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牛磺酸对大鼠热缺血后肝脏损伤具有保护作用:库普弗细胞的作用。

Taurine protects from liver injury after warm ischemia in rats: the role of kupffer cells.

作者信息

Kincius M, Liang R, Nickkholgh A, Hoffmann K, Flechtenmacher C, Ryschich E, Gutt C N, Gebhard M-M, Schmidt J, Büchler M W, Schemmer P

机构信息

Department of General Surgery, Ruprecht Karls University, Heidelberg, Germany.

出版信息

Eur Surg Res. 2007;39(5):275-83. doi: 10.1159/000102982. Epub 2007 May 22.

Abstract

BACKGROUND/AIMS: Warm ischemia to liver with subsequent Kupffer cell-dependent pathology is associated with many clinical conditions. Taurine prevents Kupffer cell activation and improves graft survival after experimental cold ischemia and liver transplantation. Thus this study was designed to assess its effects after warm hepatic ischemia.

METHODS

The left liver lobe of female Sprague-Dawley rats (170-210 g) underwent 60 min of warm ischemia. Animals were given either intravenous taurine or Ringer's solution 10 min prior to warm ischemia. Transaminases, histology, in vivo microscopy, intercellular adhesion molecules-1 (ICAM-1) expression, TNF-alpha and tissue hydroperoxide were compared between groups using analysis of variance (ANOVA) or ANOVA on ranks as appropriate.

RESULTS

Taurine significantly decreased transaminases and improved histologic outcome. Phagocytosis of latex beads, serum TNF-alpha levels and tissue hydroperoxide concentrations were also significantly reduced. Stickers in sinusoids and post-sinusoidal venules significantly decreased. In parallel, both leukocyte infiltration and ICAM-1 expression decreased (p < 0.05), while flow velocity of red blood cells as well as sinusoidal perfusion rate were improved (p < 0.05).

CONCLUSION

This study demonstrates that taurine blunts Kupffer cell-dependent hepatic pathology after warm ischemia in vivo via mechanisms including leukocyte-endothelial interaction, microcirculation disturbances and protection against lipid peroxidation.

摘要

背景/目的:肝脏热缺血及随后出现的库普弗细胞依赖性病理改变与多种临床情况相关。在实验性冷缺血和肝移植后,牛磺酸可防止库普弗细胞激活并提高移植物存活率。因此,本研究旨在评估其在肝脏热缺血后的作用。

方法

对雌性斯普拉格-道利大鼠(170 - 210克)的左肝叶进行60分钟的热缺血。在热缺血前10分钟,给动物静脉注射牛磺酸或林格氏液。使用方差分析(ANOVA)或适当的秩和检验对各组之间的转氨酶、组织学、体内显微镜检查、细胞间黏附分子-1(ICAM-1)表达、肿瘤坏死因子-α(TNF-α)和组织过氧化氢进行比较。

结果

牛磺酸显著降低了转氨酶并改善了组织学结果。乳胶珠的吞噬作用、血清TNF-α水平和组织过氧化氢浓度也显著降低。肝血窦和肝血窦后小静脉中的黏附物显著减少。同时,白细胞浸润和ICAM-1表达均降低(p < 0.05),而红细胞流速以及肝血窦灌注率得到改善(p < 0.05)。

结论

本研究表明,牛磺酸在体内可通过包括白细胞-内皮相互作用、微循环紊乱以及防止脂质过氧化等机制减轻肝脏热缺血后库普弗细胞依赖性肝脏病理改变。

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