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[大鼠肝脏缺血再灌注所致肝损伤。报告2:肝脏损伤与再灌注期的关系]

[An injury of the liver caused by ischemia-reperfusion in rat liver. Report 2: Relationship between the damage of the liver and during the period of reperfusion].

作者信息

Egashira T, Kudo Y, Murayama F, Goto S, Kono T, Takayama F, Yamanaka Y

机构信息

Department of Pharmacology, Oita Medical University, Japan.

出版信息

Nihon Yakurigaku Zasshi. 1992 Nov;100(5):445-51. doi: 10.1254/fpj.100.445.

Abstract

Liver injury by 30-min ischemia following reperfusion was examined biochemically and histopathologically. A greater increase in the level of LDH was observed after 1-hr reperfusion. However, the level of LDH decreased in proportion to the period of reperfusion, while the levels of GOT and GPT were also increased rapidly and reached its peak at 12 hr following reperfusion and were almost restored to the control level by 48 hr. A similar increase was obtained in the lipid peroxides of the liver. In addition, cyt. P-450 content and NADPH cyt. c reductase activity decreased in proportion to the period of reperfusion up to 12 hr and then recovered by 96 hr. On the other hand, heme oxygenase activity was significantly increased by ischemia-reperfusion. The ischemia-reperfused liver resulted in various morphological changes with the period of reperfusion. The destruction of Disse's space, vacuolization of the cytoplasm and nonviable hepatocytes were observed after 12-hr reperfusion. These results indicate the greatest damages of the liver induced by 30-min ischemia following reperfusion is observed after 12-hr or 24-hr reperfusion. The liver injury by ischemia-reperfusion could be a useful experimental model to develop for future studies.

摘要

通过生化和组织病理学方法检测了再灌注后30分钟缺血引起的肝损伤。再灌注1小时后观察到乳酸脱氢酶(LDH)水平有更大幅度的升高。然而,LDH水平随再灌注时间成比例下降,而谷草转氨酶(GOT)和谷丙转氨酶(GPT)水平也迅速升高,并在再灌注后12小时达到峰值,到48小时时几乎恢复到对照水平。肝脏的脂质过氧化物也有类似的升高。此外,细胞色素P - 450含量和NADPH细胞色素c还原酶活性在再灌注12小时内随再灌注时间成比例下降,然后在96小时时恢复。另一方面,血红素加氧酶活性因缺血再灌注而显著增加。随着再灌注时间的延长,缺血再灌注肝脏出现了各种形态学变化。再灌注12小时后观察到狄氏间隙破坏、细胞质空泡化和肝细胞死亡。这些结果表明,再灌注后12小时或24小时观察到的再灌注后30分钟缺血引起的肝脏损伤最为严重。缺血再灌注引起的肝损伤可能是未来研究中一种有用的实验模型。

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