国际麻醉学与复苏杂志   2010, Issue (3): 199-202
    
七氟烷预处理对脂多糖致大鼠急性肺损伤的保护作用
王卉 赵建华 豆立冬 方志源1()
1.221002, 徐州医学院江苏省麻醉学重点实验室&江苏省麻醉医学研究所(王卉、豆立冬);苏州市立医院麻醉科 (王卉、 赵建华、 方志源)
Protective effects of sevoflurane pretreatment on LPS-induced acute lung injury in rats
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摘要:

目的 评价七氟烷预处理对脂多糖(lipopolysaccharides,LPS)所致大鼠急性肺损伤(acute lung injury,ALI) 的影响。方法 72只 SD 大鼠随机分成 6 组: NS 组、 LPS 组和七氟烷预处理(S-1h 组、 S-6h 组、S-12h组、 S-24h 组)。通过气管内滴注LPS 建立大鼠ALI模型。大鼠在气道内给予 LPS或 NS 后 6h 处死, 检测不同时间点七氟烷预处理 (2.4%,30min) 对支气管肺泡灌洗液 (bronchoalveolar lavage fluid, BALF) 中白细胞计数、 细胞因子TNF-α和IL-1β水平, 肺组织髓过氧化物酶 (myeloperoxidase,MPO)活性,肺血管通透性及肺组织病理学等的影响。 结果 与NS 组相比, LPS组肺组织损伤程度,BALF 白细胞计数以及TNF-α和IL-1β 水平, 血管通透性和肺组织MPO 活性均显著增高 (P<0.001) 。给予LPS前 1h 和24h 七氟烷预处理能降低肺组织MPO活性, BALF中TNF-α水平及白细胞计数 (P<0.001), 而S-6h组和 S-12h组与LPS组相比无明显差别。 七氟烷预处理均能够降低肺血管通透性和BALF中 TNF-α水平 (P<0.001), 且以S-1h 和S-24h组为显著 (P<0.001) 。提示七氟烷预处理对 LPS所致肺损伤具有早期和延时的保护作用。 结论 气道内给予LPS 1h 和 24h 前七氟烷预处理对LPS 致大鼠ALI具有保护作用。

关键词: 急性肺损伤; 七氟烷; 脂多糖; 细胞因子
Abstract:

Objective To investigate the effects of sevoflurane pretreatment on Lipopolysaccharide (LPS)-induced acute lung injury(ALI) in rats. Methods Seventy-two Sprague-Dawley rats were randomly divided into 6 groups: NS group, LPS group and sevoflurane pretreatment(S-1 h group, S-6 h group, S-12 h group and S-24 h group). The rat model of ALI was established by intratracheal instillation of LPS. Animals were sacrificed at 6 h after LPS or NS administration. Leukocyte count, concentration of TNF-α and IL-1β in bronchoalveolar lavage fluid(BALF); pulmonary capillary permeability, myeloperoxidase(MPO) activity of lung tissue; lung histological changes were compared in rats with or without sevoflurane pretreatment (2.4% inspired for 30 min) at different times before LPS instillation. Results Compared with the NS group,severe injury of lung tissues and increase in leukocyte count in BALF, Production of TNF-α and IL-1β in BALF, pulmonary capillary permeability and MPO activity in the lung were significantly increased in rats treated with LPS(P<0.01). MPO activity, leukocyte count and production of IL-1β in BALF were reduced when sevoflurane was given 1 or 24 h before but not at 6 or 12 h before LPS instillation(P<0.01). Sevoflurane pretreatment also attenuated pulmonary capillary permeability and production of TNF-α in BALF(P<0.01). Pulmonary capillary permeability and concentration of TNF-α in S-1 h and S-24 h group was lower than S-6 h and S-12 h group(P<0.01). Sevoflurane pretreatment was effective at 1 h and 24 h suggesting sevoflurane has early and late protection against LPS-induced lung injury. Conclusion Sevoflurane pretreatment has protective effects against acute lung injury when given 1 or 12 h before LPS instillation.

Key words: Acute lung injury; Sevoflurane; Lipopolysaccharides; Cytokines