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添加到威斯康星大学溶液(UW)中的S-亚硝基谷胱甘肽(GSNO)的作用:I)大鼠肝脏冷保存/再灌注期间的形态学改变。

Effect of S-nitrosoglutathione (GSNO) added to the University of Wisconsin solution (UW): I) Morphological alteration during cold preservation/reperfusion of rat liver.

作者信息

Quintana A, Rodriguez J V, Scandizzi A, Guibert E E

机构信息

Morfología, Departamento de Ciencias Biológicas, Facultad de Ciencias Bioquímicas y Farmacéuticas, Universidad Nacional de Rosario, Suipacha 531 (2000) Rosario, Santa Fe, República Argentina.

出版信息

Int J Surg Investig. 2001;2(5):401-11.

Abstract

Cold liver preservation in the University of Wisconsin solution (UW) followed by reperfusion alters hepatic parenchyma and stroma. In this study we demonstrated the benefit of adding S-nitrosoglutathione (GSNO) to the UW solution before cold storage, as an effective Nitric Oxide (NO) donor to prevent hepatic injury. Wistar adult rat livers were stored in UW solution (4 degrees C-48Hs) and then reperfused 60 minutes in the isolated perfused rat liver model (IPRL). Normal untreated livers and perfused livers, but not preserved were used as controls. Parenchymal damages were evaluated with Hematoxylin-Eosin stain and an inmunohistochemistry assay for albumin was used as functional test. To study the stroma, collagen type III and I networks were analyzed using Picro-sirius Red stain and Gordon Sweets' method for reticulin. After 48 Hs of cold preservation in UW solution livers showed few rounded endothelial cells inside sinusoidal lumen and extended areas of cell vacuolation. Albumin distribution was evident only around central veins and middle zones of the hepatic lobule. Collagens III and I networks were disorganized. When preserved with the addition of 100 microM GSNO and then reperfused, the hepatic morphology, in general, was conserved showing little vacuolation, fewer endothelial cells inside sinusoids and good albumin distribution around central veins and middle zones. The stroma had organized networks of collagen III and I. We concluded that the addition of 100 microM GSNO as a NO donor, can improve UW solution properties to preserve rat liver by maintaining the hepatic morphology and avoiding hepatic injury post cold preservation/reperfusion.

摘要

在威斯康星大学溶液(UW)中进行冷肝保存,随后再灌注,会改变肝实质和基质。在本研究中,我们证明了在冷保存前向UW溶液中添加S-亚硝基谷胱甘肽(GSNO)的益处,GSNO作为一种有效的一氧化氮(NO)供体可预防肝损伤。将成年Wistar大鼠肝脏保存在UW溶液中(4℃,48小时),然后在离体灌注大鼠肝脏模型(IPRL)中再灌注60分钟。正常未处理的肝脏和仅进行灌注但未保存的肝脏用作对照。用苏木精-伊红染色评估实质损伤,并使用白蛋白免疫组织化学测定作为功能测试。为了研究基质,使用苦味酸天狼星红染色和戈登·斯威茨网状纤维染色法分析III型和I型胶原网络。在UW溶液中冷保存48小时后,肝脏窦状隙腔内可见少量圆形内皮细胞,并有广泛的细胞空泡化区域。白蛋白分布仅在中央静脉和肝小叶中间带周围明显。III型和I型胶原网络紊乱。当添加100μM GSNO保存然后再灌注时,肝脏形态总体上得以保留,空泡化较少,窦状隙内内皮细胞较少,中央静脉和中间带周围白蛋白分布良好。基质中有组织化的III型和I型胶原网络。我们得出结论,添加100μM GSNO作为NO供体,可以改善UW溶液的特性,通过维持肝脏形态并避免冷保存/再灌注后的肝损伤来保存大鼠肝脏。

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