国际麻醉学与复苏杂志   2015, Issue (12): 1-1
    
七氟醚预处理对大鼠部分肝缺血-再灌注肺损伤的保护作用
徐桂萍, 王晓丽, 管小萌1()
1.新疆维吾尔自治区人民医院麻醉科
Protective effect of sevoflurane preconditioning on partial hepatic ischemia-reperfusion lung injury in rat
 全文:
摘要:

【摘要】 目的:七氟醚预处理对大鼠部分肝缺血-再灌注(I/R)肺损伤时肺组织基质金属蛋白酶9 (MMP-9)mRNA表达的影响。方法:健康wister大鼠54只,体重270-330g,随机分为3组(n=18):假手术组(S组)仅游离肝门,但不阻断;肝缺血-再灌注组(I/R组)采用阻断肝左、中叶(70%)血供30min后再灌注的方法建立大鼠部分肝缺血-再灌注模型;七氟醚预处理组(Sev组)吸入2.1%七氟醚30min,停止吸入后制备部分肝缺血-再灌注模型。分别于再灌注30、60和120min时随机处死6只大鼠,取肺组织,HE染色,光镜下观察肺组织病理学结果,进行肺损伤评分,测肺组织湿/干重(W/D)比、肺组织髓过氧化物酶(MPO),并以逆转录聚合酶链式反应(RT-PCR)方法检测肺组织基质金属蛋白酶9(MMP-9) mRNA的相对表达量。结果:与S组相比较,I/R组及Sev组再灌注各时间点肺损伤评分、W/D比、MPO含量及MMP-9 mRNA表达水平均增高(P<0.05);与I/R组相比较,Sev组再灌注各时间点肺损伤评分、W/D比、MPO含量及MMP-9 mRNA表达水平降低(P<0.05)。结论:七氟醚可减轻部分肝I-R肺损伤,抑制肺组织MMP-9 mRNA的表达可能是其机制之一。

关键词: 【关键字】麻醉药 吸入 肝缺血再灌注 肺损伤
Abstract:

[Abstract] Objective To investigate the effects of sevoflurane preconditioning on pulmonary matrix metalloproteinases(mmp-9) mRNA during partial hepatic ischemia-reperfusion lung injury in rats and mechanism involved. Methods fifty-four male Wister rats weighing 270-330g were randomly divided into 3 groups (n=18 each): sham operation group (group S): the hilum of liver was isolated but not clamped; partial hepatic ischemia-reperfusion (I/R): the left and median lobe of liver was occluded for 30min followed by reperfusion; sevoflurane preconditioning group (group Sev): 2.1%sevoflurane was inhaled for 30 min.and partial heptic I/R was induced after the end of inhalation in group Sev. Six rats in each group were chosen at 30,60 and 120 min of reperfusion and sacrificed, and lungs were removed for microscope examination of pathologic changes which were scored and for determination of wet/dry lung weight(W/D)ratio,MPO activity(by colorimetrie method)and the expression of MMP-9 mRNA(by RT-PCR).Results Compared with group S, the pathological score,the W/D ratio,MPO activity and expression of MMP-9 mRNA were significantly increased in groups I/R and Sev(P<0.05).Compared with group I/R,the pathological score,the W/D ratio,MPO activity and expression of MMP-9 mRNA were significantly decreased in group Sev(P<0.05).Conclusion Severe acute lung injury after partial hepatic I/R in rats is attenuated by sevoflurane.An inhibition of MMP-9 mRNA expression in lung tissues may be one of the mechanisms for that.

Key words: [Key words] Anesthetics,inhalation;Heptic ischemia-reperfusion ;Lung injury