国际麻醉学与复苏杂志   2013, Issue (9): 4-4
    
七氟醚对兔肝缺血/再灌注损伤后肝组织丙二醛、血浆丙氨酸转氨酶和谷草转氨酶活性及c-fos蛋白的表达的影响
梁启胜, 杨茗峻, 梁伟晨1()
1.安徽蚌埠医学院第一附属医院
Effects of influence MDA, plasma ALT and AST activity and c-fos protein expression after using sevoflurane on hepatic ischemia-reperfusion injury in rabbits
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摘要:

【摘要】目的 探讨七氟醚麻醉对兔肝缺血/再灌注(ischemia reperfusion, I/R)损伤的影响。方法 健康成年新西兰大白兔21只,按照随机数字表法分为3组( n= 7):假手术组﹙S组﹚、肝I/R组﹙I/R组﹚、七氟醚麻醉组﹙Sev-I/R组﹚。结扎肝动脉建立兔肝脏缺血再灌注损伤模型,分别于缺血前( T 1)、缺血45 min( T 2)和再灌注60 min(T3)测定血浆丙氨酸转氨酶 (AST)及谷草转氨酶(ALT)水平,于T3测定肝组织丙二醛(MDA)含量;免疫组化染色检测c-fos蛋白的表达情况。结果 与S组比较,I/R组血浆ALT和AST活性[T2:(48±6)U/L和(48±7)U/L,T3:(66±6)U/L和(70±6)U/L]及Sev-I/R组血浆ALT和AST活性[T2:(43±7)U/L和(41±3)U/L,T3:(48±6)U/L和(50±6)U/L]、肝组织 MDA含量和c-fos蛋白表达水平均明显升高 (P<0.05或P<0.01); Sev-I/R组所有这些实验指标均明显低于I/R组(P<0.05或P<0.01)。结论 七氟醚对缺血再灌注损伤兔肝组织有保护作用,可与其降低活性氧产物有关。。

关键词: 七氟醚;缺血再灌注;损伤;c-fos蛋白
Abstract:

【Abstract】Objective To investigate the effects of sevoflurane anesthesia on hepatic ischemia-reperfusion (I/R) injury in rabbits. Methods Twenty one healthy adult New Zealand white rabbits were randomly divided into three groups( n= 7): sham operation group (group S), ischemia reperfusion group (group I/R) and sevoflurane group (Sev-IR group) .With 7 in each group. The liver I/R injury rabbit model was produced by occlusion of hepatic blood flow for 45 min followed by 60 min reperfusion. Blood samples were collected at before (T1) and 45 min post ischemia (T2) and 60 min post-reperfusion(T3) respectively for measurement of plasma levels of AST and ALT. Liver specimens were obtained at the end of the experiment for determination of MDA content and examination of pathological changes by HE staining. The expression levels of c-fos protein were observed through immunohistochemisty. Results Compared with group S, plasma ALT and AST activity of [T2: (48 ± 6) U/L and (48 ± 7) U/L, T3: (66 ± 6) U/L and (70 ± 6) U/L] in group I/R .and in Sev-I/R group, plasma ALT and AST activity of [T2: (43 ± 7) U/L and (41 ± 3 U/L, T3): (48 ± 6) U/L and (50 ± 6) U/L],the content of MDA and the expression levels of c-fos protein in I/R group and Sev-I/R group increased significantly (P <0.05 or P < 0.01). All the indices in group Sev-I/R were lower than these in group I/R (P<0.05 or P<0.01). Conclusions Sevoflurane could protect the rabbit liver from ischemia-reperfusion injury, it may be relative to the down-regulation of peroxides.

Key words: Sevoflurane; ischemia-Reperfusion;injury; c-fos