临床肿瘤学杂志

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婴儿型双歧杆菌对肠癌大鼠化疗性肠黏膜炎的影响

王昊楠1,付 虹2,董 岩2,高亚杰2

  

  1. 1 116044 大连 大连医科大学研究生院2 1116011 大连医科大学附属第一医院肿瘤科
  • 收稿日期:2015-11-29 修回日期:2016-01-27 出版日期:2016-05-31 发布日期:2016-05-31
  • 通讯作者: 高亚杰

The effect of bifidobacterium infantis on chemotherapy-induced intestinal mucositis in cancer rats

WANG Haonan,FU Hong,DONG Yan,GAO Yajie.

  

  1. Graduate School, Dalian Medical University, Dalian 116044, China
  • Received:2015-11-29 Revised:2016-01-27 Online:2016-05-31 Published:2016-05-31
  • Contact: GAO Yajie

摘要: 目的 探讨婴儿型双歧杆菌对肠癌大鼠化疗所致的肠道黏膜炎的疗效。方法 用皮下注射二甲基肼联合直肠黏膜种瘤造模方法建立肠癌大鼠模型41只,随机分为对照组(生理盐水)13只、化疗组(5-氟尿嘧啶+奥沙利铂)14只、双歧杆菌组(5-氟尿嘧啶+奥沙利铂+婴儿型双歧杆菌灌胃)14只,记录3组肠癌大鼠的腹泻、体重、绒毛高度、隐窝深度及促炎性细胞因子IL-6、IL-1β、TNF-α的水平。结果 41只大鼠中12只成功致瘤,对照组3只,化疗组5只,双歧杆菌组4只。在肠癌模型大鼠中,治疗72 h后,婴儿型双歧杆菌可以阻止由化疗引起的体重降低(P<0.05);减轻化疗后引起的腹泻次数(1.43±0.53 vs. 2.43±0.79,P<0.050);减轻由化疗所致的小肠黏膜炎症反应,使绒毛长度升高[379.37±53.80)μm vs. (335.33±89.54)μm,P<0.05],隐窝深度变浅[(219.22±38.05)μm vs. (331.24±69.24)μm,P<0.05];降低由化疗引起的肠道促炎性细胞因子IL-6、IL-1β水平的升高(P<0.05),亦可使TNF-α水平降低,但与化疗组比较,差异无统计学意义(P>0.05)。而血浆中促炎性细胞因子水平的差异均无统计学意义(P>0.05)。结论 婴儿型双歧杆菌可有效减轻肠癌大鼠化疗介导的黏膜炎。

Abstract: Objective To investigate the influence and curative effect of bifidobacterium infantis(B.infantis) on intestinal mucositis of cancer rats induced by chemotherapy. Methods A model of cancer rats by subcutaneous injection of dimethyl hydrazine with rectal mucosa of cancer cells was created, and experimental rats were randomly divided into three groups: control group(saline), chemotherapy group(5-FU+oxaliplatin), bifidobacterium infantis group(5-FU+oxaliplatin+B.infantis). The changes of diarrhea, body weight, villus height, crypt depth and levels of the proinflammatory factors IL-1β, IL-6 and TNF-α were recorded. Results In 41 mice, 12 mice consctracted tumor successfully, including 3 mice in control group, 5 mice in chemotherapy group and 4 mice in bifidobacterium infantis group. In the model of cancer rats, after 72 hours treatment,B.infantis administration prevented the loss in body weight(P<0.05). B.infantis reduced the occurrence of diarrhea(1.43±0.53 vs. 2.43±0.79,P<0.05). Compared to the chemotherapy treated rats, B.infantis could attenuate the injuries of the morphology of intestine.B.infantis-treated rats in a villus height[(379.37±53.80)μm vs.(335.33±89.54)μm,P<0.05] and a crypt depth[(219.22±38.05)μm vs.(331.24±69.24)μm,P<0.05]. Intestinal IL-1β, IL-6 and TNF-α levels, which increased significantly in all rats receiving chemotherapy, were lowered by B.infantis administration except TNF-α level. However, there were no significant differences in plasma IL-1β, IL-6 and TNF-α levels. Conclusion The Bifidobacterium infantis effectively reduce intestinal injury due to chemotherapy-induced intestinal mucositis in cancer rats.

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