初乳胰岛素生长因子-Ⅰ提取物的细胞促长及对肠黏膜修复作用的研究
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摘要
胃肠黏膜及上皮损伤在临床上常见,严重的黏膜损伤会引发全身性的病理、生理、及内脏功能紊乱。初乳中的胰岛素生长因子-Ⅰ(IGF-Ⅰ)是一种在分子结构上与胰岛素类似的活性蛋白多肽物质,在牛初乳中大量存在,是牛初乳中最重要的促生长因子。本实验主要通过初乳IGF-Ⅰ提取物对体外细胞以及损伤大鼠肠黏膜的作用来了解其对胃肠黏膜损伤的修复作用。
     本研究主要以牛初乳为原料,利用超滤、离子交换层析技术提取IGF-Ⅰ。通过体外、体内试验研究探讨初乳中IGF-Ⅰ提取物对肠黏膜修复。体外试验主要通过人体肠道细胞系CaCO-2的增殖实验来研究初乳中IGF-Ⅰ提取物;体内试验采用腹腔内注射MTX的方法制备SD大鼠小肠炎模型。实验设正常对照组,MTX模型对照组(20μg/kg),牛初乳IGF-Ⅰ提取物修复组(75μg/kg),IGF-Ⅰ修复组(75μg/kg)。制模当天开始,每日按剂量灌胃一次,正常对照组和模型组灌正理盐水。分别在第3d和第6d处死大鼠,采用分光光度法检测大鼠血浆二氨氧化酶(DAO)活性和血浆D-乳酸水平,光镜下观察小肠组织病理形态学改变。体外试验结果显示随着IGF-Ⅰ提取物浓度的增加,对细胞增殖的促进作用逐渐增强,达到并超过一定浓度(100ng/mL)时,增殖作用达到饱和;用100ng/mLIGF-Ⅰ提取物处理MTX模型组细胞,发现IGF-Ⅰ提取物能够显著刺激受损的CaCO-2细胞增殖(P<0.01)。体内试验结果显示,与对照组相比,在第3d时模型组大鼠血浆DAO活性和血浆D-乳酸水平明显升高(P<0.01),小肠损伤程度明显高于对照组(P<0.01),牛初乳中IGF-Ⅰ提取物组和IGF-Ⅰ组可降低血浆DAO活性及D-乳酸水平(P<0.01),减轻小肠损伤程度(P<0.01);在第6d时,无论与第6d的MTX模型组还是与第3d的牛初乳IGF-Ⅰ提取物修复组及IGF-Ⅰ修复组DAO活性及D-乳酸水平都有明显的降低(P<0.01),小肠损伤程度也明显减轻(P<0.01)。
     本试验结果说明初乳中IGF-Ⅰ提取物对人体肠道细胞系CaCO-2有显著的促增殖作用,在超过100ng/mL时,作用趋向饱和,不抑制细胞增殖;初乳IGF-Ⅰ提取物对肠黏膜的通透性具有一定保护作用,可减轻炎细胞的浸润。通过该课题对IGF-Ⅰ与肠黏膜损伤修复及伤口愈合关系的研究,最终成果是开发能快速治疗肠黏膜损伤或伤口愈合的药物。
The injury of gastrointestinal mucosa and epithelial is common in clinical, serious mucosal can cause systemic dysfunction on pathology, physiology and visceral. colostrum insulin-like growth factor-I (IGF-I) as a kind of active peptide substances is similar with insulin on molecular structure, which is abundance in bovine colostrum, and is the most important growth factors. In this study, to understand the role of IGF-I on the repair of gastrointestinal injury by vitro and vivo experiments.
     Take bovine colostrums as raw material, methods IGF-Ⅰwas purfied by ultrafiltration, ion exchange chromatography. This study explored the repair of colostrum IGF-Ⅰextraction on intestinal mucosal by vitro and vivo experments. In vitro, this article researched effect of colostum IGF-Ⅰextraction by measuring the impacts on CaCO-2 cell proliferation; in vivo, enteritis was induced in rats through peritoneal injection of methotrexate (20μg/kg). The experimental animals were randomly divided into four groups: normal group, MTX model group (20μg/kg), bovine colostrum IGF-I extraction recovery group (75μg/kg) and IGF-I recovery group (75μg/kg). The last two groups were administered in corresponding groups by gastric irrigation daily for 5 days, and the administered time had been from 2nd day to 5th day, the normal group and MTX model group were administered with Physiological Saline. The rats were died on 3nd and 6nd, Plasma diamine oxidase (DAO) and D-lactate level were measured, and histological changes in intestinal tissue were observed under the light microscope.
     In vitro, the rusults showed that CaCO-2 cell proliferation is gradually increased by the increased concentration of IGF-Ⅰextraction , when the concentration of IGF-Ⅰextraction exceed a certain concentration(100ng/mL), the proliferation is saturated. The cell model was treated by IGF-Ⅰextraction(100ng/mL), which had a significantly proliferation on the damaged CaCO-2 cell(P<0.01). In vivo, The results showed that the activity of DAO and D-lactate level of MTX model group were significantly increased compared with normal group on 3nd (P<0.01), and intestine injury was deeper than the normal group (P<0.01). The activity of DAO and D-lactate level of bovine colostrum IGF-I extraction recovery group were significantly decreased on 6 nd compared with model group on 6 nd and recovery group (P<0.01), and intestine injury was lighter than the normal group (P<0.01).
     The results of this study showed that colostrum IGF-I extract had significant proliferation promoting effect on human intestinal cells CaCO-2. When its concentration exceeded 100ng/mL, cell proliferation effect became saturated and did not indicate inhibitation effect. The colostrum IGF-Ⅰextract showed certain protective effect on the permeability of bowel mucosa and could reduce the inflammatory cells infiltration. The relationship between IGF-Ⅰand intestinal mucosa damage repair and wound healing was investigated in this research in order to develop new medicines which could deal with intestinal mucosa damage or wound healing quickly.
引文
段宇. 2001.胰岛素生长因子Ⅰ研究进展[J].国外医学内分泌学分册. 11(6):305-306
    高学军,刘家福. 2004.牛乳高端产品研究开发现状与发展趋势[J].中国乳品工业. 32(4):23-25
    宫春波,张永翠. 2003.牛初乳中的成分及保健功能[J].中国乳业.(4):27-29
    贾建波,李相前,朱礼尧. 2006.牛初乳中类胰岛素生长因子的提纯的研究[J].食品科学. 27: 144-148
    黎介寿. 2004.营养支持与肠黏膜屏障维护[J].肠外与肠内营养. 11:65-67
    黎君友,吕艺,付小兵,等. 2000.二胺氧化酶在创伤后肠道损伤中变化及意义[J].中国危重病杂志. 12. 482-484
    黎君友,于燕,郝军,等. 1996.分光光度法测定血和小肠组织二胺氧化酶活性[J].氨基酸和生物资源. 18(4): 28-30
    李贞萍,王易. 1999.大剂量MTX致严重皮肤黏膜炎[J].中华血液学杂志. 20(1): 1320-1321
    林俞灯,沈亦逵. 2000.甲氨蝶呤致中毒表皮坏死松解症一例[J].中华儿科杂志. 38(6): 34-35
    刘芳,俞茂华,朱秋毓等. 2001.牛初乳短链IGF-Ⅰ抑制小鼠胰岛炎的初步观察[J].中华内分泌代谢杂志.17: 15-17
    马瑞亮,王晓东,卢建跃,等. 2001.急性小肠梗阻时肠壁病理学及二胺氧化酶活性的变化[J].北京军区医药. 12(6): 393-395
    马燕芬,陈志伟,侯先志. 2005.牛初乳的生物活性物质及其功能[J].畜牧与饮料科学,6(26):57-60
    毛根生,许牡丹. 2005.功能性食品生理特性与检测技术[D].化学工业出版社
    荣晓花,凌沛学. 1999.溶菌酶的研究进展[D].中国生化药物杂志. 20(6): 319-320
    石刚. 2004.肠道黏膜屏障的损伤与保护[J].肠外与肠内营养. 11(1):61-63
    王利,孟瑞锋,盛光耀,等. 2006.大剂量甲氨喋呤在治疗儿童急性淋巴细胞白血病中应用观察[J].实用诊断与治疗杂志. 20(5): 351-352
    吴晓,李明. 2002.人胰岛素生长因子Ⅰ基因的克隆及其表达.中国生化药物杂志. 23(1): 1-3
    薛惠良,陈静,叶辉,等. 2002.大剂量甲氨蝶呤治疗儿童白血病临床研究[J].中国实用儿科杂志. 17(6): 358-360
    杨巍. 2008.牛初乳中IGF-Ⅰ分离纯化过程中前处理条件的优化研究[J].食品科学. 29(4):154-157
    杨雪峰,赵恒章. 2004.奶牛初乳在畜牧生产中的应用[J].中国畜牧杂志. 40(12): 48-50
    姚咏明,盛志勇,吴叶,等. 1998.大急性肠缺血后血浆D-乳酸的变化及肠黏膜损害的关系[J].中华整形与烧伤外科杂志. 14(4):266-269
    姚峪岚,惠小平. 2006.肠粘膜屏障与肠道细菌移位[J].现代实用医学. 18(12): 925-927
    于勇,盛志勇,柴家科,等. 2003.灼伤患者血浆D-乳酸水平和肠道内IgA含量的变化.创伤外科杂志[J]. 5(2): 122-124
    云振宇,张和平. 2005.牛初乳中类胰岛素生长因子-Ⅰ的分离制备[J].中国乳品工业. 33(1): 11
    张丹凤,陆东林. 2002.乳铁蛋白及其生理功能[J].草食家畜.(2):3-6
    张立钢. 2008.牛初乳生长因子提取技术研究[J].中国乳品工业. 36(8):22-25
    Baregamian N, Song J, Jeschke MG, et al. 2006. IGF-Ⅰprotects intestinal epithelial cells from oxidative stress induced apotosis [J]. Surg Res. 136: 31-37
    Baumrucker CR, Blum JR. 1993. Secretion of insulin-like growth factors in milk and their on the neonate[J]. Livestock Production Science. 35: 49-72
    Blum JW, Hammon H. 2000. Colostrum effects on the gastrointestinal tract, and on nutritional, endocrine and metabolic parameters in neonatal calves [J]. Livestock Pproduction Science. 66:151-159
    Bowen JM, Gibson RJ, Cummins AG, et al. 2006. Intestinal mucositis the role of the bcl-2 family, p53 and caspases in chemotherapy-induced damage [J]. Support Care Cancer. 14(7): 713-731
    Brandt RB, Siegel SA, Waters MG, et al. 1980. Spectrophotometric Assay for D-Lactate in Plasma [J]. Analytical Blochemistry. 102: 39-46
    Caglayan F, Cakmak M, Caglayan O, et al. 2003. Plasma D-lactate levels in diagnosis of appendiciteis [J]. Invest Surg. 16(4): 233-237
    Campbell PG, Baumrucker CR. 1989. Insulin-like growth factorⅠand its association with binding protein in bovine milk [J]. J Endocrinol. 120: 21-29
    Carpenter, G and S. Cohen. 1990. Epidermal growth factor (minireview). J. Biol. Chem. 265(14):7709-7712
    Clarke JM, Pelton NC, Bajka BH, et al. 2006. Use of the 13C-sucrose breath test to assess chemotherapy-induced small intestinal mucostis in the rat [J]. Cancer Biol Ther. 5(1): 34-38
    Climm DR, Baracos VE, Kennelly JJ. 1988. Effect of bovine somatotropin on the distribution of immunoreactive insulin-like growth factorⅠin lactating bovine mammary tissue [J]. Dairy Science. 71: 2923-2935
    Cohen S. 1987. Epidermal growth factor (Lecture for the Nobel Foundation 1987, Stockholm). In Vitro Cell Dev Biol. 23: 239-246
    Collier, Robert J, Miller MA, et al. 1991. Factors affecting insulin-like growth factor-Ⅰconcentration in bovine milk [J]. Dairy Science. 74: 2905-2911
    Colony PC, Kois JM, et al. 1989. Structural and enzymatic changes during colonic maturation in the fetal and suckling rat [J]. Gastroenterology. 97: 338-347
    Compbell PG, Baumrucker CR. 1989. Insulin-like growth factorⅠand its association with binding proteins in bovine milk [J]. Endocrinol. 120: 21-29
    Coran AG, Spivak D, Teielbaum DH. 1999. An analysis of the morbidity and mortality of short-bowel syndrome in the pediatric age group [J]. Eur J Ped Surg. 9(4): 228-230
    Corps AN, Brown KD. 1987. Stimulation of intestinal epithelial cell proliferation in culture by growth factors in humans and ruminant mammary secretions [J]. Endocr. 113: 285-290
    Cortyesy-Theulaz IN, Porta E, Pringault L, et al. 1996. Adhesion of helicobacter pylori to polarized T84 human intestinal cell monolayers is pH dependent [J]. Infect. Immun. 64:3827-3832
    David A, Cox, Robert R, et al. 1991. Isolation and characterization of milk growth factor at ransforming-growthpfactor related polypeptide from bovine milk [J]. Biochem. 197: 353-359
    Du X, Liu Q, Yang Z, et al. 1997. Protective effects of interleukin-11 in a murine model of ischemic bowel necrosis [J]. Am J Pphysiol. 272: 545-552
    Du XX, Doerschuk CM, Orazi A, et al. 1994. A bone marrow stromal-derived growth factor, interleukin-11, stimulates recovery of small intestinal mucosal cells after cytoablative therapy [J]. Blood. 83(1): 33-37
    Duncal MD, Korman LY, et al. 1994. Epidermal growth factor primes intestinal epithelial cell for proliferative effect of insulin-like growth factorⅠ. Digestive Diseases Sci. 39: 2197-2201
    Dunger DB, et al. 1995. Insulin-like growth factors (IGFs) and IGF-Ⅰtreatment in the adolescent with insulin-dependent diabetes mellitus[J]. Metabolism. 44(suppl 4): 119
    Dvorak B, Kolinska J, McWilliam DL, et al. 1998. The expression of epidermal growth factor and transforming growth factor-αmRNA in the small intestine of suckling rats: organ culture study[J]. FEBS Lett. 435: 119-124
    Dvorak B, Kolinska J, McWilliam DL, et al. 1998. The expression of epidermal growth factor and transforming growth factor-αmRNA in the small intestine of suckling rats: organ culture study [J]. FEB S Lett. 435: 119-124
    Eckmann L. 2005. Defence molecules in intestinal innate immunity against bacterial infections [J]. Curr Opin Gastroenterol. 21:147-151
    Enberg M, Cariquist. 1996. The characterization of somatomed in A isolated by microcomputer-controlled chromatography, reveals an apparent identity to insulin-like growth factor. Bio chem [J]. 143, 117-124
    Favoni RE, et al. 1994. Expression and function of the insulin-like growth factorⅠsystem in human non-small-cell lung cancer and normal lung lines [J]. Int J Cancer. 56: 858
    Fraesch ER. 1984. IGF-Ⅰinvivo and invitro effects. Endocrinology [J]. New York: Elsevier Science Publishers. 475 Francis FM, Upton et al. 1988. Analysis of insulin-like growth factor from bovine colostrum
    [J]. Biochem. 251: 95-103
    Francis GL, Faye MU. 1988. Insulin-like growth factors 1 and 2 in bovine colostrum[J]. Biochem. 251: 95-103
    Francis GL, Upton FM, Ballard FJ, et al. 1988. Insulin-like growth factor 1 and 2 in bovine colostrums: sequence and biological activites compared with those of a potent truncated form [J].Biochem. J. 251: 95-103
    Francis L , Mcneil KA, et al. 1989. Sheep insulin-like growth factors sequences [J]. Endocrinology. 124: 1173-1183
    Francis PC, Owens. 1989. Purification assay crossreactivities of pocine insulin-like factors [J]. Endocrinology. 122, 681-687
    Froesch ER, Burgi H, Ramseier EB, et al. 1963. Antibody-suppressible and non-suppressible insulin-like activities in human serum and their physiologic significance [J]. Clin Invest. 42: (18)16-34
    Frystyk J, Skjaerbaek C, Dinesen B, et al. 1994. Free insulin-like growth factor in humans [J]. FEBSLett. 348: 185-191
    Gauthier SF, Pouliot Y, Maubois JL, et al. 2006. Growth factors from bovine milk and colostrum: Composition, extraction and biological activities [J]. Lait. 86(2): 99-125
    Gordon S. Howarth. 2003. Insulin-like growth factor-Ⅰand the gastrointestinal system: Therapeutic indications and safety implications [J]. J. Nutr. 133: 2109-2122
    Haring HU. 1999. Pathogenisis of type 2 diabetes: are there common causes for insulin resistance and secretion failure [J]. Exp Clin Endocrinol Diabetes. 107: s17-s23
    Hase K, Murakami M, Limura M, et al. 2002. Expression of LL-37/human cationic antimicrobial protein 18 expression by human colon epithelium [J]. Infect Immun. 70: 953-963
    Hiroyuki T, Kazunori S, et al. 2000. Milk and Dairy Products in Cancer Prevention: Focus on Bovine Lactoferrin[J]. Mutation Research. 46(2): 277-283
    Hossner KL, Yemm RS. 2000. Improved recovery of insulin-like growth factors from bovine colostrum using alkaline diafiltration [J]. Biotechnol. Appl. Biochem. 32: 161-166
    Howarch GS, Cool JC, Bourne A, et al. 1998. Insulin-like growth factor-Ⅰ(IGF-Ⅰ) stimulates regrowth of the damaged intestine in rats, when administered following, but not concurrent with, methotrexate [J]. Growth Factors. 15: 279-292
    Howarth GS, Fraser R, Frisby CL, et al. 1997. Effects of insulin-like growth factor-Ⅰadministration on radiation enteritis in rats [J]. Scand J Gastroenterol. 32: 1118-1124
    Hriananton, Wilson H, Burgess et al. 1988. Purification and characterization of IGF [J]. Biological Chemistry. 12, 68-87
    Hua JS,Zheng PY, Fong TK, Mar KM. 1998. Helicobacter pylori acquisition of metronidazole resistance by natural transformation in vitro [J]. World J Gastroentero. 4: 385-387
    Ichiba H, Kusuda S, Ztagane Y. 1992. Measurement of growth promoting activity in human milk using a fetal small intestinal cell line [J]. Bio Neonate. 61: 47-53
    Igor S, Dan S, Shani BL, et al. 2008. Transforming growth factor-alpha stimulates enterocyte proliferation and accelerates intestinal recovery following methotrexate-induced intestinal mucositis in a rat [J]. Pediatr Surg Int. 24: 1303-1311
    Jenkins PJ. 1999. Growth hormone and exercise [J]. Clinical Endcrinology. 50: 683-689
    Jia HP, Schutte BC, Schudy A, et al. 2001. Discovery of new human beta-defensins using agenomics-based approach [J]. Gnen. 263: 211-218
    Johansson AG, et al. 1992. Insulin-like growth factorⅠstimulates bone turnover in osteoporosis [J]. Lancet. 339: 1619
    Johansson AG, Lindh E, Blum WF. et al. 1996. Effects of growth hormone and insulin-like growth factorⅠin men with idiopathic osteoporosis [J]. J Clin. Endocrinol. Metab. 81: 44-48
    John B, John C, Geoffrey L. 1996. IGF-Ⅰat runcated form of insulin-like growth factor-Ⅰ[J]. Bio chem. Cellbio. 28(10): 1085-1087
    Joseph B, Kirsner. 2001. Historic signs of current IBD concepts [J]. World J Gastroenterol. 7: 175-184
    Kato Y, Hamada Y, Ito S, et al. 1998. Epidermal growth factor stimulates the recovery of glucose absorption after small bowel transplantation[J]. J Surg Res. 80: 315-319
    Keiichi SZ. 2000. Lactoferrin: A Marbelous Protein in Milk[J]. Animal Science Journal. 71(4): 329-347
    Konturek PC, Brzozowski T, Pajdo R, et al. 2004. Ghrelin-a new gastroprotective factor in gastric mucosa [J]. Physilo Pharmacol. 55: 325-326
    Korbonits M, Goldstone AP, Gueorguiev M, et al. 2004. Ghrelin-a hormone with multiple functions [J]. Front Neuroendocrinol. 25: 27-68
    Kurtovic J, Segal I. 2004. Recent advances in biological therapy for inflammatory bowel desease [J]. Trop-Gastroenterol. 25(1): 9-14
    Langdahl BL, Kassem M, Moller MK, et al. 1998. The effects IGF-Ⅰand IGF-Ⅱon proliferation and differentiation of human osteoblasts and interactions with growth hormone [J]. Eur J Clin Invest. 28(3): 176-183
    Lemmey AB, Martin AA, Read LC. 1991. IGF-Ⅰand the truncated analogue des-(1-3) IGF-Ⅰenhance growth in rats after gut resection [J]. Am J physiol. 260: 213-219
    Logan RM, Stringer AM, Bowen JM, et al. 2008. Serum levels of NF kappa B and proinflammatory cytokines following administration of mucotox icdrugs [J]. Cancer Biol Ther. 7(7): 1139-1145
    Masanori I, et al. 2000. Characterization of Antiviral Activity of Lactoferrin Against Hepatitis C Virus Infection in Human Cultured Cells. Virus Research. 66: 51-63
    Melo MI, Brito GA, Soares RC, et al. 2008. Role of cytokines (TNF-alpha, IL-1 beta and KC) in the path ogenesis is of CPT-11-induced intestinal mucositis in mice effect of pentoxifylline and thalidom ide [J]. Cancer Chemother Pharmacol. 61(5): 775-784
    Michael J, Murray MD, Mark D, et al. 1994. Serum D-lactate levels as an aid to diagnosing acute intestinal ischemia [J]. Americal journal of surgery. 167: 575-577
    Miller SB, Rabkin R. 1997. The use of growth factors to increase glomerular filtration rate in chronic renal failure patients [J]. Curr Opin Nephrol Hypertens. 6: 401
    Moller DE, Flier JS. 1991. Insulin resistance: mechanisms syndromes and implications [J]. N Eng 1 J Med. 325: 938-948
    Monteleone G, Pender SLF, Alstead E, et al. 2001. Role of interferon a in promoting T helper cell type 1 responses in the small 1 intestine in celiac disease [J]. Gut. 48: 425-429
    Moses AC, et al. 1995. Insulin-like growth factorⅠ(rhIGF-Ⅰ) as a therapeutic agent for hyperinsulinmic insulin-resistant diabetes mellitus [J]. Diabetes Res Clin Pract. 28 (suppl): 185
    Moses AC, Young SCJ, Morrow LAO, et al. 1996. Recombinant human insulin-like growth factorⅠincreases insulin sensitivity and improves glycemic control in typeⅡdiabetes [J]. Diabetes. 45: 95-100
    Mosmann T. 1983. Rapid colorimetric assay for cell growth and survival: Application to proliferation and crytoxicity assays[J]. Immunological Methods. 65(1): 55
    Mylonas PG, Matsouka PT, Papandoniou EV, et al. 2000. Growth hormone and insulin-like growth factor-Ⅰprotect intestinal cells from radiation induced apoptosis [J]. Mol Cell Endocrinol. 160: 115-122
    Nguyen B, Clerici M, Venzon DJ, et al. 1998. Pilot study of the immunologic effects of recombinant human growth gormone and recombinant insulin-likegrowth factor in HIV-infected patients [J]. AIDS. 12: 895-904
    Norman J. 1998. The role of cytokines in the pathogenesis of acute pancreatitis [J]. Am J Surg. 175(1): 76-83
    Ograwa M. 1998. Acute pancreatitis and cytokines: second attack by septic complication leads to organ faiture [J]. Pancreas. 16(3): 312-315
    Orazi A, Du X, Yang Z, et al. 1996. Interleukin-11 prevents apotosis and accelerates recovery of small intestinal mucosa in mice treated with combined chemotherapy and radiation [J]. Lab Invest. 75(1): 33-42
    Owu SU, 2002. Apenten RK. Food Protein Analysis quantitative Effects on processing[M]. New York: Marcel Dekker AG. 201-202
    Pankov YA. 1999. Growth hormone and a partial mediator of its biological action insulin-like growth factorⅠ[J]. Biochemistry. 64: 1-7
    Park PO, Hagund U,Bulkley GB, et al. 1990. The sequence of development of intestinal tissue injury after strangulation ischemia and reperfusion [J]. Surgery. 107: 574-578
    Park YK, Monaco MH, Dorovan SM. 1999. Enteral insulin growth factor-Ⅰaugments intestinal disaccaridase activity in piglets receiving total par-enteral nutrition [J]. Pediatr Gastroenteral Nutr. 29(2): 198-206
    Per T, et al. 1997. Insulin-like growth factorⅠincreases bone formation in old or corticosteroid-treated rats [J]. Acta Orthop, Scand. 68: 586-592
    Poeze M, Solberg BC, Greve JW, et al. 2003. Gastric PgCO2 and Pg-aCO2 gap are related to D-lactate and not to L-lactate levels in patients with septic shock [J]. Intensive Care Med. 29(11): 2081-2085
    Quattrin T, Thrailkill D, Baker L, et al. 2001. Improvement of hbalc without increased hypoglycemia in adolescents and young adults with type 1 diabetes mellitus treated withoutrecombinant human insulin-like growth factor-Ⅰand insulin. rhEGF-Ⅰin IDDM study group [J]. J Pediatr Endocrinol Metal. 14: 267-277
    Ray EC, Avissar NE, Vukcevic D, et al. 2003. Growth hormone and epidermal growth factor together enhance amino acid transport system s B0,+ and A in remnant small intestine after massive enteretomy[J]. J Surg Res. 113: 257-263
    Read LC, Lemmy AB, Howarth GS, et al. 1998. The gastrointestinal tract is one of the most responsive target tissues for IGF- and tts potent analogs [C]. New York Elsevier. 22(5): 22-34
    Rodriguez-Arnao J, Jabbar A, Fulcher K, et al. 1999. Effects of growth hormone replacement on physical performance and body composition in GH deficient adults [J]. Clinical Endocrinology. 51: 53-60
    Ryokichi I, Motoyasu H, Hiroshi TB et al. 2003. Expression profile of human defensins in tonsils [J]. International Congress Series. 1257: 81-83
    Sato A, Nishimura S, Ohkubo T, et al. 1993. Three-dimensional structure of human insulin-like growth factor-Ⅰ(IGF-Ⅰ) determined by 1H-NMR and distance geometry [J]. Int J Pept Protein Res. 41(5): 433-440
    Sato M, Nakaha K, Goto S, et al. 2006. Effects of ghrelin and des-acyl ghrelin on neurogenesisi of the rat fetal spinal cord [J]. Biochem Biophys Res Commun. 350: 598-603
    Schalch DS, Turman NJ, Marcsisin VS, et al. 1993. Short-term effects of recombinant human insulin-like growth factor-Ⅰon metabolic control of patients with typeⅡdiabetes mellitus [J]. J Clin Endocrinol Metab. 77: 1563-1568
    Shimoda N, Tashiro T, Yamamori H, et al. 1997. Effects of growth Hormone and Insulin Growth factor-Ⅰon Protein Metabolism, Gutmorphology, and Cell-Mediated Immunity in Burned Rats[J]. Nutrition. 13 (6) : 540-546
    Simmons JG, Hoyt EC, Westwick J, et al. 1994. Mechanism of insulin growth factor-Ⅰand epidermal growth factor interaction to regulate growth of intestinal crypt epithelial cells [J]. Dig Sci. 39(8): 1750
    Sonis ST. 2004. Pathobiology of mucositis [J]. Semin Oncol Nurs. 20(1): 11-15
    Stern LE, Erwin CR, O’Brien DP, et al. 2000. Epidermal growth factor is critical for intestinal adaptation following small bowel resection[J]. Microsc Res Tec. 51: 138-148
    Taylor SI, Kadowki T, Kadowaki H, et al. 1990. Mutations in insulin-receptor gene in insulin-resistant patients [J]. Diabetes Care. 13: 257-279
    Vanderhoof JA, Macusker RH, et al. 1992. Truncated and native insulin-like growth factorⅠenhance mucosal adaptation after jejunoileal resection. In Gastroenter Dev. Raven Press New York Varlam DE, Siddiq MM, Partom CA, et al. 2001. Apoptosis contributes to amphotericin B-induced nephrotoxicity [J]. Antimicrob Agents Chemother. 3: 679-685
    Vijayan A, Franklin SC, Behrend T, et al. 1999. Insulin-like growth factorⅠimproves renal function in patients with end stage chronic renal failure [J]. Am J Physiol. 276:929-934
    Warzecha Z, Dembinski A, Ceranowicz P, et al. 2003. IGF-Ⅰstimulates production ofinterleukin-10 and inhibits development of caerulein-induced pancreatitis [J]. J Physiol Phaumacol. 54(4): 575-590
    Wen CY, Ito M, Matsuu M. 2002. Mechanism of the antiulcerogenic effect of IL-11 onacetic acid-induced gastric ulcer in rats [J]. Life Sci. 70(25):2997-3005
    Wilkins HR, Ohneda K, Keku TO, et al. 2002. Reduction of spontaneous and irradiation-induced apoptosis in small intestine of IGF-Ⅰtransgenic mice [J]. AM J Phsyiol Gastrointest Liver Physiol. 283: 457-464
    Wilmore DW. 1997. Metabolic support of the gastrointestinal tract: potential gut protection during intensive cytotoxic therapy [J]. Cancer. 79: 1794-1803
    Winesett DE, Ulshen MH, Hoyt EC, et al. 1995. Regulation and localiazation of the insulin-like growth factor system in small bowel during altered nutrient status [J]. AmJ Phyiol. 268: 631-640
    Ws EG, Freeman DE. 1994. Effects of heparin, venous strangulation obstruction of the small intestine, and reperfusion of the small intestine on plasma diamine oxidase activity in horses [J]. Am J Vet Res. 55(2):185-191
    Xian CJ, Couper R, Howarth GS, et al. 2000. Increased expression of HGF and c-met in rat small intestine during recovery form methotrexate-induced mucositis [J]. B r JC Cancer. 82: 951-954
    Xian CJ, Couper R, Howarth GS, et al. 2000. Increased expression of HGF and c-met in rat small intestine during recovery form methotrexate-induced mucositis [J]. B r JC Cancer. 82: 951-954
    Yamachika T, Werther JL, Bodian C, et al. 2002. Intestinal trefoil factor: a marker of poor prognosis in gastric carcinoma [J]. Clin Cancer Res. 6: 1092-1099
    Zafarullah M, Li WQ, Sylvester J, et al. 2003. Molecular mechanisms of Nacetylcysteine actions[J]. Cell Mol Life Sci. 60(1): 6-20
    Ziegler TR, Mantell MP, Chow JC, et al. 1996. Gut adaptation and the insulin-like growth factor system: regulation by glutamine and IGF-I administration [J]. Am J Physiol. 271: 866-875
    Ziegler TR, Mantell MP, Chow JC, et al. 1998. Intestinal adaptation after extensive small bowel resection: differential change in growth and insulin-like growth factor system messenger ribonucleic acids in jejunum and ileum [J]. Endocrinology. 139(7): 3119-3126