Department of Infection Disease, Education and Research Hospital, Erzurum, Turkey.
J Surg Res. 2011 Jul;169(1):67-75. doi: 10.1016/j.jss.2009.09.055. Epub 2009 Oct 23.
The rat sepsis model in the present study was used to understand the role of sustained hyperglycemia and ovariectomy, either separately or together, on the response of pro-inflammatory mediators and oxidative response.
Polymicrobial sepsis was induced using cecal ligation and two-hole puncture. Diabetes was induced in the female Wistar albino rats using intraperitoneal administration of aqueous alloxan monohydrate at a single dose of 150 mg/kg body weight. The rats were divided into five groups: sham control: group 1, ovariectomy: group 2, ovariectomy + sepsis: group 3, ovariectomy + diabetes: group 4, and ovariectomy + diabetes + sepsis: group 5.
In lung, heart, and liver tissues, the levels of myeloperoxidase (MPO) and lipid peroxidation (LPO) were higher for the groups 3, 4, and 5 than in control group. In heart and liver tissues, superoxide dismutase (SOD) and catalase (CAT) activities were higher for the groups 3, 4, and 5 than control group. In lung tissue SOD activities were higher for the groups 3, 4, and 5 than in control group. Diabetes + ovariectomy caused a significant increase in serum levels of tumor necrosis factor-alpha (TNF-α) and interleukin 6 (IL-6) in comparison to the sham group. The strongest production of TNF-α and IL-6 in serum was observed in the group 5.
Hyperglycemia and ovariectomy (postmenopausal period) severely increased serum cytokines and oxidant levels with the stages of our sepsis model. The lung tissue was most affected by diabetes and ovariectomy under sepsis conditions. Ovariectomy leading to estrogen deficiency results in general changes in metabolism, which are seen in the liver, lungs, and heart with diabetes under sepsis conditions.
本研究中的大鼠脓毒症模型用于了解持续性高血糖症和卵巢切除术,无论是单独还是联合使用,对促炎介质和氧化反应的反应的作用。
使用盲肠结扎和双孔穿刺术诱导多微生物脓毒症。使用腹腔内给予一水合阿脲单水合物,单次剂量为 150mg/kg 体重,诱导雌性 Wistar 白化大鼠糖尿病。大鼠分为五组:假手术对照:第 1 组,卵巢切除术:第 2 组,卵巢切除术+脓毒症:第 3 组,卵巢切除术+糖尿病:第 4 组,卵巢切除术+糖尿病+脓毒症:第 5 组。
在肺、心脏和肝脏组织中,髓过氧化物酶(MPO)和脂质过氧化(LPO)水平在第 3、4 和 5 组高于对照组。在心脏和肝脏组织中,超氧化物歧化酶(SOD)和过氧化氢酶(CAT)活性在第 3、4 和 5 组高于对照组。在肺组织中,SOD 活性在第 3、4 和 5 组高于对照组。与假手术组相比,糖尿病+卵巢切除术导致血清肿瘤坏死因子-α(TNF-α)和白细胞介素 6(IL-6)水平显著升高。在第 5 组中观察到血清中 TNF-α和 IL-6 的最强产生。
高血糖症和卵巢切除术(绝经后)在我们的脓毒症模型的各个阶段严重增加了血清细胞因子和氧化剂水平。在脓毒症条件下,糖尿病和卵巢切除术对肺组织的影响最大。卵巢切除术导致雌激素缺乏会导致代谢发生一般变化,这在肝脏、肺和心脏中都可以看到,在脓毒症条件下还会出现糖尿病。