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气管移植

气管移植的相关文献在1990年到2022年内共计92篇,主要集中在外科学、基础医学、内科学 等领域,其中期刊论文86篇、会议论文3篇、专利文献58156篇;相关期刊50种,包括中华实验外科杂志、中华胸心血管外科杂志、实用肿瘤学杂志等; 相关会议3种,包括广东省职业健康协会第三届学术交流会、第五届全军器官移植学术会议、2010年北京胸外科年会等;气管移植的相关文献由221位作者贡献,包括李小飞、陈昶、范慧敏等。

气管移植—发文量

期刊论文>

论文:86 占比:0.15%

会议论文>

论文:3 占比:0.01%

专利文献>

论文:58156 占比:99.85%

总计:58245篇

气管移植—发文趋势图

气管移植

-研究学者

  • 李小飞
  • 陈昶
  • 范慧敏
  • 刘锟
  • 卢强
  • 曹浩
  • 李彦明
  • 程庆书
  • 赵轶峰
  • 郑卉
  • 期刊论文
  • 会议论文
  • 专利文献

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    • 张海祥; 崔鹏程; 王晋平
    • 摘要: 目的探讨在不使用免疫抑制剂的情况下,十二烷基硫酸钠(sodium dodecyl sulfate,SDS)脱细胞方法用于气管异种移植的可行性。方法采用健康家猪9只,体质量50~60 kg,雌雄不限。健康成年比格犬9只,体质量11~14.5 kg,雌雄不限。将获取的9段家猪气管随机分为3组:1%SDS处理组(气管管腔内浸泡1%SDS去黏膜),3%SDS处理组(气管管腔内浸泡3%SDS去黏膜)和3%SDS内外处理组(整个气管管腔内外均浸泡于3%SDS去黏膜)。3组处理后的气管,在不使用任何免疫抑制剂的情况下,分别在9只犬背部进行异种异位埋植实验,通过组织学检查和大体观察了解脱细胞程度和埋植后气管的排斥反应情况。结果苏木素-伊红(Hematoxylin-Eosin,HE)染色证实两组3%SDS脱细胞的效果较好,但3种脱细胞处理后气管的异种埋植实验均出现排斥反应。结论不使用免疫抑制剂的情况下,单一使用SDS脱细胞方法在气管异种移植中是不适用的。
    • 肖飞; 温焕舜; 余其多; 甘继瑞; 强光亮; 王蓓; 梁朝阳
    • 摘要: 目的 气管移植术后急性排斥反应发生的机制尚不明确.原位气管移植动物模型技术难度高,受多因素限制,难以广泛应用.本研究拟通过大鼠气管异位移植,模拟急性排斥反应,建立简便、有效的动物模型.方法 实验于2017年5月至7月在中日友好医院动物实验中心完成,选择SD和Wistar两个品系的大鼠进行同基因和异基因气管异位移植,统计气管异位移植手术平均用时及成功率.取供体气管,经受体腹部正中小切口包埋入大网膜,按植入时间分组,于术后第1、3、7、14天取材,观察移植物被网膜包绕情况,石蜡包埋后常规行苏木精-伊红(HE)染色,对各时间节点移植物炎性细胞浸润情况进行描述统计并在组间比较.结果 成功建立大鼠气管异位移植模型31例,1例受体大鼠因麻醉意外死亡.8例供体大鼠气管取材均在10 min内完成,31例气管异位移植手术时间(6.0±1.8) min.移植物均顺利取材,未出现感染等手术失败情况,总体移植手术成功率96.9%.相较于同基因移植组,异基因移植组气管周围有严重的受体网膜组织包裹,HE染色提示异基因移植组移植物炎性细胞浸润程度随时间延长逐渐加重,气管壁结构逐渐破坏.结论 大鼠气管异位移植模型构造简便,实验验证可观察到急性排斥反应的典型病理改变,适用于气管移植急性排斥反应机制的研究.%Objective The mechanism of acute rejection after tracheal transplantation remains unclear.Orthotopic tracheal transplantation model is technically challenging,and difficult to be widely adopted.In this study,a heterotopic tracheal transplantation model in rat was used to simulate acute rejection after transplantation,establishing a simple but effective animal model.Methods This work was performed from May 2017 to July 2017.SD and Wistar rats were selected for both syngeneic and allogeneic heterotopic tracheal transplantations.The average time and success rate of tracheal transplantation were calculated.Trachea was enclosed with omentum through an abdominal incision.The implants were harvested on postoperative day 1,3,7 and 14,hematoxylin and eosin (HE) staining was used to compare the infiltration of inflammatory cells at each time point,descriptive statistics were done afterwards.Results Thirty-one heterotopic tracheal transplantations were performed successfully,and one died of accidental anesthesia.All tracheal grafts from the 8 donors were obtained within 10 min,the procedure of heterotopic tracheal transplantation spent an average of (6.0 ± 1.8) min.There was no graft infection or other failure.The overall success rate was 96.9%.There was much more omentum wrapping the allograft than the isograft.HE staining indicated that infiltration of inflammatory cells in allograft gradually aggravated over time,and the tracheal wall was damaged progressively.Conclusion The heterotopic tracheal transplantation model in rat is simple but effective,has been verified to present typical pathological changes of acute rejection and would be suitable for the study of immune response after transplantation.
    • 关向前; 刘毛妮
    • 摘要: 目的 探讨趋化因子受体CX3CR1基因敲除对同种异系小鼠气管移植后排斥反应的影响.方法 将24只小鼠分为同系移植对照组、异系移植对照组、基因敲除移植组,每组各4对.基因敲除移植组、同系移植对照组受体和供体均为BABL/c小鼠;异系移植对照组供体为BABL/c小鼠,受体为C57 BL/6小鼠;基因敲除移植组供体为BABL/c小鼠,受体为CX3CR1基因敲除小鼠.各组均行颈背部气管移植,每只受鼠移植2段气管.4周后取出各受鼠移植气管段,石蜡包埋,切片,HE染色,镜下观察管腔纤维化阻塞情况;采用ELISA法检测受鼠血清高迁移率族蛋白1(HMGB1)水平.结果 同系移植对照组8个移植气管段均无管腔阻塞,阻塞分数为0;异系移植对照8个移植气管段均出现管腔阻塞,移植气管管腔内充满黏液,镜下见管腔内有大量增生的成纤维细胞,阻塞分数为8.0;受体敲除移植组8个移植气管段中1个出现管腔受挤压、扭曲,1个阻塞不明显,其余6个均未出现较明显的管腔纤维化阻塞,移植气管管腔内充满黏液,镜下见管腔内有大量增生的成纤维细胞,阻塞分数为0.96.移植后4周同系移植对照组、异系移植对照组、基因敲除移植组血清HMGB1水平分别为(29.8±1.6)、(83.6±1.4)、(19.8±0.9)ng/mL,基因敲除移植组明显低于异系移植对照组(P0.05.结论 受体CX3 CR1基因敲除可明显减轻气管移植后排斥反应.%Objective To investigate the effect of chemokine receptor CX 3CR1 gene knockout on rejection of alloge-neic mice after tracheal transplantation .Methods Twenty-four mice were divided into three groups: homologous control group, allogenic control group , and gene knockout transplantation group with 4 pairs in each.In the homologous control group, all donor mice and recipient mice were BALB/c mice.In the allogenic control group , donor mice were BALB/c mice, and recipient mice were C57BL/6 male mice.In the gene knockout transplantation group , donor mice were BALB/c mice, and recipient mice were CX3CR1 knockout mice (C57BL/6 background).Trancheal transplantation operation was performed in all groups , and each recipient mouse was transplanted with 2 tracheas.At week 4 after transplantation , the tracheal grafts were removed and the pathological change was detected with HE staining .Meanwhile, the serum high-mobil-ity group box 1 protein (HMGB1) levels in the recipients of each group were detected with ELISA .Results HE staining showed that there was no fibrosis in the tracheal grafts from the homologous control group , and the blocking score was 0.All tracheal grafts from the allogenic control group had fibrosis , and the blocking score was 8.0.In the gene knockout trans-plantation group, 1 tracheal graft had fibrosis, and the blocking score was only 0.96.At week 4 after transplantation, the HMGB1 levels in the homologous control group , allogenic control group , and gene knockout transplantation group were (29.8 ±1.6), (83.6 ±1.4), and (19.8 ±0.9) ng/mL, and the HMGB1 level was lower in the gene knockout trans-plantation group than in the allogenic control group (P0.05).Conclusion Receptor CX3CR1 knock-out can significantly reduce the rejection after tracheal transplantation .
    • 杨敏; 张学; 陈根; 丁左川; 周平; 昌盛
    • 摘要: 目的 探讨髓样分化分子88 (myeloid differentiation factor 88,MyD88)在小鼠异位气管移植中的作用.方法 采用BALB/c小鼠到C57BL/6小鼠的异位气管移植作为同种异体排斥反应模型,以MyD88抑制剂作为干预措施,并将同系小鼠异位气管移植作为阴性对照组,将BALB/c小鼠到C57BL/6小鼠的异位气管移植模型作为阳性对照组.分别在第7天和14天收集移植气管组织标本进行病理学检查,观察病理学变化,并进行管腔闭塞率和上皮脱失率的半定量分析,确定干预效果.结果 (1)移植气管的病理结果显示:在术后第7天,与阳性对照组相比,给药组的气管结构较清晰,上皮细胞脱落显著降低;在术后第14天,给药组的气管管腔形态较阳性对照组明显改善,且与阴性对照组差别不大,上皮细胞也较少脱落.(2)半定量分析结果显示:在术后第7天,与阳性对照组相比,给药组的管腔闭塞率明显降低,P<0.01,但是上皮细胞的脱失并没有得到改善,P>0.05;在术后第14天,与阳性对照组比较,给药组的管腔闭塞率降低,P<0.05,与术后第7天不同的是,上皮脱失率也明显降低,P<0.01.结论 在小鼠异位气管移植模型中,抑制MyD88能明显减轻移植气管的病理改变,其管腔闭塞率和上皮细胞脱失率都有所下降.%Objective To explore the role of MyD88 in heterotopic tracheal transplantation in mice and its relationship with histopathological changes.Methods The mouse model of hetemtopictracheal transplantation was used.The mice were divided into three groups:(1) tracheal isograft of C57BL/6 to C57BL/6 mice;(2) tracheal allograft of BALB/c to C57BL/6 mice;(3) tracheal graft of BALB/c to C57BL/6 mice with MyD88 inhibitor treatment.The tracheal grafts were collected at indicated time points.Histological sections were stained with hematoxylin and eosin.The pathological changes were observed and their semi-quantitative measurement was done with Image J software.Results (1) Pathological results showed that the structure of the trachea with MyD88 inhibitor treatment was clear and the loss of epithelial cells was significantly reduced as compared with the positive control group at the time of 7 and 14 days.(2) The results of semi-quantitative measurement showed that luminal occlusion rate of MyD88 inhibitor treatment group was significantly reduced as compared with the positive control group (P<0.01).However,the loss of epithelial cells was not improved 7 days after transplantation.Both of lumen occlusion rate (P<0.05) and epithelial cells loss (P<0.01) in MyD88 inhibitor treatment group were significantly reduced.Conclusion Inhibition of MyD88 molecule could significantly alleviate pathological changes of the transplanted trachea.Both of luminal occlusion rate and loss of epithelial cells were significantly ameliorated.
    • 王丽凤; 许江南; 夏思思; 孔庆利; 安云庆; 吕喆; 李小娜; 丁跃中
    • 摘要: Objective We used the murine orthotopic tracheal transplantation model to study the role of IL-17A in posttransplant airway epithelium.Methods Pathogen-free male C57BL/6 (n =50) and BALB/c (n =20) weighing 19-21 g.Weight-matched mice were randomly assigned to 5 groups.Control group:normal C57BL/6 (n =10) ; Group A:C57BL/6 (n =10) → C57BL/6(n =10),Group B:BALB/c(n =10) → C57BL/6(n =10),Group C:BALB/c(n =5) → C57BL/6 (n =5) and receive anti-IL-17 A neutralizing antibody injections,Group D:BALB/c (n =5) → C57 BL/6 (n =5) and receive IgG antibody injections.Group A and group B were randomly divided into 3 days and 14 days two subgroups(n =5).The expression level of IL-17A mRNA in tracheal of group A and group B was detected by real time quantitative PCR at 3 days after transplantation,and the frequencies of γδ T cells in draining lymph nodes of tracheal were analyzed by flow cytometry.Histopathological changes of tracheal were observed by HE staining and Masson staining at 14 days after transplantation.Results The mortality was 0 after tracheal transplantation.At the 3rd day,the IL-17A mRNA level of group B increased significantly as compared with group A(P < 0.05),and the percent of γδ T cells among CD3 + T cells of group B was higher than group A(P < 0.05).At the 14th day,the airway epithelia of group A maintained normal pseudostratified epithelium,and proliferation of fibroblast in submucosa tissue was not observed.The airway pseudostratifie epithelia of group B and D changed into flat epithelium,and proliferation of fibroblast was observed.The airway epithelia of group C preserved a pseudostratified epithelium,and proliferation of fibroblast was observed.The percentage of luminal obliteration of 4 groups was (31.21 ± 2.82) %、(42.45 ± 2.21) %、(39.04 ± 1.98) %、(40.67 ±1.54) % respectively.The percentage of luminal obliteration of group B was higher than group A(P < 0.05).Conclusion IL-17A plays an important role at the early stage of tracheal allograft rejection and mediates airway epithelial lesion.%目的 通过建立小鼠原位气管移植模型,探讨气管移植早期IL-17A对气道上皮细胞的影响.方法 选取19~ 21 g清洁级雄性C57BL/6小鼠(n=50)和BALB/c小鼠(n=20),供受体按体质量配对后随机分为5组,对照组:正常C57BL/6小鼠(n=10);A组:C57 BL/6(n=10) →C57BL/6(n=10);B组:BALB/c(n=10) →C57 BL/6(n=10);C组:BALB/c(n=5)→C57 BL/6(n=5),注射anti-IL-17A中和抗体;D组:BALB/c(n=5)→C57 BL/6(n=5),注射IgG;A、B组进一步随机分为3天、14天亚组(n=5).术后第3天,采用实时荧光定量PCR技术检测A、B组移植气管中IL-17A mRNAⅡ表达水平,使用流式细胞技术检测气管引流淋巴结中γδ T细胞的比例.术后第14天,分别采用HE、Masson染色,观察各组移植气管组织病理学改变.结果 术后小鼠无死亡.术后第3天,B组移植气管组织中IL-17AmRNA表达水平明显高于A组(P<0.05);B组小鼠气管引流淋巴结中γδ T细胞占CD3+T细胞的比例明显高于A组(P<0.05).术后14天移植气管组织病理学检查提示:A组气道纤毛柱状上皮结构完整,黏膜下层无纤维组织增生;B、D组气道上皮由柱状变为扁平状上皮并部分脱落,黏膜下层纤维组织增生明显;C组气道纤毛柱状上皮结构较完整,黏膜下层可见纤维组织增生.4组小鼠气管管腔闭塞率分别为(31.21 +2.82)%、(42.45±2.21)%、(39.04±1.98)%、(40.67±1.54)%,A、B组相比差异有统计学意义(P<0.05).结论 IL-17A在气管移植免疫排斥的早期发挥重要作用,并介导气道上皮的损伤.
    • 何筱天; 吴多光; 姜明; 王稳健; 王铭辉; 张惠忠
    • 摘要: Objective To investigate the effects of nuclear factor-κB (NF-κB) on chronic allograft rejection after trachea transplantation.Methods Fifty BALB/c and C57BL/6 nude mice were divided into 3 groups:transplantation group,lipidosome negative control group,and small interfering RNA (siRNA) group.With the establishment of low-expressed NF-κB transplants,degrees of rejection reaction were compared among these groups at 7,14 and 28 days after transplantation respectively.Reverse transcriptase-polymerase chain reaction (RT-PCR) and Western blotting were used to detect the expression of NF-κB transcriptionally and post-transcriptionally.The tracheal epithelium survival rate and inflammatory cell infiltration rate were quantified by H&E staining.Results At 14th day after trachea transplantation,negative control group showed severe infiltration of inflammatory cells,the patency rate was (62.0 ± 16.7) %,and survival rate of tracheal epithelia was (11.0 ± 24.6) %,and siRNA-treated group showed intact trachea epithelium,mild infiltration of inflammatory cells,the patency rate was 100% (P < 0.05),and survival rate of tracheal epithelia was (78.80 ± 4.41) % (P < 0.05).However,at 21 st day after transplantation,both negative control group and siRNA-treated group demonstrated 0% in both patency rate and survival rate.Conclusion The knock-down of NF-κB expression in the tracheal epithelia can inhibit acute rejection reaction and can alleviate the development of occlusive bronchiolitis.%目的 观察抑制气管移植物核因子-κB (NF-κB)蛋白表达对同种异体气管移植急性排斥反应的影响.方法 取50只BALB/c和C57BL/6小鼠分为3组:同基因移植组(A组)、脂质体对照组(B组)和小干扰RNA (siRNA)干扰组(C组).体外建立siRNA干扰NF-κB蛋白低表达支气管移植物以及气管移植动物模型,最后比较各组移植后第7、14和28天排斥反应的程度.反转录-聚合酶链反应(RT-PCR)和Western blot检测NF-κB基因和蛋白的表达水平,苏木素-伊红(HE)染色检测炎性细胞浸润、气管通畅度和上皮细胞存活率.结果 与A组比较,气管移植后第14天,B组支气管大量炎性细胞浸润,管腔出现纤维阻塞,通畅度为(62.0±16.7)%,支气管上皮细胞存活率为(11.0±24.6)%;而C组少量炎性细胞浸润,支气管管腔通畅度为100% (P <0.05),C组支气管上皮细胞存活率为(78.80±4.41)%(P<0.05);气管移植后第21天,B、C两组管腔通畅度及上皮细胞存活率均为0.结论 siRNA沉默支气管上皮细胞NF-κB蛋白表达可通过抑制急性排斥反应的水平,延长气管管腔的通畅时间和上皮细胞存活时间,从而延缓闭塞性细支气管炎的发展.
    • 陈燕玲
    • 摘要: Long-segment tracheal defects are difficult to be managed by conventional surgical means,which often requires tracheal transplantation.Studies have confirmed that the capacity of tissue engineering techniques in restoration of extensive tracheal defects in animals and human.Decellularized tracheal matrix has attracted widespread attention for its advantages,such as excellent biocompatibility.Re-epithelialization of the tissue engineered trachea,which remains the major obstacle in tracheal transplantation,plays an important role in protecting the grafts from infection and restenosis.To date,some research focuses on the re-epithelialization of the tissue engineered trachea,but achievements are still far from desired,and further studies are needed to ensure the visibility of the application of tissue engineered trachea.%长段的气管缺损往往难以通过传统的外科手段治疗,需要进行气管移植.研究已证实组织工程技术在修复动物和人类气管缺损的能力,脱细胞气管支架因其良好的生物相容性等优点受到广泛的关注.组织工程气管的再生上皮化对于气管移植物有抵御感染,防止再狭窄等重要意义,是目前气管移植的主要难题之一.目前很多研究致力于组织工程气管的再生上皮化研究,但研究成果仍远未达到预期,需要进行更多的研究以确保组织工程气管应用的可行性.
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