结核病与肺部健康杂志 ›› 2017, Vol. 6 ›› Issue (3): 229-234.doi: 10.3969/j.issn.2095-3755.2017.03.000

• 论著 • 上一篇    下一篇

两种麻醉方式对卡介苗感染小鼠脾脏T淋巴细胞亚群、NK细胞及γ-干扰素的影响

刘民强,韩亚坤,王松,李志超,余德慧,王华,何仁亮   

  1. 518112 深圳市第三人民医院麻醉科(刘民强、韩亚坤、王松、李志超、余德慧、何仁亮);深圳市龙华区人民医院麻醉科(王华)
  • 收稿日期:2017-05-31 出版日期:2017-09-30 发布日期:2017-09-30
  • 作者简介:何仁亮
  • 基金资助:
    广东省深圳市科技知识创新计划项目(JCYJ20140411112047879)

Influence of two anesthesia methods on T lymphocyte subsets, NK cells and interferon gamma in spleen of mice infected with BCG vaccine

LIU Min-qiang, HAN Ya-kun, WANG Song, LI Zhi-chao, YU De-hui, WANG Hua, HE Ren-liang   

  1. Shenzhen Third People's Hospital, Shenzhen 518112, China
  • Received:2017-05-31 Online:2017-09-30 Published:2017-09-30

摘要: 目的 比较全身麻醉和椎管内麻醉对卡介苗感染小鼠后脾脏T淋巴细胞亚群、NK细胞及γ-干扰素的影响。 方法 选取实验用清洁级健康雄性C57BL/6小鼠54只,按照随机数字表法分成全身麻醉组(G组)、椎管内麻醉组(S组)和对照组(T组),每组18只,建立卡介苗感染模型。于术前30 min、术后1 d、术后3 d 分别取各组小鼠各6只处死,对小鼠脾脏CD3+、CD4+、CD8+T淋巴细胞,NK细胞及γ-干扰素(IFN-γ)表达水平采用FACSCaliur流式细胞仪进行检测,计算CD4+/CD8+比值;对三组小鼠不同时间点CD3+T淋巴细胞、CD4+T淋巴细胞、NK细胞水平及CD4+/CD8+ T淋巴细胞比值、IFN-γ百分比进行比较。 结果 G组与S组术前30 min CD4+/CD8+ T淋巴细胞比值、NK细胞、IFN-γ百分比分别为 2.8±0.3 和 2.9±0.2,(22.3±2.3)%和(22.8±1.9)%,(1.4±0.4)%和(1.4±0.4)%,术后1 d 分别为 1.8±0.2 和 1.8±0.1,(15.6±1.4)%和(15.2±1.1)%,(0.6±0.2)%和(0.6±0.3)%,术后3 d分别为 2.0±0.2 和 2.1±0.2 ,(18.7±2.0)%和(19.1±2.3)%,(1.1±0.2)%和(1.1±0.2)%,G组与S组在不同时间点之间的比较,差异均有统计学意义(F值分别为65.40和83.02,41.30和53.65,27.77和17.47,P值均为0.000)。G组与S组术后3 d CD3+T淋巴细胞
[(20.9±3.1)%、(21.0±3.2)%]、CD4+T淋巴细胞
[(13.9±1.9)%、(14.1±2.2)%]明显低于T组的(26.5±5.1)%、(18.4±4.1)%,差异均有统计学意义(F=8.00,P=0.001;F=8.54,P=0.001);且术后3 d CD4+T淋巴细胞均明显低于术前30 min
[G组与S组分别为(18.2 ± 4.2)%、(17.8 ± 3.5)%],差异均有统计学意义(t=13.36,P=0.005;t=4.19,P=0.006)。但术后3 d G组与S组对CD3+T淋巴细胞
[(20.9±3.1)%、(21.0±3.2)%]、CD4+T淋巴细胞
[(13.9±1.9)%、(14.1±2.2)%]、CD4+/CD8+ T淋巴细胞比值
[(2.0±0.2)、(2.1±0.2)]、NK细胞
[(18.7±2.0)%、(19.1±2.3)%]、IFN-γ
[(1.1 ± 0.2)%、(1.1 ± 0.2)%]的表达两组间差异均无统计学意义(t值分别为0.12、0.23、0.39、0.39和0.46,P值分别为0.902、0.821、0.697、0.697和0.660)。 结论 麻醉可抑制卡介苗感染小鼠脾脏T淋巴细胞亚群、NK细胞及IFN-γ的表达,但全身麻醉和椎管内麻醉对CD3+T淋巴细胞、CD4+T淋巴细胞、NK细胞、IFN-γ表达及CD4+/CD8+比值的影响差异无统计学意义。

Abstract: Objective To compare the influence of general anesthesia and intravertebral anesthesia on T lymphocyte subsets, NK cells and interferon gamma in spleen of mice infected with BCG vaccine. Methods Fifty-four clean healthy male C57BL/6 mice were randomly divided into general anesthesia group (group G), intravertebral anesthesia group (group S), and control group (group C) with 18 cases each according to random number table and were established animal model infected with BCG. Each 6 mice from every group were sacrificed and calculated the CD3+, CD4+ and CD8+T lymphocyte, CD4+/CD8+ T lymphocyte ratio, natural killer cells (NK cells) and interferon gamma (IFN-γ) expression of spleen tissues using flow cytometer in 30 minutes before operation, 1 day after the operation and 3 days. Results The CD4+/CD8+ T lymphocyte ratio, NK cells and IFN gamma were 2.8±0.3 and 2.9±0.2, (22.3±2.3)% and(22.8±1.9)%, (1.4±0.4)% and (1.4±0.4)% in the 30mins before operation, 1.8±0.2 and 1.8±0.1, (15.6±1.4)% and (15.2±1.1)%, (0.6±0.2)% and (0.6±0.3)% in the first day after operation, 2.0±0.2 and 2.1±0.2, (18.7±2.0)% and (19.1±2.3)%, (1.1±0.2)% and (1.1±0.2)% in the third day in group G and group S, respectively. The comparison of values in three groups were in different time points were different significantly(F values were 65.40 and 83.02,41.30 and 53.65,27.77 and 7.47,all P were 0.000). In the third day after operation, the CD3+ T lymphocytes((20.9±3.1)% and (21.0±3.2)%), CD4+ T lymphocytes((13.9±1.9)% and (14.1±2.2)%) in Group G and S were lower those((26.5±5.1)% and (18.4±4.1)%) in the group T with significant difference statistically(F=8.00,P=0.001;F=8.54,P=0.001). The CD4+T lymphocytes in the third day after operation were lower those in the 30 min before operation((18.2±4.2)%, (17.8±3.5)%) with significant difference statistically(t=13.36,P=0.005;t=4.19,P=0.006). However, in the third day after operation, the CD3+ T lymphocytes((20.9±3.1)% and (21.0±3.2)%), CD4+ T lymphocytes((13.9±1.9)% and (14.1±2.2)%), CD4+/CD8+ T lymphocyte ratio((2.0±0.2) and (2.1±0.2)) and NK cells((18.7±2.0)% and (19.1±2.3)%) and IFN gamma((1.1 ± 0.2)% and (1.1 ± 0.2)%) were no significant difference in group G and S(t values were 0.12, 0.23, 0.39, 0.39 and 0.46,P were 0.902, 0.821, 0.697, 0.697 and 0.660). Conclusion T lymphocyte subsets, NK cells and IFN gamma expression in the spleen of mice infected with BCG can be inhibited by anesthesia, but CD3+ T lymphocytes, CD4+ T lymphocytes, NK cells, IFN gamma and CD3+/ CD4+ T lymphocyte ratio are no significant difference statistically in general anesthesia and intravertebral anesthesia.