Akahane M, Ono H, Ohgushi H, Tamai S
Department of Orthopedic Surgery, Nara Medical University, Kashihara city, Japan.
J Orthop Res. 2001 Jul;19(4):559-64. doi: 10.1016/S0736-0266(00)00062-0.
The rat's skeletal muscle viability was evaluated using the muscle viability index (MVI) which reflects the mRNA degradation. To evaluate ischemic injury of the muscle, 24 hind limbs of Fischer rats (three subgroups of eight rats each) were preserved at normothermia for 1, 3 and 6 h and then tibialis anterior muscle was harvested. To investigate ischemia/reperfusion injury, another 48 limbs were transplanted to recipient Fischer rats after the ischemia at normothermia for 1, 3 and 6 h, respectively. The transplanted muscles were harvested on day 3 and day 7 after transplantation. Eight fresh muscles were also harvested and used as control. Total RNA isolated from each muscle was fractionated by electrophoresis and hybridized with 32P-labelled cDNA of GAPDH, and the radioactivity of intact and degraded GAPDH mRNA was measured. MVI was calculated as follows, MVI = [X/(X + Y)] x 100, where X and Y represent the radioactivities corresponding to intact GAPDH and degraded GAPDH mRNA band, respectively. In 1-h ischemia group, the MVI indices of both ischemic insult and ischemia/reperfusion group were comparable to control. In the 3-h ischemia group, the index of ischemia/reperfused group was comparable to control although the index of ischemic insult group was significantly lower than control. However, in the 6-h ischemia group, both indices of ischemic insult and ischemia/reperfusion group were significantly lower than control. These results show that the muscle damage was detected in ischemia at normothermia even after 3 h. However, this damage was overcome by reperfusion. There was no recovery from damage in muscles that had been preserved for more than 6 h which had resulted in irreversible degeneration. Therefore, in clinical muscle transplantation, one has to transplant the muscle at least within 3-h ischemia.
使用反映mRNA降解情况的肌肉活力指数(MVI)来评估大鼠骨骼肌的活力。为评估肌肉的缺血损伤,将24只Fischer大鼠的后肢(每组8只大鼠,共三个亚组)在常温下分别保存1小时、3小时和6小时,然后摘取胫骨前肌。为研究缺血/再灌注损伤,另外48只后肢在常温下分别缺血1小时、3小时和6小时后移植到受体Fischer大鼠体内。在移植后第3天和第7天摘取移植的肌肉。还摘取了8块新鲜肌肉作为对照。从每块肌肉中分离出的总RNA通过电泳进行分级分离,并与用32P标记的甘油醛-3-磷酸脱氢酶(GAPDH)cDNA杂交,测量完整和降解的GAPDH mRNA的放射性。MVI的计算方法如下:MVI = [X / (X + Y)] × 100,其中X和Y分别代表与完整GAPDH和降解的GAPDH mRNA条带相对应的放射性。在1小时缺血组中,缺血损伤组和缺血/再灌注组的MVI指数均与对照组相当。在3小时缺血组中,缺血/再灌注组的指数与对照组相当,尽管缺血损伤组的指数明显低于对照组。然而,在6小时缺血组中,缺血损伤组和缺血/再灌注组的指数均明显低于对照组。这些结果表明,即使在3小时后,常温下的缺血也能检测到肌肉损伤。然而,这种损伤可通过再灌注得到克服。在保存超过6小时的肌肉中,损伤无法恢复,这导致了不可逆的变性。因此,在临床肌肉移植中,必须在缺血3小时内至少完成肌肉移植。