Tao Ke, Chen Bi, Hu Da-hai, Wang Bo-tao
Department of Burn Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, P.R. China.
Zhonghua Shao Shang Za Zhi. 2005 Dec;21(6):455-8.
To investigate the influence of non-peptide neuro-kinase 1 (NK1) receptor antagonist L-703, 606 on the early tissue edema formation in rats with deep partial-thickness scald.
One hundred and fifty-two SD rats were enrolled in the study and were randomly divided into normal control (NC, n = 8), scald control (SC, n = 48, with 20% TBSA deep partial thickness scald), L-703, 606 treatment (LT, n = 48, with 20% TBSA deep partial-thickness scald 20 minutes after caudal vein injection of 250 nmol/kg L-703, 606) and beta-aescin treatment (AT, n = 48, with 20% TBSA deep-partial-thickness scald 30 minutes after caudal vein injection of 1.8 mg/kg beta-aescin) groups. The rats were sacrificed at 1, 4, 8, 24, 48 and 72 post scald hours (PSHs), with 8 rats at each time point. The peri-wound tissue and jejunum samples were harvested for the detection of vascular permeability and tissue water content with modified Evans blue extravasation method and average water content assay.
The vascular permeability was significantly higher in the peri-wound tissue and jejunum in SC, LT an AT groups than that in NC group (P < 0.01) at 1 PSH, and it decreased gradually at 4 PSH. The vascular permeability in the peri-wound tissue in LT and AT group was significantly lower than that in SC group (P < 0.01), and that in LT group was markedly higher than that in AT group (P < 0.01) at 48 and 72 PSHs. The vascular permeability of jejunum tissue in LT group was lower than that in SC group within 24 PSH (P < 0.01), while that in AT group was lower than that in LT group at the early postscald stage (P < 0.01), but no obvious difference was found between the two groups after 72 PSH (P > 0.05). The change in the tissue water content was as follows: Dehydration was observed in peri-wound tissue in SC, LT and AT groups at 1 PSH. The tissue water content increased gradually thereafter and reached the peak at 8 and 24 PSH. Certain degree of dehydration was observed in jejunum tissue in SC, LT and AT groups at early postscald stage. The water content in jejunum tissue in LT group was evidently higher than that in SC and AT groups (P < 0.05 or 0.01), edema was evident at 8 PSH, and it became more obvious at 48 PSH, then it subsided gradually. Edema was less evident in LT group.
Nonpeptide NK1-receptor antagonist L-703, 606 was able to mitigate the vascular permeability and reduce tissue water content in peri-wound and jejunal tissues.
探讨非肽类神经激肽1(NK1)受体拮抗剂L-703,606对大鼠深Ⅱ度烫伤早期组织水肿形成的影响。
152只SD大鼠纳入本研究,随机分为正常对照组(NC,n = 8)、烫伤对照组(SC,n = 48,20%总体表面积深Ⅱ度烫伤)、L-703,606治疗组(LT,n = 48,尾静脉注射250 nmol/kg L-703,606 20分钟后20%总体表面积深Ⅱ度烫伤)和七叶皂苷钠治疗组(AT,n = 48,尾静脉注射1.8 mg/kg七叶皂苷钠30分钟后20%总体表面积深Ⅱ度烫伤)。烫伤后1、4、8、24、48和72小时处死大鼠,每个时间点8只。采集创面周围组织和空肠样本,采用改良伊文思蓝外渗法和平均含水量测定法检测血管通透性和组织含水量。
烫伤后1小时,SC、LT和AT组创面周围组织和空肠的血管通透性显著高于NC组(P < 0.01),4小时时逐渐降低。烫伤后48和72小时,LT和AT组创面周围组织的血管通透性显著低于SC组(P < 0.01),LT组显著高于AT组(P < 0.01)。烫伤后24小时内,LT组空肠组织的血管通透性低于SC组(P < 0.01),烫伤早期AT组低于LT组(P < 0.01),但72小时后两组间无明显差异(P > 0.05)。组织含水量变化如下:SC、LT和AT组创面周围组织在烫伤后1小时出现脱水。此后组织含水量逐渐增加,在8和24小时达到峰值。SC、LT和AT组空肠组织在烫伤早期出现一定程度的脱水。LT组空肠组织含水量明显高于SC组和AT组(P < 0.05或0.01),8小时时水肿明显,48小时时更明显,然后逐渐消退。LT组水肿较轻。
非肽类NK1受体拮抗剂L-703,606能够减轻创面周围和空肠组织的血管通透性,降低组织含水量。