国际麻醉学与复苏杂志   2013, Issue (8): 9-9
    
依达拉奉对犬体外循环后肺组织转化生长因子-β1的表达影响
谢海辉, 张曙, 杜魏1()
1.广东省东莞市人民医院麻醉科
Effects of Edaravone on the expression of TGF-β1 in lung during cardiopulmonary bypass in dog
 全文:
摘要:

【摘要】目的 探讨依达拉奉对犬体外循环(CPB)后肺组织的转化生长因子-β1(TGF-β1)影响。方法 建立成年犬CPB相关肺损伤模型,随机分为3组(n=10),C组(CPB中用生理盐水),E1组(CPB前用依达拉奉),E2(CPB中用依达拉奉)。通过监测5个不同时段,即CPB前(T0)、CPB中30min(T1)、停机后15min(T2)、30min(T3)、60min(T4)时间点取肺组织标本,检测肺组织TGF-β1的表达并光镜学观察病理结构、肺组织超氧化物歧化酶(SOD)活性,同时于T0、T3、T4时间点抽取动脉血测定呼吸指数(RI)。结果 与T0比较,T3、T4 3组RI均升高(P <0.05),E1组、E2组升高幅度低C组 (P <0.05),且E1组低于E2组(P <0.05);与T0比较,3组肺组织中SOD活性均下降(P <0.05),与C组比较,E1组、E2组肺组织中SOD活性下降幅度低(P <0.05);组织学检查:C组肺部炎症改变较重;E1组、E2组相应改变明显减轻; T0时3组肺组织中偶见TGF-β1表达;随CPB时间的延长,TGF-β1表达均增强,且E1组弱于E2组、C组(P<0.05)。结 论 CPB可使肺组织TGF-β1表达明显增强,依达拉奉能抑制肺组织TGF-β1的表达、改善RI,减轻肺损伤;且CPB前依达拉奉的保护效果且优于CPB中用。

关键词: 依达拉奉;体外循环;转化生长因子-β1;肺损伤;犬
Abstract:

Abstract Objective To study the effect of Edaravone (ED) on TGF-β1 of cardio- pulmonary bypass (CPB)-induced lung injury. Methods 30 adult hybrid health dogs, were randomly divided into three groups(n=10): groupC(received normal saline after CPB), groupE1 (receive ED given intravenously after CPB started), groupE2(receive ED before CPB started). Lung specimens were obtained before CPB(T0)、at 30min following CPB(T1)、15min after CPB(T2)、30 min after CPB(T3)、60 min after CPB(T4)in all groups. The expression of TGF-β1, superoxide dismutase activity( SOD) lung tissue was detected at above-mentioned time points. and the histological appearance of lung under microscope in 3 groups were examined. Blood samples were collected from femoral artery for the monitoring of Respiratory index(RI)at T0 ,T2, T3. and then to understand the effects of ED on pulmonary TGF-β1 of CPB-induced acute lung injury. Results No significant differences were found in the levels of RI in the three groups before CPB (P>0.05). However, RI were increased gradually after CPB(P<0.05), They was increased significantly greater in group c than in groupE1, E2 at T2,T3 (P<0.05). the RI were significantly lower in group E1 than in group E2 at T2,T3 (P<0.05); No significant differences were found in the content in lung tissu SOD activity in the three groups before CPB (P>0.05). They were gradually decreased after CPB(P<0.05), they were still significantly lower in group E1 and groupE2 than those in group C at T1,T2 ,T3,T4 (P<0.05); by electromicroscop examination, lung inflammatory to chang, However These changes were markedly alleviated in group E2 and group E1 ; expression of TGF-β1: The expression of TGF-β1 was ocassionally detected at T0 and was increased in three groups with the time of CPB, but it was lower in group E1 than that in group E2 and group C. Conclusion The expression of TGF-β1 significantly increased after CPB. ED could can clearance down-regulate expression of TGF-β1, to improve RI,may provide better protection against the injuries. The protetive effect of is better with in in group E1 than in group E2.

Key words: Edaravone; TGF-β1; cardiopulmonary bypass; lung injury; dog