Sahin M, Avsar F M, Ozel H, Topaloglu S, Yilmaz B, Pasaoglu H, Avunduk M C, Erikoglu M, Hengirmen S
Department of General Surgery, Selçuk University, Medical Faculty, Konya, Turkey.
Transplant Proc. 2004 Nov;36(9):2590-2. doi: 10.1016/j.transproceed.2004.09.057.
The aim of this study was to investigate the effects of dimethyl sulfoxide on liver damage caused by ischemia-reperfusion after portal vein clamping.
Forty New Zealand rabbits were divided into three groups with the portal veins of all the rabbits except the sham group clamped for 30 minutes: group I, sham procedure; group II, control group; and group III, 500 mg/kg DMSO. The drug was administered IM in the left inguinal region 30 minutes before the operation. Blood samples (5 mL) were taken from the animals at 15, 30, and 45 minutes. At the end of the experiment 1 g of liver tissue samples were obtained. Malondialdhyde (MDA), nitric oxide (NO), AST, ALT, and LDH plasma levels were measured in the blood samples. Liver tissue samples stained with hematoxylin eosin were examined under light microscopy for histopathological changes.
The liver enzymes in both clamping groups increased significantly compared with the sham group (P < .01). Enzyme levels of the DMSO group decreased significantly compared to the control clamping group (P < .05). Similar to the enzyme changes, MDA and NO levels increased in the portal vein clamping versus the sham group and decreased in the drug-administered group versus the control clamped group (P < .03). The severity of histopathological changes was less in the DMSO group than in the clamped controls.
DMSO decreased the severity of liver damage after portal vein clamping.
本研究旨在探讨二甲基亚砜对门静脉阻断后缺血再灌注所致肝损伤的影响。
40只新西兰兔分为三组,除假手术组外,其余兔门静脉均阻断30分钟:第一组,假手术组;第二组,对照组;第三组,500mg/kg二甲基亚砜组。药物于手术前30分钟在左腹股沟区肌肉注射。分别于15、30和45分钟从动物体内采集5mL血样。实验结束时获取1g肝组织样本。检测血样中丙二醛(MDA)、一氧化氮(NO)、谷草转氨酶(AST)、谷丙转氨酶(ALT)和乳酸脱氢酶(LDH)的血浆水平。对苏木精伊红染色的肝组织样本进行光镜检查,观察组织病理学变化。
与假手术组相比,两个阻断组的肝酶均显著升高(P <.01)。与对照组相比,二甲基亚砜组的酶水平显著降低(P <.05)。与酶变化相似,门静脉阻断组的MDA和NO水平相对于假手术组升高,而给药组相对于对照组降低(P <.03)。二甲基亚砜组组织病理学变化的严重程度低于阻断对照组。
二甲基亚砜减轻了门静脉阻断后肝损伤的严重程度。