Agay D, Anderson R A, Sandre C, Bryden N A, Alonso A, Roussel A M, Chancerelle Y
Centre de Recherches du Service de Santé des Armées, 24 Avenue du Maquis du Grésivaudan, BP87, 38702 La Tronche Cedex, France.
Burns. 2005 May;31(3):366-71. doi: 10.1016/j.burns.2004.11.010.
To improve the nutritional support for burn patients, we evaluated the alterations of selenium, zinc and copper (Se, Zn and Cu) and their possible contributions to an unbalanced antioxidant response to burn injury. These trace elements and the related antioxidant enzymes, glutathione peroxidase (GPx) and superoxide dismutase (SOD), were studied both in plasma (or serum) and tissues of 20% total body surface area (TBSA) burned rats for 10 days. While plasma Se and serum Zn levels significantly decreased 6 h after burn injury, serum Cu levels increased after 1 day and remained elevated the following 9 days. Selenium levels increased in kidney but decreased progressively in liver. The hepatic Zn and Cu concentrations followed a biphasic increase following burn injury. During the first day, GPx activity decreased in plasma and remained unchanged in the organs, except for a moderate diminution in the liver. Liver Cu/Zn SOD activity increased from 6 h to 4 days. In summary, following burn injury, copper and zinc were redistributed to the liver and selenium to the kidney with non-detectable changes in the muscle and brain. Changes in antioxidant enzyme activities following burn injury were significant mainly in the plasma. Early combined antioxidant supplementation to maintain and restore antioxidant status in burn patients requires further study.
为改善烧伤患者的营养支持,我们评估了硒、锌和铜(Se、Zn和Cu)的变化及其对烧伤损伤后抗氧化反应失衡的可能影响。在20%体表面积(TBSA)烧伤大鼠的血浆(或血清)和组织中,对这些微量元素以及相关抗氧化酶谷胱甘肽过氧化物酶(GPx)和超氧化物歧化酶(SOD)进行了为期10天的研究。烧伤后6小时,血浆硒和血清锌水平显著降低,血清铜水平在1天后升高,并在随后9天保持升高。肾脏中硒水平升高,而肝脏中硒水平逐渐降低。烧伤后肝脏锌和铜浓度呈双相增加。在第一天,血浆中GPx活性降低,除肝脏有适度降低外,各器官中GPx活性保持不变。肝脏铜/锌超氧化物歧化酶活性从6小时到4天增加。总之,烧伤后,铜和锌重新分布到肝脏,硒重新分布到肾脏,肌肉和大脑中未检测到变化。烧伤后抗氧化酶活性的变化主要在血浆中显著。早期联合补充抗氧化剂以维持和恢复烧伤患者的抗氧化状态需要进一步研究。