Department of Anesthesiology, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan.
J Surg Res. 2011 May 15;167(2):e255-62. doi: 10.1016/j.jss.2010.03.075. Epub 2010 Apr 24.
Oxidative stress and inflammatory response are crucial in mediating the development of acute lung injury induced by bilateral lower limb ischemia-reperfusion (I/R). Platonin, a potent antioxidant, possesses anti-inflammation capacity. We sought to elucidate whether platonin could mitigate acute lung injury induced by lower limb I/R.
Forty-eight adult male rats were allocated to receive I/R, I/R plus platonin (100 μg/kg intravenous injection immediately after reperfusion), sham instrumentation, or sham instrumentation plus platonin (denoted as the I/R, I/R-platonin, Sham, or Sham-platonin group, respectively; n = 12 in each group). Bilateral hind limb I/R was induced by applying rubber band tourniquets high around each thigh for 3 h followed by reperfusion for 3 h. After sacrifice, the degree of lung injury was determined.
Histologic findings revealed moderate inflammation in lung tissues of the I/R group and mild inflammation in those of the I/R-platonin group. Total cell number and protein concentration in bronchoalveolar lavage fluid as well as the leukocyte infiltration and myeloperoxidase activity in lung tissues of the I/R group were significantly higher than those of the I/R-platonin group. The pulmonary concentrations of macrophage inflammatory protein-2, interleukin-6, and prostaglandin E(2) of the I/R group were significantly higher than those of the I/R-platonin group. Moreover, the plasma nitric oxide concentration as well as the nitric oxide and malondialdehyde concentrations in lung tissues of the I/R group were significantly higher than those of the I/R-platonin group.
Platonin mitigates acute lung injury induced by bilateral lower limb I/R in rats.
氧化应激和炎症反应在介导双侧下肢缺血再灌注(I/R)引起的急性肺损伤中起着至关重要的作用。褪黑素是一种有效的抗氧化剂,具有抗炎作用。我们试图阐明褪黑素是否可以减轻下肢 I/R 引起的急性肺损伤。
将 48 只成年雄性大鼠随机分为接受 I/R、I/R 后给予褪黑素(再灌注后立即静脉注射 100μg/kg)、假手术或假手术加褪黑素(分别记为 I/R、I/R-褪黑素、假手术或假手术加褪黑素组,每组 12 只)。通过在每个大腿周围应用橡皮筋止血带 3 小时来诱导双侧后肢 I/R,然后再灌注 3 小时。处死动物后,确定肺损伤程度。
组织学检查结果显示,I/R 组肺组织有中度炎症,I/R-褪黑素组有轻度炎症。I/R 组支气管肺泡灌洗液中的总细胞数和蛋白浓度以及肺组织中的白细胞浸润和髓过氧化物酶活性明显高于 I/R-褪黑素组。I/R 组肺组织中巨噬细胞炎症蛋白-2、白细胞介素-6 和前列腺素 E2 的浓度明显高于 I/R-褪黑素组。此外,I/R 组血浆一氧化氮浓度以及肺组织中一氧化氮和丙二醛浓度明显高于 I/R-褪黑素组。
褪黑素减轻了大鼠双侧下肢 I/R 引起的急性肺损伤。