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预处理和后处理可减少大鼠肝缺血再灌注损伤。

Preconditioning and postconditioning reduce hepatic ischemia-reperfusion injury in rats.

机构信息

Department of Hepatobiliary Surgery, Hebei Provincial General Hospital, Shijiazhuang 050051, China.

出版信息

Hepatobiliary Pancreat Dis Int. 2009 Dec;8(6):586-90.

Abstract

BACKGROUND

Ischemia-reperfusion injury occurs when ischemic tissues or organs suffer from further functional and structural damage when their blood supply recovers. This study aimed to contrast the protective effects of ischemic preconditioning and ischemic postconditioning in hepatic ischemia-reperfusion injury in rats.

METHODS

Thirty-two healthy male Wistar rats were randomly divided into four groups: sham-operated (SO), ischemia-reperfusion (IR), ischemic preconditioning (I-pre), and ischemic postconditioning (I-post). Blood samples and hepatic tissue were taken from all groups after the experiments.

RESULTS

There were significant differences between the IR, I-pre and I-post groups in alanine aminotransferase and aspartate aminotransferase levels, NF-kappaB p65 expression, apoptosis index and superoxide dismutase activity in hepatic tissue. There were no significant differences between the I-pre and I-post groups.

CONCLUSIONS

Ischemic postconditioning and ischemic preconditioning reduce hepatic ischemia-reperfusion injury, but in clinical practice the former is a more appropriate choice.

摘要

背景

当缺血组织或器官的血液供应恢复时,会遭受进一步的功能和结构损伤,从而发生缺血再灌注损伤。本研究旨在对比缺血预处理和缺血后处理对大鼠肝缺血再灌注损伤的保护作用。

方法

32 只健康雄性 Wistar 大鼠随机分为 4 组:假手术组(SO)、缺血再灌注组(IR)、缺血预处理组(I-pre)和缺血后处理组(I-post)。实验后,从所有组采集血样和肝组织。

结果

IR、I-pre 和 I-post 组之间丙氨酸氨基转移酶和天冬氨酸氨基转移酶水平、肝组织中 NF-κB p65 表达、细胞凋亡指数和超氧化物歧化酶活性存在显著差异。I-pre 和 I-post 组之间无显著差异。

结论

缺血后处理和缺血预处理可减轻肝缺血再灌注损伤,但在临床实践中,前者是更合适的选择。

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