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[31P-NMR研究肝动脉和门静脉闭塞所致热缺血大鼠肝脏的高能磷酸代谢]

[31P-NMR study on the high energy phosphate metabolism in warm ischemic rat liver caused by hepatic artery and portal vein occlusion].

作者信息

Kokudo Y, Maeba T, Tanaka S

机构信息

Department of Surgery, Kagawa Medical School, Japan.

出版信息

Nihon Shokakibyo Gakkai Zasshi. 1991 Mar;88(3):698-705.

PMID:2046151
Abstract

An effect on normothermic ischemia on the rat liver metabolism was examined using in vivo 31P-NMR spectroscopy. Energy metabolism was monitored by measuring the ratio of beta-ATP/Pi and changes were compared between two groups, untreated rats (Group A) and rats of which spleens were subcutaneously transposed to perform portosystemic collaterals (Group B). In group A, beta-ATP/Pi reduced to 0.18 after occlusion of both portal vein and hepatic artery for 10 min, and recovered to 0.97 at 120 min after reperfusion was initiated. In the case of 30 minischemia, however, it recovered only to 0.53 even at 120 min after reperfusion. In contrast to group A, it recovered to 0.81 at 120 min after reperfusion following 30 min-ischemia in group B. Furthermore, when 10 min-ischemia was repeated 3 times with intervals of 10 min-perfusion in group B, it recovered to 0.87 as early as 20 min after initiation of reperfusion. These results clearly indicate that the prevention of the portal congestion improves recovery from energy metabolic disorder and, in addition, division of total ischemic time with moderate intermission is effective to diminish the metabolic disorder due to occlusion of both hepatic artery and portal vein. However without the prevention of the portal congestion the effect of division of total ischemic time was significantly reduced.

摘要

利用体内31P-NMR光谱法研究了常温缺血对大鼠肝脏代谢的影响。通过测量β-ATP/Pi比值监测能量代谢,并比较两组之间的变化,即未处理的大鼠(A组)和脾脏皮下移位以形成门体侧支循环的大鼠(B组)。在A组中,门静脉和肝动脉闭塞10分钟后,β-ATP/Pi降至0.18,再灌注开始后120分钟恢复至0.97。然而,在30分钟缺血的情况下,即使在再灌注后120分钟也仅恢复至0.53。与A组相比,B组在30分钟缺血后再灌注120分钟时恢复至0.81。此外,在B组中,当10分钟缺血以10分钟灌注间隔重复3次时,再灌注开始后20分钟即恢复至0.87。这些结果清楚地表明,预防门静脉淤血可改善能量代谢紊乱的恢复,此外,将总缺血时间适度间歇分开可有效减轻肝动脉和门静脉闭塞所致的代谢紊乱。然而,如果不预防门静脉淤血,总缺血时间分开的效果会显著降低。

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