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Protective effects of pretreatment with Radix Paeoniae Rubra on acute lung injury induced by intestinal ischemia/reperfusion in rats
引用本文:陈畅 张帆 夏中元 林辉 莫安胜. Protective effects of pretreatment with Radix Paeoniae Rubra on acute lung injury induced by intestinal ischemia/reperfusion in rats[J]. 中华创伤杂志(英文版), 2008, 11(1): 37-41
作者姓名:陈畅 张帆 夏中元 林辉 莫安胜
作者单位:[1]Department of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China [2]Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan 430060, China [3]Department of Cardiothoracic Surgery, People' s Hospital of Guangxi Zhuang Autonomus Region, Nanning 530021, China
摘    要:Objective: To investigate the effect of pretreatment with Radix Paeoniae Rubra (RPR) on acute lung injury induced by intestinal ischemia/reperfusion in rats and its protective mechanism.
Methods: Thirty-two Wistar rats were randomly divided into four groups: Sham-operation group, ischemla/ reperfusion group (I/R group ), RPR-pretreatment group and hemin group. The model of intestinal ischemia/ reperfusion was established by clamping the superior mesenteric artery for 1 hour followed by 2-hour reperfusion. The effect of RPR on the expression of heme oxygenase-1 (HO-1) in lung tissues was detected by immunohistochemistry and morphometry computer image analysis. Arterial blood gas analysis, lung permeability index, malondialdehyde (MDA) and superoxide dismutase (SOD) contents in lungs were measured. The histological changes of lung tissue were observed under light microscope.
Resalts: The expression of HO-1 in RPR-pretreatment group and hemin group was obviously higher than that in sham-operation group and I/R group ( P 〈 0.01 ). The level of MDA and lung permeability index in RPR-pretreatment and hemin group were significantly lower than those in I/R group (P〈0.01 or P〈0.05), while the activity of SOD in RPR-pretreatment and hemin group was obviously higher than that in I/R group (P〈0.01). Under light microscope, the pathologic changes induced by I/R were significantly attenuated by RPR.
Conclusion: Intestinal ischemia/reperfusion may result in acute lung injury and pretreatment with RPR injection can attenuate the injury. The protective effect of RPR on the acute lung injury is related to its property of inducing HO-1 expression and inhibiting lipid peroxidation.

关 键 词:再灌注损伤    呼吸窘迫综合症  成年人
收稿时间:2007-05-25

Protective effects of pretreatment with Radix Paeoniae Rubra on acute lung injury induced by intestinal ischemia/ reperfusion in rats
CHEN Chang,ZHANG Fan,XIA Zhong-yuan,LIN Hui,MO An-sheng. Protective effects of pretreatment with Radix Paeoniae Rubra on acute lung injury induced by intestinal ischemia/ reperfusion in rats[J]. Chinese journal of traumatology, 2008, 11(1): 37-41
Authors:CHEN Chang  ZHANG Fan  XIA Zhong-yuan  LIN Hui  MO An-sheng
Affiliation:1. Department of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
2. Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan 430060, China
3. Department of Cardiothoracic Surgery, People's Hospital of Guangxi Zhuang Autonomus Region, Nanning 530021, China
Abstract:OBJECTIVE: To investigate the effect of pretreatment with Radix Paeoniae Rubra (RPR) on acute lung injury induced by intestinal ischemia/reperfusion in rats and its protective mechanism. METHODS: Thirty-two Wistar rats were randomly divided into four groups: Sham-operation group, ischemia/reperfusion group (I/R group), RPR-pretreatment group and hemin group. The model of intestinal ischemia/reperfusion was established by clamping the superior mesenteric artery for 1 hour followed by 2-hour reperfusion. The effect of RPR on the expression of heme oxygenase-1 (HO-1) in lung tissues was detected by immunohistochemistry and morphometry computer image analysis. Arterial blood gas analysis, lung permeability index, malondialdehyde (MDA) and superoxide dismutase (SOD) contents in lungs were measured. The histological changes of lung tissue were observed under light microscope. RESULTS: The expression of HO-1 in RPR-pretreatment group and hemin group was obviously higher than that in sham-operation group and I/R group (P < 0.01). The level of MDA and lung permeability index in RPR-pretreatment and hemin group were significantly lower than those in I/R group (P < 0.01 or P < 0.05), while the activity of SOD in RPR-pretreatment and hemin group was obviously higher than that in I/R group (P < 0.01). Under light microscope, the pathologic changes induced by I/R were significantly attenuated by RPR. CONCLUSION: Intestinal ischemia/reperfusion may result in acute lung injury and pretreatment with RPR injection can attenuate the injury. The protective effect of RPR on the acute lung injury is related to its property of inducing HO-1 expression and inhibiting lipid peroxidation.
Keywords:Reperfusion injury   Intestines   Respiratory distress syndrome, adult   Radix Paeoniae Rubra
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