Zinchuk V V, Khodosovsky M N, Maslakov D A
Department of Physiology, Grodno Medical University, 80 Gorki st., 230015 Grodno, Belarus.
Physiol Res. 2003;52(5):533-44.
Oxygen supply was corrected in rabbits during the hepatic ischemia/reperfusion by means of different breathing mixtures: hypoxic (14.8 % O(2)+85.2 % N(2)), hyperoxic (78 % O(2)+20.2 % N(2)+ 1.8 % CO(2)), or hypercapnic (5 % CO(2) in air). Hepatic ischemia was induced for 30 min by ligation of hepatic artery, reperfusion period lasted 120 min. Indices of blood oxygen transport (p50(act), pCO(2), pH, pO(2), etc.) and prooxidant-antioxidant balance (Schiff bases, conjugated dienes, catalase, retinol, alpha-tocopherol) were measured in the blood and liver. The severity of reperfusion damage was evaluated by the activities of alanine and aspartate aminotransferases (ALT, AST) in the blood. Hepatic ischemia/reperfusion resulted in higher p50(act) in hepatic venous and mixed venous blood in all experimental groups. The changes of p50(act) were most marked in the hypercapnic group and were the weakest in the hypoxic group. The rise in p50(act) was accompanied by higher levels of lipid peroxidation products, ALT and AST in blood and liver homogenates, and by a simultaneous fall of alpha-tocopherol and retinol concentrations, except in the hypoxic group. Catalase activity at the end of reperfusion increased under normoxia, decreased under hyperoxia or hypercapnia and did not change under hypoxia. The moderate hypoxia during reperfusion was accompanied by a better balance between the mechanisms of reactive oxygen species production and inactivation that may be observed by optimal changes in p50act and reduced the hepatic damage in this pathological condition.
在兔肝缺血/再灌注期间,通过不同的呼吸混合气来纠正氧供应:低氧(14.8% O₂ + 85.2% N₂)、高氧(78% O₂ + 20.2% N₂ + 1.8% CO₂)或高碳酸血症(空气中含5% CO₂)。通过结扎肝动脉诱导肝缺血30分钟,再灌注期持续120分钟。测定血液和肝脏中的血氧运输指标(实际p50、pCO₂、pH、pO₂等)以及抗氧化平衡指标(席夫碱、共轭二烯、过氧化氢酶、视黄醇、α-生育酚)。通过血液中丙氨酸和天冬氨酸转氨酶(ALT、AST)的活性评估再灌注损伤的严重程度。肝缺血/再灌注导致所有实验组肝静脉血和混合静脉血中的实际p50升高。实际p50的变化在高碳酸血症组最为明显,在低氧组最弱。实际p50的升高伴随着血液和肝脏匀浆中脂质过氧化产物、ALT和AST水平的升高,以及α-生育酚和视黄醇浓度的同时下降,但低氧组除外。再灌注结束时,过氧化氢酶活性在常氧下升高,在高氧或高碳酸血症下降低,在低氧下不变。再灌注期间的中度低氧伴随着活性氧产生和失活机制之间更好的平衡,这可通过实际p50的最佳变化观察到,并减轻了这种病理状态下的肝损伤。