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Portal Infusion of Low Dosage Endotoxin: A Model Simulating Translocation of Ruminai Endotoxin in Cattle

机译:低剂量内毒素的门静脉输注:模拟牛中喇叭内毒素易位的模型

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摘要

Translocation of bacteria and endotoxin from the gastro-intestinal tract to the portal blood is described to occur in healthy humans and animals, and is probably facilitated by ruminai epithelium damage in cattle (Berg 1992). Controversy exists regarding the possible role of endotoxin in the pathogenesis of ruminai acidosis. Systemic disease during ruminai acidosis is clinically characterized by forestomach stasis, anorexia, depression, tachycardia, tachypnea and fever. It has been shown that blood concentrations of arachidonic acid metabolites increase during ruminai acidosis, which may explain many of these clinical signs (Andersen et al. 1994). At the same time, we found that only few cows with experimentally induced rumen acidosis had endotoxin in the systemic blood (Andersen et al. 1990, 1994), while other authors describe systemic endo-toxaemia as an occasional finding in similar or milder cases of grain-engorgement (Boosman et al. 1990, Aiumlamai et al. 1992). Arachidonic acid metabolites are readily produced in the presence of endotoxin, but might also be expected to be produced during a chemical inflammation process of ruminai epithelium, damaged by a low pH and high osmolar concentration. The purpose of the present study was to evaluate the role of low grade portal endotoxaemia for pre-hepatic release of inflammatory mediators 6-ketoprostaglandin F1a (6-keto-PGF) and thromboxane B2 (TXB) and the relation to systemic disease. Four healthy cows were surgically equipped with chronic catheters in the portal vein, in a mesenteric vein 20 cm distally to portae hepa-tis and in a hepatic vein. After recovery, the cows received at maximum 3 different treatments at monthly intervals in a randomized design. Treatments were saline solution infused into the mesenteric vein at 2.5 üL/kg body weight per min (control), Escherichia coli endotoxin (055:B5 Westphals extraction, Sigma) at 0.025, 0.25 and 2.5 ng/kg body weight per min (Model I, Model II and Model III, respectively, Table 1). Infusions were continued for 180 min, or until respiratory distress (respiration rate > 40 per min) occurred. One h before a session, a jugular catheter was inserted, and blood samples were collected from the portal, hepatic and jugular vein for determination of clinical-chemical parameters (acid-base balance, packed cell volume (PCV), leukocyte and thrombocyte counts), endotoxin, TXB and 6-keto-PGF. Methods are described elsewhere (Andersen et al. 1994). After initiation of the experimental infusion, sampling was continued for 330 min at intervals of 30 min. Clinical parameters (rectal temperature, pulse and respiratory rates and ruminai movements) were determined hourly.
机译:将细菌和内毒素的易位从胃肠道到门诊部血液中描述,在健康的人类和动物中发生,并且可能促进牛(Berg 1992)中的Ruminai上皮损伤。关于内毒素可能在钻石中毒发病机制中的可能作用存在争议。在Ruminai酸中毒期间的全身疾病是临床表征,其临床表征是林苗,厌食症,抑郁症,心动过速,Tachypneaa和发烧。已经表明,在Ruminai酸中毒期间,血液浓度增加,这可以解释许多这些临床标志(Andersen等人1994)。与此同时,我们发现只有实验诱导的瘤胃中毒只有很少的奶牛在全身血液中有内毒素(Andersen等,1990,1994),而其他作者则描述了系统性内毒素,作为偶尔在类似或升级的情况下发现粮食充电(Boosman等人1990,Aiumai等,1992)。在内毒素的存在下容易产生花生酸代谢物,但也可以预期在Ruminai上皮的化学炎症过程中产生,受到低pH和高渗透浓度的损坏。本研究的目的是评估低级门杆状卵肿瘤的作用,用于炎症介质6-酮前吡喃素F1A(6-酮-PGF)和血栓素B2(TXB)的肝释放和与全身疾病的关系。四个健康的奶牛在门静脉中携带慢性导管,在肠系膜静脉中,20cm,远端至portae hepa-tis和肝静脉。恢复后,奶牛在随机设计中以每月间隔最多3种不同的处理。将处理是盐酸溶液以每分钟为2.5Ül/ kg体重(对照),大肠杆菌内毒素(055:B5 Westphals萃取,σ),0.025,0.25和2.5ng / kg体重每分钟(模型I ,模型II和模型III,分别表1)。继续输注180分钟,或直至发生呼吸窘迫(每分钟呼吸率> 40)。会话前的一个h,插入颈颈癌,从门宫,肝和颈静脉收集血液样品,用于测定临床化学参数(酸碱平衡,包装细胞体积(PCV),白细胞和血小板减少) ,内毒素,txb和6- keto-pgf。方法描述于其他地方(Andersen等,1994)。在开始实验输注后,在30分钟的间隔继续采样330分钟。每小时确定临床参数(直肠温度,脉冲和呼吸速率和呼吸器运动)。

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