谷氨酰胺对大鼠肠缺血再灌注损伤的作用

 目的：探讨谷氨酰胺对大鼠缺血再灌注肠黏膜的作用及其可能机制。方法：成年雄性Wistar大鼠30只随机分为假手术组（sham组）、缺血再灌注损伤组（I/R组）和谷氨酰胺治疗组（Gln组）。Gln组给予谷氨酰胺1 g·kg-1·d-1连续灌胃7 d。Sham组和I/R组以同等剂量生理盐水灌胃7 d。Sham组仅分离肠系膜上动脉（SMA）而不夹闭根部。I/R组和Gln组均用无损伤血管夹夹闭SMA根部，30 min后放松血管夹形成再灌注损伤模型。各组大鼠均于制模后24 h采集静脉血和回肠标本。检测血清D-乳酸、内毒素、超氧化物歧化酶（SOD）和丙二醛（MDA）水平，HE染色法观察肠组织病理损伤情况。结果：I/R组的D-乳酸、内毒素、MDA水平和Chius病理评分均高于sham组和Gln组（P<0.05），血清SOD活力均低于sham组和Gln组(P<0.05)。结论：谷氨酰胺对缺血再灌注损伤的肠黏膜屏障具有保护作用，其机制可能与抗氧化应激反应有关。

Effects of glutamine pretreatment on intestinal ischemia-reperfusion injury in rats

AIM：To determine the effects of glutamine (Gln) pretreatment on intestinal ischemia-reperfusion (I/R) injury in the rats. METHODS：Thirty male Wistar rats were randomly divided into 3 groups (n=10): sham group, I/R group and Gln pretreatment group. The rats in Gln pretreatment group were pretreated with 1 g·kg-1·d-1 Gln by orogastric route for 7 d, the rats in the other 2 groups were pretreated with normal saline. Intestinal I/R was induced by 30-min occlusion of the superior mesenteric artery followed by 24 h of reperfusion. After the operation, the plasma endotoxin, serum D-lactic acid, superoxide dismutase (SOD) and malondialdehyde (MDA) levels were measured. The intestinal mucosal injury was observed with HE staining and evaluated using Chius scoring. RESULTS：Serum D-lactic acid, endotoxin level, MDA level and Chiu's score in I/R group were significantly higher than those in sham group and Gln group (all P<0.05). Serum SOD activity was significantly lower than that in sham group and Gln group (P<0.05). CONCLUSION：Glutamine has a protective effect on the intestines during ischemia-reperfusion injury. The mechanism may be related to oxidative stress response.