红花注射液对肝热缺血再灌注损伤保护作用的研究
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齐欣

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Protective effect of safflower solution on warm ischemia reperfusion injury of liver
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    摘要:

    目的:探讨红花注射液对大鼠肝热缺血再灌注损伤(IRI)的保护作用及其机制。
    方法: 选用雄性SD大鼠,随机分成4组,每组6只。S组为假手术组。缺血再灌注组(I/R组)及红花预处理组(SPC组)在缺血前30 min分别经肠系膜静脉注射生理盐水或红花注射液2 mL/kg, 而缺血预处理组(IPC组)缺血前30 min阻断血流5 min。再灌注后24 h检测血清谷丙转氨酶(ALT)、谷草转氨酶(AST)水平;肝组织行HE染色,观察病理组织学改变及评分(根据Suzuki标准);TUNEL法检测肝细胞凋亡;RT-PCR检测肝组织肿瘤坏死因子α(TNF-α)、巨噬细胞炎性蛋白-2(MIP-2)及细胞黏附因子-1(ICAM-1) mRNA的水平;Werstern blotting 测定核转录因子κB (NF-κB)蛋白的表达。
    结果:再灌注24 h后,与I/R组比较,SPC和IPC组血清ALT,AST水平、肝组织病理学半定量评分、肝细胞调亡指数、肝组织中TNF-α,MIP-2,ICAM-1 mRNA水平及NF-κB蛋白的表达均降低,差异均有显著性(P<0.05);SPC组与IPC组比较,上述各项指标差异均无统计学意义(P>0.05)。
    结论:红花注射液通过下调前炎性因子TNF-α,MIP-2 及ICAM-1 mRNA的水平及抗细胞凋亡作用,可减轻移植肝IRI。

    Abstract:

    Abstract:Objective:To study the protective effect and mechanism of safflower solution on warm ischemia reperfusion injury (IRI) of liver in rats.
    Methods :Male Sprague-Dawley rats were randomly divided as 4 groups: Group S (sham group); group I/R (IRI group); group IPC (ischemic preconditioning group); group SPC (safflower solution preconditioning group). The rats were sacrificed at 24 h after reperfusion, serum levels of ALT and AST were measured and HE staining of liver tissues were made to detect rat liver histological changes and grade liver IRI(Suzuki score); apoptosis were monitored by TUNEL; TNF-α, MIP-2 and ICAM-1 mRNA of liver were measured by RT-PCR; NF-κB gene products of liver were detected by Western blotting.The mean value of all the assay tests was compared.
    Results:After 24 h reperfusion, compared with group I/R, the liver function (ALT and AST) in group SPC and group IPC was significantly improved (P<0.05), Suzuki scores was significantly decreased (P<0.05), the level of hepatic TNF-α, MIP-2 and ICAM-1mRNA was significantly decreased (P<0.05), and the expression of hepatic NF-κB protein was also decreased (P<0.05).
    Conclusions:Donor pretreatment with safflower solution can decrease the severity of warm IRI of liver graft by downregulation of proinflammatory cytokines TNF-α, MIP-2 and ICAM-1 mRNA and by its antiapoptotic effects.

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齐欣,车向前,王超,贺志军.红花注射液对肝热缺血再灌注损伤保护作用的研究[J].中国普通外科杂志,2008,17(7):8-662.
DOI:10.7659/j. issn.1005-6947.2008.07.008

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  • 在线发布日期: 2008-07-25