摘要
目的为探讨轻型闭合性颅脑损伤的病理诊断及损伤时间推断依据。方法通过建立大鼠脑液压冲击伤模型,用免疫组化染色方法与图像分析技术分别检测大鼠轻型闭合性颅脑损伤后15,30min,1,3,6,12h,1,4,7,14d以及正常对照组与手术对照组大鼠大脑皮质、丘脑、海马等部位Fas-L的表达。结果发现伤后1hFas-L开始在大脑皮质及海马出现表达,随时间增加表达逐渐增强,伤后3hFas-L表达显著增加,伤后12h达高峰,损伤4d后Fas-L表达逐渐减弱,14d基本恢复正常。本研究证明,Fas-L介导的细胞凋亡不仅出现于脑损伤邻近,在远离损伤部位的脑组织亦有Fas-L介导的细胞凋亡发生。结论Fas-L表达可望为轻型闭合性颅脑损伤早期诊断提供依据;根据Fas-L阳性表达的变化规律可作为脑损伤时间推测的指标之一。
Objective To study the pathologic diagnosis and the injury time estimation in light closed encephalon injury. Methods Mice were hurt by fluid percussion, and were killed at 15, 30 min, 1, 3 , 6, 12 h, 1, 4, 7,14 d respectively after injury. The expression of Fas-L in the cerebral cortex, thalamus, and hippocampi was detected by immunohistochemistry and the results were assessed by image analysis system. Results It is showed that the expression of Fas-L could be detected in 1 h after injury, and increased significantly in three hours, and it reached apex 12 h after injury, and decreased gradually four days after injury, and returned normal 14 days after injury. Conclusion This research demonstrated that Fas-L mediated apoptosis appeared not only around brain trauma but also in the brain tissue far away from the traumatic area. It indicted that the expression of Fas-L is a useful target for diagnosis of early brain injury; the regularity of Fas-L expression could be used as one of indication to date the time of brain injury.
出处
《法医学杂志》
CAS
CSCD
2004年第4期205-207,F003,共4页
Journal of Forensic Medicine
