Ozden Tülin Ayse, Uzun Hafize, Bohloli Mehrdad, Toklu Akin Savas, Paksoy Melih, Simsek Gönül, Durak Haydar, Issever Halim, Ipek Turgut
Institute of Child Health, Trace Element Unit, Istanbul University, Capa, Turkey.
Tohoku J Exp Med. 2004 Aug;203(4):253-65. doi: 10.1620/tjem.203.253.
The effects of hyperbaric oxygen (HBO) therapy on oxidant/antioxidant metabolism are controversial and its effects on hepatic regeneration are not known. In this study, we investigated a possible beneficial effect of HBO therapy on oxidant and antioxidants levels during liver regeneration. To conduct this study, seventy percent hepatectomy was performed on forty-eight Spraggue-Dawley rats and the rats were divided into two equal groups: HBO-treated group and untreated group (non-HBO group). We determined the levels of malondialdehyde (MDA), an oxidative stress marker, and the levels of antioxidant enzymes/reagents, including glutathione (GSH), superoxide dismutase (SOD) activity, copper (Cu) and zinc (Zn), in the remnant liver samples. We also measured mitotic index (MI) and proliferating cell nuclear antigen (PCNA) levels to assess the degree of liver regeneration. HBO treatment significantly decreased MDA levels, whereas it increased SOD activity, GSH and Zn levels. In contrast, Cu levels were lower in the HBO-treated livers than the levels in the untreated remnant livers. The effect of HBO treatment may be mediated by the suppression of certain enzymes that are responsible for lipid peroxidation. In addition, HBO treatment may induce the production of antioxidant enzymes/reagents by remnant liver tissues. The HBO-treated rats maintained their body weights but the untreated rats lost body weights. HBO treatment also increased MI and PCNA levels, indicating HBO treatment enhances liver regeneration. These results indicate that HBO treatment has beneficial effects on liver regeneration by decreasing MDA and by increasing antioxidant activities. We therefore suggest that HBO therapy may be useful after liver resection.
高压氧(HBO)治疗对氧化/抗氧化代谢的影响存在争议,其对肝再生的影响尚不清楚。在本研究中,我们调查了HBO治疗对肝再生过程中氧化剂和抗氧化剂水平的潜在有益作用。为进行本研究,对48只Spraggue-Dawley大鼠实施70%肝切除术,并将大鼠分为两组,每组数量相等:HBO治疗组和未治疗组(非HBO组)。我们测定了残余肝脏样本中氧化应激标志物丙二醛(MDA)的水平,以及抗氧化酶/试剂的水平,包括谷胱甘肽(GSH)、超氧化物歧化酶(SOD)活性、铜(Cu)和锌(Zn)。我们还测量了有丝分裂指数(MI)和增殖细胞核抗原(PCNA)水平,以评估肝再生程度。HBO治疗显著降低了MDA水平,而提高了SOD活性、GSH和Zn水平。相比之下,HBO治疗的肝脏中Cu水平低于未治疗的残余肝脏中的水平。HBO治疗的效果可能是通过抑制某些负责脂质过氧化的酶来介导的。此外,HBO治疗可能诱导残余肝组织产生抗氧化酶/试剂。HBO治疗的大鼠维持了体重,但未治疗的大鼠体重减轻。HBO治疗还提高了MI和PCNA水平,表明HBO治疗增强了肝再生。这些结果表明,HBO治疗通过降低MDA和提高抗氧化活性对肝再生具有有益作用。因此,我们建议HBO治疗在肝切除术后可能有用。