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单侧肾切除术前伊洛前列素预处理:大鼠实验研究

Iloprost pretreatment before unilateral nephrectomy: an experimental study in rats.

作者信息

Aytac Erman, Seymen Pinar, Dikmen Goksel, Uzun Hafize, Seymen Hakki Oktay

机构信息

Department of General Surgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.

出版信息

Asian J Surg. 2008 Apr;31(2):69-74. doi: 10.1016/S1015-9584(08)60061-5.

DOI:10.1016/S1015-9584(08)60061-5
PMID:18490218
Abstract

OBJECTIVE

To evaluate the effects of iloprost administration before unilateral nephrectomy on postoperative interleukin-6 (IL-6), nitric oxide (NO), and oxidant/antioxidant status.

METHODS

Malondialdehyde, glutathione, catalase and Cu-Zn superoxide dismutase were measured in the blood and remnant kidney of Adult male Wistar albino rats to assess oxidant and antioxidant status. The rats were divided into three experimental groups: sham group (S) (n = 12); unilateral nephrectomized group (N) (n = 12); an hour before unilateral nephrectomy iloprost (1 ng/mL/kg, intraperitoneal) administered group (IN) (n = 12).

RESULTS

Iloprost administration before unilateral nephrectomy lowered oxidant parameters and IL-6 levels significantly. NO levels were increased in both N and IN groups.

CONCLUSION

Iloprost pretreatment before unilateral nephrectomy can reduce oxidative stress and IL-6, which increases due to anaesthesia and surgery and causes organ damage during surgery and in the short-term postoperative period.

摘要

目的

评估在单侧肾切除术前给予伊洛前列素对术后白细胞介素-6(IL-6)、一氧化氮(NO)以及氧化/抗氧化状态的影响。

方法

测定成年雄性Wistar白化大鼠血液和残余肾脏中的丙二醛、谷胱甘肽、过氧化氢酶和铜锌超氧化物歧化酶,以评估氧化和抗氧化状态。将大鼠分为三个实验组:假手术组(S)(n = 12);单侧肾切除组(N)(n = 12);在单侧肾切除术前一小时给予伊洛前列素(1 ng/mL/kg,腹腔注射)的组(IN)(n = 12)。

结果

单侧肾切除术前给予伊洛前列素可显著降低氧化参数和IL-6水平。N组和IN组的NO水平均升高。

结论

单侧肾切除术前进行伊洛前列素预处理可减轻氧化应激和IL-6,IL-6会因麻醉和手术而升高,并在手术期间及术后短期内导致器官损伤。

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