Adachi Junko, Kurisaki Emiko, Kudo Risa, Nakagawa Kanako, Hatake Katsuhiko, Hiraiwa Kouichi, Ueno Yasuhiro
Department of Legal Medicine, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan.
Clin Chim Acta. 2006 Sep;371(1-2):79-84. doi: 10.1016/j.cca.2006.02.024. Epub 2006 Feb 28.
The pathogenesis of ischemia-reperfusion involves generation of reactive oxygen and resulting lipid peroxidation. However, investigation that ischemia-reperfusion following tourniquet release enhances lipid peroxidation is insufficient.
Tourniquet was applied to a unilateral hind limb of mice for 3h followed by 5-, 15-, 30- and 60-min release. To examine superoxide production immunohistochemically in ischemia-reperfusion muscles, a primary antibody directed to 4-hydroxy-nonenal (HNE) was used. Furthermore, we analyzed 7alpha- and 7beta-hydroperoxycholest-5-en-3beta-ol, 7alpha- and 7beta-hydroxycholesterol, and 7-ketocholesterol by HPLC in the gastrocnemius muscles, kidneys, liver, heart and lungs of mice after 1-h reperfusion.
Increased HNE immunoreactivitiy was observed in the tourniquet-applied side of gastrocnemius muscles of hind limb particularly after 5-min reperfusion. All the oxysterols were significantly higher in the gastrocnemius muscles of the tourniquet-applied side than of the contralateral muscles. Oxysterols were elevated in the kidneys and the liver. Together with the presence of high blood urea nitrogen, these data indicate that the kidney is vulnerable to ischemia-reperfusion.
The enhanced oxidative stress due to ischemia-reperfusion appears to increase HNE in muscle and oxysterols by peroxidation not only in the gastrocnemius muscles but also in the kidneys and liver.
缺血再灌注的发病机制涉及活性氧的产生及由此导致的脂质过氧化。然而,关于止血带松开后的缺血再灌注增强脂质过氧化的研究尚不充分。
对小鼠的单侧后肢施加止血带3小时,随后松开5、15、30和60分钟。为了通过免疫组织化学方法检测缺血再灌注肌肉中超氧化物的产生,使用了针对4-羟基壬烯醛(HNE)的一抗。此外,在再灌注1小时后,我们通过高效液相色谱法分析了小鼠腓肠肌、肾脏、肝脏、心脏和肺中的7α-和7β-氢过氧胆甾-5-烯-3β-醇、7α-和7β-羟基胆固醇以及7-酮胆固醇。
在止血带施加侧的后肢腓肠肌中观察到HNE免疫反应性增加,特别是在再灌注5分钟后。止血带施加侧腓肠肌中所有的氧化甾醇均显著高于对侧肌肉。氧化甾醇在肾脏和肝脏中也升高。连同高血尿素氮的存在,这些数据表明肾脏易受缺血再灌注的影响。
缺血再灌注引起的氧化应激增强似乎不仅通过腓肠肌,还通过肾脏和肝脏中的过氧化作用增加了肌肉中的HNE和氧化甾醇。