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腺苷对兔肺缺血再灌注损伤的保护作用
引用本文:魏思思,周建辉. 腺苷对兔肺缺血再灌注损伤的保护作用[J]. 中国医师杂志, 2010, 12(9): 1191-1193. DOI: 10.3760/cma.j.issn.1008-1372.2010.09.012
作者姓名:魏思思  周建辉
作者单位:中南大学湘雅医院心胸外科ICU,长沙,410008
摘    要:
目的 探讨腺苷(Adenosine)对兔肺缺血再灌注损伤的保护作用及可能机制.方法 建立兔肺缺血再灌注动物模型.健康家兔30只,随机分为3组:A组为假手术组、B组为缺血再灌注组、C组为腺苷处理+缺血再灌注组,每组10只,每组分别于再灌注60 min时测定血浆丙二醛(MDA)、超氧化物歧化酶(SOD)、肺组织湿干重比(W/D),光镜观察肺组织形态结构变化并测定肺损伤定量评价指标(IQA),流式细胞仪测定CD11b/CD18-FTTC标记的中性粒细胞(PMN)阳性细胞百分率.结果 再灌注60 min后,与A组相比,B组W/D、血浆MDA含量以及IQA显著升高(q=7.06,13.71,18.62,P<0.01),而SOD含量显著降低(q=14.33,P<0.01).C组W/D、血浆MDA含量以及IQA较B组明显降低(q=5.23,8.51,9.99,P<0.01),而SOD含量则明显升高(q=7.73,P<0.01).B组CD11b/CD18-FITC标记的PMN阳性细胞百分率明显高于A组及C组(q=8.59,9.56,P<0.01).结论 腺苷可能通过抑制PMN表面CD11b/CD18表达的上调,减少氧自由基的生成,对肺缺血再灌注损伤产生保护作用.

关 键 词:腺苷/药理学  再灌注损伤/预防和控制  肺/病理学

Protective effects of adenosine against lung ischemia-reperfusion injury in rabbit
WEI Si-si,ZHOU Jian-hui. Protective effects of adenosine against lung ischemia-reperfusion injury in rabbit[J]. Journal of Chinese Physician, 2010, 12(9): 1191-1193. DOI: 10.3760/cma.j.issn.1008-1372.2010.09.012
Authors:WEI Si-si  ZHOU Jian-hui
Affiliation:. Intensive Care Unit of Department of Cardiopulmonary Surgery of Xiangya Hospital,Central South University, Changsha 410008, China
Abstract:
Objective To study the protective effects and mechanisms of adenosine on lung ischemia-reperfusion injury in rabbit. Methods The rabbit ltng model of ischemia-reperfusion was constructed.Thirty Chinese rabbits were random divided into three groups: Group A (no surgery), group B (ischemiareperfusion) and group C (Adenosine + ischemia-reperfusion). The MDA content,SOD content of the plasma, wet-dryrate (W/D) and the pathology of lung tissue and the index of quantitative assessment of histologic lung injury (IQA) were measured after 60 min reperfusion. Results After 60min reperfusion, the value of W/D, MDA and IQA in group B were significantly higher than those in group A (q = 7. 06,13.71,18. 62, P <0.01), while the concentration of SOD were lower than those in group A (q = 14. 33, P <0.01). In contrast with group B, W/D,MDA and IQA in group C was obviously lower (q =5.23 ,8. 51, 9.99,however, the concentration of SOD were higher than those in group B (q = 7.73, P < 0. 01). In contrast with group A and C ,the expression of CD11b/CD 18 of group B was significantly increased after 60min reperfusion (q =8.59,9.56, P <0. 01). Conclusion Adenosine can prevent ischemia-reperfusion injury in rabbit lung in vivo by inhibiting the expression of CD-11b/CD18 on PMNs and dropping oxygen free radicals level.
Keywords:Adenosine/PD  Reperfusion injury/PC  Lung/PA
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