Both doses of LPS and larger doses of TNF‐α and IL‐10 increased LTB₄ release. LPS, IL‐1β and IL‐10 at smaller doses, or TNF‐α and IL‐4 at larger doses stimulated LTC₄ release. Smaller doses of TNF‐α and IL‐1β or both doses of IL‐4 enhanced the cell viability. This work provides new insight on the participation of LPS, TNF‐α, IL‐1β, IL‐4 and IL‐10 in LTB₄ and LTC₄ production/release from porcine endometrial endothelial cells, and the effect of above factors on these cells viability. The used cellular model gives the possibility to further establish the interactions between inflammatory mediators.     

Evaluation of host and bacterial gene modulation during Lawsonia intracellularis infection in immunocompetent C57BL/6 mouse model

BackgroundProliferative enteritis caused by Lawsonia intracellularis undermines the economic stability of the swine industry worldwide. The development of cost-effective animal models to study the pathophysiology of the disease will help develop strategies to counter this bacterium.ObjectivesThis study focused on establishing a model of gastrointestinal (GI) infection of L. intracellularis in C57BL/6 mice to evaluate the disease progression and lesions of proliferative enteropathy (PE) in murine GI tissue.MethodsWe assessed the murine mucosal and cell-mediated immune responses generated in response to inoculation with L. intracellularis.ResultsThe mice developed characteristic lesions of the disease and shed L. intracellularis in the feces following oral inoculation with 5 × l0⁷ bacteria. An increase in L. intracellularis 16s rRNA and groEL copies in the intestine of infected mice indicated intestinal dissemination of the bacteria. The C57BL/6 mice appeared capable of modulating humoral and cell-mediated immune responses to L. intracellularis infection. Notably, the expression of genes for the vitamin B12 receptor and for secreted and membrane-bound mucins were downregulated in L. intracellularis -infected mice. Furthermore, L. intracellularis colonization of the mouse intestine was confirmed by the immunohistochemistry and western blot analyses.ConclusionsThis is the first study demonstrating the contributions of bacterial chaperonin and host nutrient genes to PE using an immunocompetent mouse model. This mouse infection model may serve as a platform from which to study L. intracellularis infection and develop potential vaccination and therapeutic strategies to treat PE.     

BCG诱导RAW264.7细胞脂肪酸氧化对细胞自噬和促炎因子表达的调控作用

旨在探究脂肪酸氧化（fatty acid oxidation,FAO）对BCG介导的RAW264.7细胞自噬和促炎因子表达的调控作用。用BODIPY染色和游离脂肪酸定量试剂盒检测BCG感染后RAW264.7细胞中脂滴聚集情况以及脂肪酸含量;Western blot检测BCG感染对肉毒碱棕榈酰基转移酶1A （CPT-1A）表达的影响;Etomoxir （100 μmol·L^-1）预处理细胞2 h后,BCG感染细胞6 h,检测RAW264.7细胞中BCG存留量,并用Western blot方法检测自噬相关蛋白（Beclin1、LC3-II）和溶酶体蛋白（Rab7）的表达情况;用免疫荧光方法和mRFP-GFP-LC3荧光双标腺病毒分别检测自噬小体聚集和自噬流;荧光定量PCR和ELISA分别检测促炎因子IL-1β、IL-6和TNF-α mRNA表达情况以及在细胞培养上清中的含量。结果显示,BCG感染促进RAW264.7细胞中脂滴聚集和CPT-1A的表达,而游离脂肪酸含量降低;Etomoxir预处理抑制了细胞中BCG存活,并上调了Beclin1、LC3-II和Rab7表达,且细胞中出现大量自噬小体聚集,自噬流增强,却抑制了促炎因子IL-1β、IL-6和TNF-α mRNA表达与分泌。综上表明,抑制FAO可促进BCG感染诱导的RAW264.7细胞自噬,并抑制BCG感染引起的炎症反应。     

尼罗罗非鱼铁调素调节蛋白在宿主抵御病原菌侵染和调节铁稳态中的功能

为了研究铁调素调节蛋白(hemojuvelin,HJV)在硬骨鱼中抵御病原菌感染和维持自身铁稳态过程中的作用,实验扩增了尼罗罗非鱼铁调素调节蛋白基因(Onhjv)的开放阅读框(ORF),分析其在健康尼罗罗非鱼各组织中的分布模式及在抵御病原菌感染和调节铁稳态中的相关作用。结果显示,Onhjv的ORF全长由1 248个碱基组成,编码415个氨基酸,在不同物种之间具有一定的保守性。实时荧光定量PCR(qRT-PCR)结果显示,Onhjv在尼罗罗非鱼各组织中广泛分布,并在肝脏中的表达量最高。在无乳链球菌或嗜水气单胞菌感染后,Onhjv在肝脏、脾脏、肠和鳃中的表达量均显著上调。体外头肾单核/巨噬细胞和肝细胞中Onhjv表达量在受到这2种病原菌应激下也显著上调。此外,在1和10μmol/L FeCl_3溶液刺激后,Onhjv表达量在肝脏、脾脏、肠和鳃等组织,以及头肾单核/巨噬细胞和肝细胞中的表达量也呈显著上调。受重组罗非鱼IL-6蛋白[(r)OnIL-6]刺激后,头肾单核/巨噬细胞中Onhjv表达量显著上调,表明炎症因子可以促进Onhjv表达。研究表明,尼罗罗非鱼铁调素调节蛋白在宿主抵御病原菌感染和维持铁稳态的过程中发挥作用。本实验为探究HJV在硬骨鱼中的生物学功能提供了参考,同时为进一步研究铁代谢在宿主防御病原菌感染过程中的重要作用提供理论指导。     

A potential early clinical phenotype of necrotizing meningoencephalitis in genetically at‐risk pug dogs

BackgroundNecrotizing meningoencephalitis (NME) in the pug dogs is a fatal neuroinflammatory disease associated with rapid progression and poor response to conventional immunosuppressive therapy. Diagnosis is typically made after severe neurological abnormalities have manifested.Hypothesis/ObjectivePug dogs at genetic risk for NME might manifest neurological abnormalities before developing pathognomonic clinical signs of NME.AnimalsThirty‐six pug dogs less than 4 years of age asymptomatic for NME.MethodsProspective observational cohort study with germline genome‐wide genotyping. Neurological examinations were performed 4 weeks apart to document reproducible findings of central nervous system disease. Magnetic resonance imaging, cerebrospinal fluid analysis, and testing for infectious diseases were performed in all pugs with reproducible abnormalities detected on neurological examination.ResultsThe overall risk allele frequency in this cohort was 40%; 5 (14%) dogs were high risk, 19 (53%) dogs were medium risk, and 12 (33%) dogs were low genetic risk for NME. Reproducible abnormalities detected on neurological examination were identified in 8/24 (33%) genetically at‐risk dogs and 0/12 (0%) low risk dogs. Clinical abnormalities included multifocal spinal pain in 8/8, reduced menace response in 5/8, and lateralizing postural reaction deficits in 5/8 pugs. There was a strong association between genotype risk and the presence of this clinical phenotype (P = .03).Conclusions and Clinical ImportanceOur findings suggest the presence of a novel early clinical phenotype of NME in apparently asymptomatic genetically at‐risk pugs which might be used to plan early diagnostic and therapeutic clinical trials.     

禽腺病毒流行株FAdV-4-AH-F41的分子特征及对细胞因子的诱导作用

【目的】分析1株血清4型禽腺病毒（FAdV-4）流行株的分子特征及其感染对细胞因子的影响。【方法】采集安徽省某禽类养殖场疑似心包积水 肝炎综合症的鸡肝脏组织样本,用鸡肝癌细胞（LMH）对病原进行分离,采用PCR、透射电镜（TEM）观察和间接免疫荧光试验（IFA）对分离的毒株进行鉴定。采用分段扩增后拼接的方法克隆分离毒株的全基因组,对其进行遗传进化分析和序列重组分析。基于柯赫法则,用分离毒株接种无特定病原体（SPF）鸡,检验其致病性。采用实时荧光定量PCR法,检测分离毒株对LMH细胞天然免疫相关细胞因子环鸟苷酸-腺苷酸（cGAS）、干扰素刺激因子（STING）、白介素-1β（IL-1β）、IL-6、IL-8、干扰素-α（IFN-α）、IFN-β、干扰素调节因子7（IRF7）、线粒体抗病毒信号蛋白（MAVS）、主要组织相容性复合体（MHC）Ⅰ-α、MHCⅡ-β等11种细胞因子的诱导作用。【结果】分离鉴定到1株FAdV,其在LMH细胞中培养未出现明显细胞病变效应;病毒粒子直径为70~90 nm,符合FAdV-4的结构特征;免疫荧光试验结果显示,在接种分离毒株的LMH细胞内可观察到亮红色荧光,而对照细胞没有荧光;将该毒株命名为FAdV-4-AH-F41。采用分段扩增后拼接的策略获得了FAdV-4-AH-F41全基因组序列（43 708 bp）;遗传进化分析和序列重组分析发现,FAdV-4-AH-F41与FAdV-4株核苷酸相似性为99.6%;存在3个重组事件,第1个重组事件发生在30 453-30 674 bp,第2个发生在36 884-36 988 bp,第3个发生在43 401-43 715 bp。致病性试验显示,FAdV-4-AH-F41是导致鸡心包积水-肝炎综合症的病原。实时荧光定量PCR检测结果显示,与对照（DMEM/F12处理）相比,用FAdV-4-AH-F41处理后LMH细胞中11种免疫因子的表达量水平均有提升,其中cGAS、IL-6、IRF7、MHCⅡ β差异达极显著水平（P<0.01）,IL-1β、IFN-α、MAVS差异达显著水平（P<0.05）,STING、IL-8、IFN-β、MHCⅠ-α差异不显著。【结论】成功分离1株重组血清4型禽腺病毒,感染LMH细胞会诱导强烈的天然免疫反应。     

巨型艾美耳球虫偏菱形样蛋白EmRP免疫原性分析

在前期研究中,从巨型艾美耳球虫(Eimeria maxima)cDNA文库中筛选到了免疫保护性抗原偏菱形样蛋白EmRP,本研究为揭示该抗原的免疫保护机理,进一步检测了其免疫原性。以E.maxima卵囊cDNA为模板,用RT-PCR技术扩增EmRP,并构建真核表达质粒pVAX1-EmRP,将其经腿部肌肉注射2周龄的雏鸡,3周龄加强免疫。分别于首次免疫后和加强免疫后1周,采集血清,用ELISA方法检测血清特异性IgG水平,用荧光定量PCR方法(qPCR)检测细胞因子水平,用流式细胞术检测CD4^+T淋巴细胞和CD8^+T淋巴细胞的比例,分析EmRP诱导的免疫反应。序列分析表明,EmRP含有偏菱形样蛋白超家族成员保守区域,为非跨膜蛋白,分子量约为28.4 kD。真核表达质粒pVAX1-EmRP免疫鸡后,与对照组相比,鸡体IFN-γ、IL-2、IL-10和IL-17等细胞因子转录水平显著提升;CD8^+和CD4^+ T细胞比例显著提高,而血清特异性IgG水平与对照组差异不显著。结果表明,EmRP诱导的免疫保护作用主要是由其诱导的细胞免疫反应实现的,可以作为研制E.maxima新型疫苗的候选抗原。     

Potential protective effects of thiamine supplementation on the ruminal epithelium damage during subacute ruminal acidosis

In ruminants, the ruminal epithelium not only has the function of absorbing nutrients but also is an important tissue to prevent harmful substances in the rumen from entering the blood circulation. Thus, the normal function of ruminal epithelium is critical for ruminants. However, subacute ruminal acidosis induced by high-concentrate diets often damages the barrier function of ruminal epithelium in ruminants. Recently, many studies have shown that dietary supplementation with thiamine is an effective method to alleviate subacute ruminal acidosis. In order to provide theoretical reference for the in-depth study of subacute ruminal acidosis and the application of thiamine in the future, this review introduces the effects of subacute ruminal acidosis on morphological structure, inflammatory response, and tight junction of ruminal epithelium. In addition, this paper summarizes the role of thiamine in maintaining ruminal epithelial function of ruminants during subacute ruminal acidosis challenge.