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[吗啡预处理对兔心肌缺血再灌注损伤的保护作用]

[Preconditioning of morphine protects rabbit myocardium from ischemia-reperfusion injury].

作者信息

LU Xiang-hang, RAN Ke, XU Jun-mei, CHANG Ye-tian

机构信息

Department of Anesthesiology, The Second Xiangya Hospital, Central South University, Changsha 410011.

出版信息

Zhejiang Da Xue Xue Bao Yi Xue Ban. 2009 Jul;38(4):399-403.

Abstract

OBJECTIVE

To investigate the protective effects of preconditioning morphine on rabbit myocardium during ischemia-reperfusion.

METHODS

Thirty New Zealand male white rabbits were randomly assigned to three groups: control, I/R and morphine groups. In morphine group 1.0 mg/kg morphine was given preoperationaly, in control and I/R groups 1.0 ml/kg NS was given. Twenty-four hours later rabbits in morphine and I/R groups underwent 40 min of coronary occlusion followed by 2 hours of reperfusion; for control group only sham operation was performed. At the end of the reperfusion, infarct size (IS) and area at risk (AAR) were defined by Evans blue and TTC staining. At the end of the reperfusion blood samples were taken for determination of plasma SOD activity and MDA levels. The heart was harvested and levels of the HSP27 were determined by Western blot, and the heart ultrastructures were observed under the electron microscopy.

RESULTS

Compared with I/R group,morphine significantly reduced infarct size (21.5%+/-2.4% Compared with 37.8%+/-1.7%, P<0.05). The morphine had a lower level of MDA and higher levels of SOD and HSP27 than those in I/R.

CONCLUSION

Preconditioning of morphine demonstrates cardioprotective effect on ischemia/reperfusion injury, which may be associated with increased HSP27 levels in the heart.

摘要

目的

探讨预先给予吗啡对兔心肌缺血再灌注损伤的保护作用。

方法

将30只新西兰雄性白兔随机分为三组:对照组、缺血再灌注组(I/R组)和吗啡组。吗啡组于术前给予1.0mg/kg吗啡,对照组和I/R组给予1.0ml/kg生理盐水。24小时后,吗啡组和I/R组的兔子进行40分钟冠状动脉闭塞,随后再灌注2小时;对照组仅行假手术。再灌注结束时,用伊文思蓝和TTC染色法确定梗死面积(IS)和危险面积(AAR)。再灌注结束时采集血样,测定血浆超氧化物歧化酶(SOD)活性和丙二醛(MDA)水平。摘取心脏,用蛋白质免疫印迹法测定热休克蛋白27(HSP27)水平,并在电子显微镜下观察心脏超微结构。

结果

与I/R组相比,吗啡组梗死面积显著减小(21.5%±2.4% 对比37.8%±1.7%,P<0.05)。吗啡组MDA水平较低,SOD和HSP27水平高于I/R组。

结论

预先给予吗啡对缺血/再灌注损伤具有心脏保护作用,这可能与心脏中HSP27水平升高有关。

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