山东大学耳鼻喉眼学报 ›› 2017, Vol. 31 ›› Issue (6): 74-78.doi: 10.6040/j.issn.1673-3770.0.2017.374
张颖,陈红梅,吴欣怡
ZHANG Ying, CHEN Hongmei, WU Xinyi.
摘要: 目的 研究糖尿病大鼠角膜上皮创伤愈合过程中胰岛素样生长因子-1(insulin-like growth factor-1, IGF-1)及胰岛素样生长因子-1受体(insulin-like growth factor-1 receptor, IGF-1R)的表达,从分子水平探讨糖尿病角膜上皮创伤愈合延迟的可能机制。 方法 链脲霉素诱导糖尿病大鼠模型,造模后每周同一时间点监测体质量和空腹血糖变化。制作大鼠角膜上皮创伤模型,于创伤后不同时间点,评价角膜上皮愈合速率;实时定量PCR及免疫荧光检测角膜上皮中IGF-1、IGF-1R的表达。 结果 糖尿病组体质量低于正常组,空腹血糖浓度高于正常组。与正常组相比,糖尿病组角膜上皮愈合速率慢。实时定量PCR及免疫荧光检测显示,新愈合的糖尿病组大鼠角膜上皮中IGF-1、IGF-1R的mRNA、蛋白表达低于正常组。 结论 糖尿病大鼠角膜上皮创伤愈合延迟,IGF-1、IGF-1R表达下调可能是导致愈合延迟的原因之一。
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| [1] Tripathy K, Chawla R, Sharma YR, et al. Corneal changes in diabetes mellitus[J]. Curr Diabetes Rev, 2012, 8(4):294-302. [2] Abdelkader H, Patel DV, McGhee CNJ, et al. New therapeutic approaches in the treatment of diabetic keratopathy: a review[J]. Clin Experiment Ophthalmol, 2011, 39(3):259-270. [3] Chen WL, Lin CT, Ko PS, et al. In vivo confocal microscopic findings of corneal wound healing after corneal epithelial debridement in diabetic vitrectomy[J]. Ophthalmol, 2009, 116(6):1038-1047. [4] Ko JA, Yanai R, Nishida T. IGF-1 released by corneal epithelial cells induces up-regulation of N-cadherin in corneal fibroblasts[J].J Cell Physiol, 2009, 221(1):254-261. [5] Robertson DM, Ho SI, Hansen BS, et al. Insulin-like growth factor binding protein-3 expression in the human corneal epithelium[J]. Exp Eye Res, 2007, 85(4):492-501. [6] Robertson DM, Zhu M, Wu YC. Cellulardistribution of the IGF-1R in corneal epithelial cells[J].Exp Eye Res, 2012, 94(1):179-186. [7] Ogurtsova K, Rocha Fernandes JD, Huang Y, et al. IDF diabetes atlas: global estimates for the prevalence of diabetes for 2015 and 2040[J]. Diabetes Res Clin Pract, 2017, 128(1):40-50. [8] Xu K, Yu FS. Impaired epithelial wound healing and EGFR signaling pathways in the corneas ofdiabetic rats[J]. Invest Ophthalmol Vis Sci, 2011, 52(6):3301-3308. [9] Sun H, Mi X, Gao N, et al. Hyperglycemia-suppressed expression of Serpine1 contributes to delayed epithelialwound healing in diabetic mouse corneas[J]. Invest Ophthalmol Vis Sci, 2015, 56(5):3383-3392. [10] Yu FS, Yin J, Xu K, et al. Growth factors and corneal epithelial wound healing[J]. Brain Res Bull, 2010, 81(2-3):229-235. [11] Velander P, Theopold C, Hirsch T, et al. Impaired wound healing in an acute diabetic pig model and the effects of local hyperglycemia[J].Wound Repair Regen, 2008, 16(2):288-293. [12] Clemmons D, Maile L, Xi G, et al. Igf-1 signaling in response to hyperglycemia and the development of diabetic complications[J]. Curr Diabetes Rev, 2011, 7(4):235-245. [13] Wang XQ, Lee S, Wilson H, et al. Ganglioside GM3 depletion reverses impaired wound healing in diabetic mice by activating IGF-1 and insulin receptors[J]. J Invest Dermatol, 2014, 134(5):1446-1455. [14] Hirsch T, Spielmann M, Velander P, et al. Insulin-like growth factor-1 gene therapy and cell transplantation in diabetic wounds[J]. J Gene Med, 2008, 10(11):1247-1252. [15] Chen QQ, Wang WM. Expression of FGF-2 and IGF-1 in diabetic rats with fracture[J]. Asian Pac J Trop Med, 2014, 7(1):71-75. [16] Peplow PV, Baxter GD. Gene expression and release of growth factors during delayed wound healing: a review of studies in diabetic animals and possible combined laser phototherapy and growth factor treatment to enhance healing[J]. Photomed Laser Surg, 2012, 30(11):617-636. |
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