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1.
目的观察N-乙酰半胱氨酸(NAC)对家兔缺血再灌注损伤心肌细胞凋亡的影响,并探讨其机制。方法 30只家兔随机等分为假手术组、心肌缺血再灌注(I/R)组和NAC组。NAC组和I/R组制作缺血再灌注模型,前者在血流灌注后阻断主动脉和肺动脉血管10 s,同时于心尖部注入NAC溶液0.5 mL;I/R组在再灌注开始即刻给予生理盐水0.5 mL。假手术组家兔开胸后只穿线,不结扎冠状动脉左前降支。再灌注3 h后,用黄嘌呤氧化酶法测定血清超氧化物歧化酶(SOD)活性,硫代巴比妥酸法测定血清丙二醛(MAD)水平。三组各取缺血区心肌组织,用原位末端标记法测定心肌细胞凋亡,并计算凋亡指数(AI)。用免疫组化SABC法检测缺血心肌组织中的Fas蛋白,计算Fas蛋白阳性表达指数(PI)。结果 I/R组的MDA水平高于、SOD活性低于NAC组和假手术组(P均<0.05);I/R组缺血区心肌细胞AI、心肌细胞中Fas蛋白PI明显高于NAC组和假手术组(P均<0.05)。结论 NAC可减少家兔缺血再灌注损伤心肌细胞的凋亡,可能是通过其抗氧化作用及下调Fas蛋白表达来实现的。  相似文献   

2.
目的 探讨磷酸肌酸(PCr)对缺血再灌注(I/R)损伤心肌线粒体的影响.方法 采用大鼠左冠状动脉前降支结扎法建立大鼠I/R模型.60只雄性大鼠随机分为缺血再灌注(I/R)损伤组、假手术组、PCr组,假手术组只剖胸不结扎冠状动脉,余两组制作I/R模型,PCr组结扎前45 min经股静脉注射PCr 4 mg/kg,假手术组和I/R组分别静脉注射相应体积的生理盐水,在缺血45 min及2 h时测定I/R区心肌丙二醛(MDA)、超氧化物歧化物(SOD)及总Ca2+浓度.结果 与假手术组比较I/R损伤组MDA、总钙显著增高(P<0.05),SOD显著降低(P<0.01);与I/R损伤组比较,PCr组MDA含量及总钙水平显著降低(P<0.05),SOD显著增高(P<0.01).结论 PCr对心肌I/R损伤有保护作用.  相似文献   

3.
目的 探讨地尔硫(艹卓)、N-乙酰半胱氨酸(NAC)和过氧化氢酶(CAT)联合应用对兔脊髓缺血再灌注(I/R)损伤的保护作用.方法 阻断肾下腹主动脉及髂动脉建立兔脊髓I/R损伤模型,治疗组经阻断动脉灌注地尔硫(艹卓)、NAC和CAT混合盐溶液,检测丙二醛(MDA)、超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GPx),观察实验兔行为学变化及损伤病理变化,并与单纯手术组作对照.结果 治疗组SOD和GPx活性高于对照组,而MDA水平低于对照组(P<0.05).病理学检查发现脊髓出血和神经细胞破坏治疗组较对照组轻.治疗组神经行为学评分优于对照组(P<0.01).结论 在脊髓缺血后应用地尔硫(艹卓)、NAC和GPx的混合盐溶液可以有效减少脊髓I/R损伤造成的损害.  相似文献   

4.
目的 探讨西维来司钠(ONO-5046)对大鼠全脑缺血再灌注(I/R)损伤的保护作用及其机制.方法 SD大鼠随机分为假手术组、I/R组和I/R+ONO-5046组,I/R组和I/R+ONO-5046组根据再灌注时间的不同分为6、12、24、48 h四个亚组.采用四血管阻断法制备I/R模型,缺血15 min,I/R+ONO-5046组于再灌注时经股静脉持续给予 ONO-5046 2 mg·kg-1·h-1,假手术组和I/R组给予生理盐水.观察大鼠脑组织病理学变化,并检测中性粒细胞弹性蛋白酶(NE)、丙二醛 (MDA)含量及超氧化物歧化酶(SOD)、肿瘤坏死因子-α(TNF-α)活性.结果 I/R后,NE含量随再灌注时间延长而不断增强(P<0.05或P<0.01),TNF-α表达量也增加并于再灌注12 h达最高峰(P<0.01).ONO-5046组显著降低缺血再灌注后脑组织NE、MDA含量,升高SOD活性以及减少TNF-α表达,明显改善脑组织病理形态.结论 ONO-5046对脑缺血-再灌注损伤有明显的保护作用,其机制可能与降低NE、MDA含量,升高SOD活性及下调TNF-α阳性表达细胞有关.  相似文献   

5.
目的 观察延肾一号冲剂对肾缺血再灌注(I/R)损伤大鼠肾组织活性氧(ROS)、丙二醛(MDA)含量及超氧化物歧化酶(SOD)、Ca2+-Mg2+ ATP酶活性的变化,探讨其抗肾I/R损伤的机制.方法 72只Wistar大鼠随机分为假手术组、对照组、治疗组,各24只.治疗组给予延肾一号冲剂,假手术组及对照组灌以相应量的生理盐水.分别检测缺血1 h、再灌注24、48 h时尿素氮、肌酐,ROS、MDA含量及SOD、Ca2+-Mg2+ ATP酶活性的变化.结果 再灌注24、48 h时治疗组、对照组与假手术组血清尿素氮(BUN)、肌酐(Cr)比较均有显著升高 (P<0.01);再灌注24 h时对照组SOD、Ca2+-Mg2+ ATP酶活性与48 h时相比活性明显降低 (P<0.05),再灌注24 h时治疗组与对照组相比SOD、Ca2+-Mg2+ ATP酶明显升高 (P<0.05);再灌注24 h时,治疗组MDA、ROS则显著低于对照组 (P<0.01) ,再灌注48 h时,治疗组与对照组相比仍有显著差异(P<0.01).结论 氧化损伤是导致肾I/R损伤的重要原因;氧化损伤主要发生在I/R 24 h;延肾一号冲剂通过升高SOD、Ca2+-Mg2+ ATP酶的活性,减少MDA、ROS产生,减少其对肾脏的损伤作用.  相似文献   

6.
张勇  李玺  郝林  鲍红光 《山东医药》2009,49(41):31-32
目的探讨大鼠肝脏缺血再灌注损伤(HIRI)的机制及N-乙酰半胱氨酸(NAC)对肝组织的保护作用。方法将大鼠分成假手术组、HIRI组和NAC干预组,于再灌注1、3、6、12 h分别采用全自动生化分析仪测定各组血清丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)水平;黄嘌呤氧化酶法测定肝组织中超氧化物岐化酶(SOD)活性;免疫组织化学技术检测肝组织中肿瘤坏死因子α(TNF-α)表达。结果HIRI组肝脏损伤较假手术组更加明显,其中以再灌注6 h损伤最严重;血清AST、ALT均较假手术组明显升高;肝组织SOD活性明显低于假手术组(P〈0.01),于再灌注6 h最低;肝组织TNF-α表达明显高于假手术组(P〈0.01),于再灌注6 h达高峰。结论NAC对大鼠HIRI有保护作用,其机制与NAC清除氧自由基、减少细胞因子和炎症介质表达有关。  相似文献   

7.
目的 研究一氧化氮(NO)底物L-精氨酸(L-Arg)和NO合酶抑制剂N-亚硝基-L-精氨酸甲酯(L-NAME )对大鼠脑缺血再灌注(I/R)早期P-选择素及炎症损伤的影响.方法 建立大鼠I/R模型,并设立假手术组.入选I/R模型大鼠随机分为3组,分别于缺血早期给予L-Arg、L-NAME和等体积生理盐水.测定缺血2 h再灌注8 h后脑组织NO、P-选择素含量、髓过氧化物酶(MPO)活性及脑梗死体积.结果 I/R加L-Arg组再灌注后NO含量明显高于I/R加盐水组(P<0.01),而P-选择素表达和MPO活性显著降低(P<0.01),同时脑梗死体积减小(P<0.05);而给予L-NAME后减少了脑NO含量(P<0.01),增加了P-选择素表达(P<0.05),导致脑缺血再灌注损伤的加重.结论 大鼠脑缺血早期使用L-Arg可以通过减低P-选择素的表达对脑缺血再灌注起到保护作用.  相似文献   

8.
目的:观察冠状动脉内给予小剂量N-乙酰半胱氨酸(NAC)对家兔心肌缺血再灌注(I/R)后心肌梗死面积的影响。方法:36只家兔随机分为假手术组(S组,12只)、(I/R组,12只)和NAC治疗组(NAC组,12只)。NAC组在结扎前降支1h后恢复血流灌注,然后用无损伤血管钳夹闭主动脉和肺动脉10s,同时于心尖部注入200g/L的NAC溶液0.5ml,S组和I/R组给予0.5ml0.9%氯化钠溶液。再灌注3h后从颈动脉采血,测定血清肌酸磷酸激酶(CK)、乳酸脱氢酶(LDH)的含量和谷胱甘肽过氧化物酶(GPH-Px)活性。蛋白印迹法检测缺血区心肌组织中I-κB的表达,并分别用双重染色测定心肌梗死面积。结果:与I/R组比较,NAC组CK和LDH明显降低(P<0.01),而GPH-Px活性则明显增高(P<0.01),缺血区心肌组织中I-κB的表达明显减少,心肌梗死面积也显著减少(P<0.01)。结论:冠状动脉内给予小剂量NAC能明显减少心肌I/R后的心肌梗死面积。  相似文献   

9.
【】 目的:探讨辛伐他汀药物后适应对缺血再灌注损伤大鼠髓过氧化物酶(MPO)、丙二醛(MDA)的影响,探讨其减少心肌损害的可能机制。方法:将30只SD大鼠随机分为假手术组(SH)、缺血/再灌注组(I/R组)、辛伐他汀后适应组(SIM组)。通过结扎大鼠冠状动脉前降支制作心肌梗死模型。SH组、I/R组:再灌注前经颈静脉注射生理盐水1ml;SIM组:再灌注前经颈静脉给予辛伐他汀(1mg.100g-1)注射。再灌注2小时后抽静脉血测定CK-mb、MPO、MDA及心肌梗死面积。结果:①各组大鼠血脂测定均在正常值范围内;②与SH组比较,I/R组、SIM组CK-mb、MPO、MDA均有增高(P<0.05);与I/R组比较,SIM组CK-mb、MPO、MDA下降(P<0.05);③与SH组比较,I/R组、SIM组心肌梗死面积明显(P<0.05);SIM组心肌梗死面积小于I/R组 (P<0.05)。结论:辛伐他汀后适应治疗可以减轻大鼠心肌炎症反应及心肌梗死面积,保护心肌并减轻缺血再灌注损伤的作用。  相似文献   

10.
目的:探讨Klotho蛋白是否通过调节缺血-再灌注肾损伤大鼠模型的一氧化氮(NO)合成从而影响其氧化应激反应。方法:120只Wistar雄性大鼠随机分为正常组+生理盐水(NOR+NS)组、假手术组+生理盐水(Sham+NS)组、假手术组+Klotho(Sham+Klotho)组、缺血再灌注手术+生理盐水(I/R+NS)组、手术组+Klotho(IR+Klotho)组,建立缺血-再灌注急性肾损伤模型,分别于造模成功后1h、5h、12h、24h各组处死大鼠6只,行HE染色观察肾脏形态学改变,比色法测定血浆NO,肾组织过氧化物酶(MPO)和超氧化物歧化酶(SOD)水平,ELISE法检测血浆Klotho蛋白。结果:缺血再灌注24h后,I/R+NS组肾脏较多肾小管上皮空泡变性,而I/R+Klotho组空泡变性明显减少; I/R+NS组Klotho蛋白的表达明显低于其他各组(P0.01),NO及SOD活力低于其他组(P0.05),MPO、血清肌酐(SCr)和血尿素氮(BUN)明显高于其他组(P0.05);I/R+Klotho组NO、MPO、SOD、SCr及BUN较I/R+NS组均有所改善(P0.05)。结论:Klotho蛋白可能通过调节NO合成抵抗氧化应激,减轻肾缺血-再灌注损伤。  相似文献   

11.

Objective

: To investigate the effects of N-acetylcysteine (NAC) and pentoxifylline in a model of remote organ injury after hind-limb ischemia/reperfusion (I/R) in rats, the lungs being the remote organ system.

Methods

: Thirty-five male Wistar rats were assigned to one of five conditions (n = 7/group), as follows: sham operation (control group); hind-limb ischemia, induced by clamping the left femoral artery, for 2 h, followed by 24 h of reperfusion (I/R group); and hind-limb ischemia, as above, followed by intraperitoneal injection (prior to reperfusion) of 150 mg/kg of NAC (I/R+NAC group), 40 mg/kg of pentoxifylline (I/R+PTX group), or both (I/R+NAC+PTX group). At the end of the trial, lung tissues were removed for histological analysis and assessment of oxidative stress.

Results

: In comparison with the rats in the other groups, those in the I/R group showed lower superoxide dismutase activity and glutathione levels, together with higher malondialdehyde levels and lung injury scores (p < 0.05 for all). Interstitial inflammatory cell infiltration of the lungs was also markedly greater in the I/R group than in the other groups. In addition, I/R group rats showed various signs of interstitial edema and hemorrhage. In the I/R+NAC, I/R+PTX, and I/R+NAC+PTX groups, superoxide dismutase activity, glutathione levels, malondialdehyde levels, and lung injury scores were preserved (p < 0.05 for all). The differences between the administration of NAC or pentoxifylline alone and the administration of the two together were not significant for any of those parameters (p > 0.05 for all).

Conclusions

: Our results suggest that NAC and pentoxifylline both protect lung tissue from the effects of skeletal muscle I/R. However, their combined use does not appear to increase the level of that protection.  相似文献   

12.
The antioxidant and anti-inflammatory properties of N-acetylcysteine has been documented in many experimental lung injury models. Because intravenous injection of oleic acid induces histopathologic changes similar to those seen in human acute lung injury or acute respiratory distress syndrome, the authors evaluated the effects of N-acetylcysteine (NAC) on oxidative stress and lung damage in an oleic acid (OA)-induced lung injury model. Thirty-five rats were divided into 5 groups as sham, NAC, OA, pre-OA-NAC, and post-OA-NAC. Lung damage was induced by intravenous administration of oleic acid. Pre-OA-NACgroup received intravenous (IV) N-acetylcysteine 15 minutes before oleic acid infusion and post-OA-NAC group received IV N-acetylcysteine 2 hours after oleic acid infusion. In both of the N-acetylcysteine treatment groups, blood and tissue samples were collected 4 hours after oleic acid infusion, independent from the time of N-acetylcysteine infusion. In other groups, blood and tissue samples were collected 4 hours after ethanol, NAC, or OA infusions. Serum myeloperoxidase activity, total antioxidant capacity, malondialdehyde levels, and lung tissue Na+ - K+ ATPase activity were measured and light microscopic analyses of lung specimens were performed. The administration of N-acetylcysteine significantly restored Na+ - K+ ATPase activity and total antioxidant capacity levels and ameliorated lung architecture. N-acetylcysteine has been shown to have some attenuating effects in experimental animal studies. However, further investigations are necessary to suggest N-acetylcysteine as a treatment agent in critically ill patients with lung injury.  相似文献   

13.

Background

Hepatic ischaemia–reperfusion (I/R) injury occurs in both liver resectional surgery and in transplantation. The biochemistry of I/R injury involves short-lived oxygen free radicals. N-acetylcysteine (NAC) is a thiol-containing synthetic compound used in the treatment of acetaminophen toxicity. The present study is a detailed overview of the experimental and clinical evidence for the use of NAC as a pharmaco-protection agent in patients undergoing major liver surgery or transplantation.

Methods

A computerized search of the Medline, Embase and SCI databases for the period from 1st January 1988 to 31st December 2008 produced 40 reports. For clinical studies, the quality of reports was assessed according to the criteria reported by the Cochrane communication review group.

Results

Nineteen studies evaluated NAC in experimental liver I/R injury. NAC was administered before induction of ischaemia in 13. The most widely used concentration was 150 mg/kg by intravenous bolus. Fifteen studies report an improvement in outcome, predominantly a reduction in transaminase. Seven studies used an isolated perfused liver model with all showing improvement (predominantly an improvement in bile production after N-acetylcysteine). Two out of four transplantation models showed an improvement in hepatic function. Clinical studies in transplantation show a modest improvement in transaminase levels with no beneficial effect on either patient or graft survival.

Conclusion

N-acetylcysteine, given before induction of a liver I/R injury in an experimental model can ameliorate liver injury. Clinical outcome data are limited and there is currently little evidence to justify use either in liver transplantation or in liver resectional surgery.  相似文献   

14.
Background and Aim:  Reactive oxygen species generated during reperfusion of the tissue are known to play an important role in the basic pathophysiology of ischemia/reperfusion (I/R) injury. The aim of this study was to investigate and compare the protective effects of three sulfide-based antioxidants, N -acetylcysteine (NAC), erdosteine (ERD), and α-lipoic acid (LA), on I/R injury of the small intestine tissue.
Methods:  Forty male Sprague–Dawley rats weighing between 100–150 g were divided into five groups ( n  = 8 for each): control (sham operated), I/R, I/R + NAC, I/R + ERD, and I/R + LA. Intestinal ischemia was provided by occluding the superior mesenteric artery via a special microvascular clamp; ischemia for 30 min and reperfusion for 3 days were carried out. Ileal specimens were obtained to determine the tissue levels of malondialdehyde (MDA), protein carbonyl contents (PCO), superoxide dismutase (SOD), and glutathione peroxidase (GPx) activities and histological changes.
Results:  The rats subjected to intestinal I/R exhibited an increase in tissue MDA and PCO; the levels could hardly be ameliorated in the treatment groups. SOD and GPx activities were significantly decreased in the I/R group, whereas their reduction was less expressed in the treatment groups. Additionally, the histopathological injury scores of the disulfide-treated groups were lower than those of the I/R group.
Conclusion:  All of the sulfhydryl-containing antioxidants used in this study exhibited a significant role in attenuating intestinal I/R injury; however, the outcome of the LA-treated group was significantly marked than that of the others.  相似文献   

15.
目的 探讨七氟烷(SEVO)对离体大鼠缺血/再灌注(ischemia/reperfusion,I/R)心肌功能的影响及其机制。方法 利用非循环等容灌流装置制备离体大鼠心脏灌注模型。24只雄性SD大鼠随机分为I/R组(缺血30 min,再灌注120 min),I/R+SEVO组(缺血前给予20 ml/L SEVO预处理10 min), I/R+SEVO+NAC组,I/R+SEVO+TEMPO组(NAC和TEMPO为氧自由基清除剂,浓度分别为10 μg/ml和10 μmol/L,缺血前处理30 min)。缺血前及再灌后检测活性氧(ROS)含量。缺血后采用Western blot 方法检测自噬相关蛋白LC3-II/I、Beclin1、AMPK的表达和AMPK的磷酸化水平。全程检测血流动力学指标。结果 SEVO预处理增加缺血前心肌ROS的水平(P<0.01),抑制再灌注期ROS水平(P<0.01);改善I/R心肌功能(P<0.01)。机制研究发现,SEVO增加AMPK的磷酸化和Bclin1的表达(P<0.01),上调LC3-II/LC3-I的比值(P<0.01)。该现象可被ROS清除剂NAC或TEMPO抑制(P<0.01)。结论 SEVO预处理改善I/R心肌功能,其机制与ROS介导的自噬作用增强有关。  相似文献   

16.
The aim of this study was to investigate the contribution of inducible nitric oxide synthase (iNOS)-derived nitric oxide on the liver and lung injury following hepatic ischemia-reperfusion (I/R) using a novel and potent iNOS inhibitor, ONO-1714. Rats were subjected to 90 min of partial hepatic ischemia followed by 3, 6, 12, and 24 hr of reperfusion. Expression of iNOS mRNA peaked at 3 hr of reperfusion in the liver and lung. Plasma nitric oxide levels were increased fourfold at 24 hr of reperfusion and plasma ALT was increased, reaching a peak at 12 hr of reperfusion; both were significantly inhibited by ONO-1714. Histological examination revealed extensive liver damage, whereas this was not seen in the ONO-1714 group. Lung injury was not significantly changed in groups with versus without ONO-1714. Nitrotyrosine expression was seen in regions similar to those of the histological injuries of the liver, while this staining was absent in the ONO-1714 group. These data show that generation of peroxynitrite could be involved in the pathogenesis of liver injury but not lung injury after hepatic I/R. Inhibition of iNOS could be applied for attenuation of liver injury following hepatic I/R.  相似文献   

17.
AIM:To investigate the role of nuclear factor kappa B(NF-κB) in the pathogenesis of lung injury induced byintestinal ischemia/reperfusion (I/R),and its effect onintercellular adhesion molecule-1 (ICAM-1) expressionand neutrophil infiltration.METHODS:Twenty-four Wistar rats weredivided randomly into control,I/R and pyrrolidinedithiocarbamate (PDTC) treatment groups,n=8 ineach.I/R group and PDTC treatment group receivedsuperior mysenteric artery (SMA) occluding for 1 h andreperfusion for 2 h.PDTC group was administrated withintraperitoneal injection of 2% 100 mg/kg PDTC 1 hbefore surgery.Lung histology and bronchia alveoluslung fluid (BALF) protein were assayed.Serum IL-6,lungmalondialdehyde (MDA) and myeloperoxidase (MPO) aswell as the expression level of NF-κB and ICAM-1 weremeasured.RESULTS:Lung injury induced by intestinal I/R,wascharacterized by edema,hemorrhage and neutrophilinfiltration as well as by the significant rising of BALFprotein.Compared to control group,the levels of serumIL-6 and lung MDA and MPO increased significantly in I/Rgroup (P=0.001).Strong positive expression of NF-κBp65 and ICAM-1 was observed.After the administrationof PDTC,the level of serum IL-6,lung MDA and MPOas well as NF-κB and ICAM-1 decreased significantly(P<0.05) when compared to I/R group. CONCLUSION:The activation of NF-kB plays animportant role in the pathogenesis of lung injury inducedby intestinal I/R through upregulating the neutrophilinfiltration and lung ICAM-1 expression.PDTC as aninhibitor of NF-kB can prevent lung injury induced byintestinal I/R through inhibiting the activity of NF-kB.  相似文献   

18.
目的 研究S-腺苷蛋氨酸预处理对大鼠肝脏缺血再灌注损伤的保护作用及其机制.方法 将54只大鼠随机分为假手术组、缺血再灌注(I/R)组和S-腺苷蛋氨酸预处理(S-arleneyslmethioaine,SAM)组.SAM组大鼠缺血前2 h行腹腔注射SAM预处理.假手术组仅做分离,不阻断肝门;其余两组大鼠均在阻断肝门左、中...  相似文献   

19.
AIM: To investigate the effects of resveratrol on liver ischemia/reperfusion (I/R) injury in rats. METHODS: A total of 40 male Sprague-Dawley rats weighing 240-290 g were randomized into four groups of ten: (1) controls: data from unmanipulated animals; (2) sham group: rats subjected to the surgical procedure, except for liver I/R, and given saline; (3) I/R group: rats underwent liver ischemia for 45 rain followed by reperfusion for 45 rain; (4) I-R/Resveratrol group: rats pretreated with resveratrol (10 umol/L, iv). Liver tissues were obtained to determine antioxidant enzyme levels and for biochemical and histological evaluation. RESULTS: Plasma aminotransferase activities were higher in the I/R group than in the I-R/Resveratrol group. Malondialdehyde levels and the hepatic injury score decreased, while superoxide dismutase, catalase, and glutathione peroxidase levels increased in group 4 compared to group 3. In group 4, histopathological changes were significantly attenuated in resveratroltreated livers. CONCLUSION: These results suggest that resveratrol has protective effects against hepatic I/R injury, and is a potential therapeutic drug for ischemia reperfusionrelated liver injury.  相似文献   

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