Ajamieh H H, Menéndez S, Martínez-Sánchez G, Candelario-Jalil E, Re L, Giuliani A, Fernández Olga Sonia León
Center of Studies for Research and Biological Evaluation (CEIEB-IFAL-UH), University of Havana, Havana City, Cuba.
Liver Int. 2004 Feb;24(1):55-62. doi: 10.1111/j.1478-3231.2004.00885.x.
Many studies indicate that oxygen free-radical formation after reoxygenation of liver may initiate the cascade of hepatocellular injury. It has been demonstrated that controlled ozone administration may promote an oxidative preconditioning or adaptation to oxidative stress, preventing the damage induced by reactive oxygen species and protecting against liver ischaemia-reperfusion (I/R) injury.
In the present study, the effects of ozone oxidative preconditioning (OzoneOP) on nitric oxide (NO) generation and the cellular redox balance have been studied.
Six groups of rats were classified as follows: (1). sham-operated; (2). sham-operated+l-NAME (N(omega)-nitro-l-arginine methyl ester); (3). I/R (ischaemia 90 min-reperfusion 90 min); (4). OzoneOP+I/R; (5). OzoneOP+l-NAME+I/R; and (6). l-NAME+I/R. The following parameters were measured: plasma transaminases (aspartate aminotransferase, alanine aminotransferase) as an index of hepatocellular injury; in homogenates of hepatic tissue: nitrate/nitrite as an index of NO production; superoxide dismutase (SOD), catalase (CAT) and glutathione levels as markers of endogenous antioxidant system; and finally malondialdehyde+4-hydroxyalkenals (MDA+4-HDA) and total hydroperoxides (TH) as indicators of oxidative stress.
A correspondence between liver damage and the increase of NO, CAT, TH, glutathione and MDA+4-HDA concentrations were observed just as a decrease of SOD activity. OzoneOP prevented and attenuated hepatic damage in I/R and OzoneOP+l-NAME+I/R, respectively, in close relation with the above-mentioned parameters.
These results show that OzoneOP protected against liver I/R injury through mechanisms that promote a regulation of endogenous NO concentrations and maintenance of cellular redox balance. Ozone treatment may have important clinical implications, particularly in view of the increasing hepatic transplantation programs.
许多研究表明,肝脏复氧后氧自由基的形成可能引发肝细胞损伤的级联反应。已经证明,控制性臭氧给药可能促进氧化预处理或对氧化应激的适应,防止活性氧诱导的损伤,并预防肝脏缺血再灌注(I/R)损伤。
在本研究中,研究了臭氧氧化预处理(OzoneOP)对一氧化氮(NO)生成和细胞氧化还原平衡的影响。
将六组大鼠分类如下:(1)假手术组;(2)假手术 + l-NAME(N(ω)-硝基-l-精氨酸甲酯)组;(3)I/R(缺血90分钟 - 再灌注90分钟)组;(4)OzoneOP + I/R组;(5)OzoneOP + l-NAME + I/R组;(6)l-NAME + I/R组。测量以下参数:作为肝细胞损伤指标的血浆转氨酶(天冬氨酸转氨酶、丙氨酸转氨酶);肝组织匀浆中:作为NO产生指标的硝酸盐/亚硝酸盐;作为内源性抗氧化系统标志物的超氧化物歧化酶(SOD)、过氧化氢酶(CAT)和谷胱甘肽水平;最后,作为氧化应激指标的丙二醛 + 4-羟基烯醛(MDA + 4-HDA)和总氢过氧化物(TH)。
观察到肝脏损伤与NO、CAT、TH、谷胱甘肽和MDA + 4-HDA浓度的增加以及SOD活性的降低之间存在对应关系。OzoneOP分别预防和减轻了I/R组以及OzoneOP + l-NAME + I/R组中的肝损伤,这与上述参数密切相关。
这些结果表明,OzoneOP通过促进内源性NO浓度的调节和维持细胞氧化还原平衡的机制来预防肝脏I/R损伤。臭氧治疗可能具有重要的临床意义,特别是考虑到肝脏移植项目的增加。