经门静脉原位灌注自制肝保护液对梗阻性黄疸大鼠门静脉阻断期间肝脏的保护作用
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冯春林, Email: 315421313@qq.com

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贵州省科技厅资助项目[黔科合J字(2008)2311号]。


Hepatoprotective effect of in situ portal infusion of self-prepared liver protective solution during portal vain occlusion in rats with obstructive jaundice
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    目的:研究梗阻性黄疸大鼠门静脉阻断期间给予低温灌注自制肝保护液对肝脏的保护作用。方法:72只大鼠行胆总管结扎1周后随机均分为对照组(胆道再通,仅游离门静脉);门静脉阻断(PVO)组(胆道再通后,行PVO 1.5 h);乳酸林格液灌注组(胆道再通,PVO过程中将4 ℃乳酸林格液注入门静脉肝侧);自制肝保护液灌注组(胆道再通,PVO过程中将4 ℃自制肝保护液注入门静脉肝侧)。于术后0,6,24 h采集肝组织标本,采用Western blot法检测肝组织bcl-2,bax及caspase-3蛋白的表达,TUNEL法检测肝细胞凋亡情况。结果:与对照组比较,PVO组术后个时间点肝组织bcl-2蛋白略有增加,但差异无统计学意义(均P>0.05),而2个灌注组肝组织bcl-2蛋白表达在术后6,24 h均明显升高(均P<0.05),且自制肝保护液灌注组升高更为明显(均P<0.05);PVO组术后6,24 h肝组织Bax,caspase-3蛋白表达明显升高及肝细胞凋亡率明显增加(均P<0.05),两种灌注液均能明显抑制Bax和caspase-3蛋白表达的升高和肝细胞凋亡率的增加(均P<0.05),且自制肝保护液的以上作用更为明显(均P<0.05)。结论:自制肝保护液对合并梗阻性黄疸的PVO具有肝保护作用,其机制与抑制线粒体途径的肝细胞凋亡有关。

    Abstract:

    Objective: To investigate the hepatoprotective effect of hypothermic infusion of self-prepared hepatic protective solution during portal vein occlusion (PVO) in rats with obstructive jaundice. Methods: Seventy-two rats underwent common bile duct ligation, and one week later were equally randomized into control group (recanalization of bile duct and only portal vein isolation), portal vein obstruction (PVO) group (recanalization of bile duct and PVO for 1.5 h), lactated Ringer’s solution infusion group (recanalization of bile duct and portal vein infusion with 4 ℃ lactated Ringer’s solution during PVO) and self-prepared hepatic protective solution infusion group (recanalization of bile duct and portal vein infusion with 4 ℃ self-prepared hepatic protective solution during PVO). The specimens of rats’ livers from each group were harvested at 0, 6 and 24 h respectively after surgery, and then the expressions of bcl-2, Bax and caspase-3 protein in liver tissues were detected by Western blot analysis, and the liver cell apoptosis rates were measured by TUNEL assay. Results: Compared with control group, the bcl-2 expression in the liver tissues of PVO group increased slightly at each time point after surgery, but all the differences had no statistical significance (all P>0.05), while the bcl-2 expressions in the liver tissues of the two solution infusion groups were significantly increased at 6 and 24 h after surgery (all P<0.05), which were more evident in self-prepared hepatic protective solution infusion group (all P<0.05); the expressions of Bax and caspase-3 protein in the liver tissues as well as liver cell apoptosis rates of PVO group significantly increased at 6 and 24 h after surgery (all P<0.05), and the two infusion solutions significantly inhibited the elevation of Bax and caspase-3 protein expression and reduced the liver cell apoptosis rate (all P<0.05), and these effects were more pronounced in self-prepared hepatic protective solution infusion group (all P<0.05). Conclusion: Self-prepared hepatic protective solution has hepatoprotective effect during PVO in rats with obstructive jaundice, and the mechanism is related to the inhibition of liver cell apoptosis of mitochondrial pathway.

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冯春林.经门静脉原位灌注自制肝保护液对梗阻性黄疸大鼠门静脉阻断期间肝脏的保护作用[J].中国普通外科杂志,2012,21(10):1255-1259.
DOI:10.7659/j. issn.1005-6947.2012.10.016

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  • 收稿日期:2012-06-09
  • 最后修改日期:2012-09-14
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  • 在线发布日期: 2012-10-15