Yao Rui-Li, Zhang Lian-Yuan, Men Xiu-Li, Dong Shu-Yun, Yang Quan-Hui
Department of Pathophysiology, North China Coal Medical Collage, Tangshan 063000, China.
Zhongguo Ying Yong Sheng Li Xue Za Zhi. 2006 Feb;22(1):22-4.
To observe the degree of gastric mucosal injury following limb ischemia/reperfusion (LI/R), and to investigate the mechanism of gastric mucosal injury and the protection of ischemic preconditioning (IPC) on gastric mucosal injury.
The model rats which underwent 4 hours of ischemia and 4 hours of reperfusion of hind limbs were made. Then we respectively observed and determined the histologic lesion score after I/R and IPC + I/R. The gastric barrier mucus in mucus were measured in different groups. The values of MPO, SOD, MDA and XOD in gastric mucosa and the values of MDA, XOD, SOD, LDH in plasma were detected.
In the LI/R group, the histologic lesion score increased significantly. The content of gastric barrier mucus in mucus decreased significantly. The value of MPO, MDA, XOD in gastric mucosa and the values of MDA, XOD, LDH in plasma increased remarkably and SOD activity in gastric mucosa and in plasma decreased. However in the IPC group, the histologic lesion score decreased significantly and the content of gastric barrier mucus in mucus increased significantly and the value of MPO MDA XOD LDH in gastric mucosa or in plasma decreased remarkably and the SOD activity increased compared to LI/R group.
LI/R will lead to the development of stress ulcer, oxygen free radicals play an important role in it. IPC can alleviate the damage of gastric mucosa following ischemia/reperfusion of hind limbs. The decrease of OFR is one of the protection mechanism of IPC.
观察肢体缺血/再灌注(LI/R)后胃黏膜损伤程度,探讨胃黏膜损伤机制及缺血预处理(IPC)对胃黏膜损伤的保护作用。
制作后肢缺血4小时、再灌注4小时的模型大鼠。然后分别观察并测定缺血/再灌注(I/R)及缺血预处理+缺血/再灌注(IPC+I/R)后的组织学损伤评分。检测不同组胃黏液中胃屏障黏液含量。检测胃黏膜中MPO、SOD、MDA和XOD值以及血浆中MDA、XOD、SOD、LDH值。
LI/R组组织学损伤评分显著增加。胃黏液中胃屏障黏液含量显著降低。胃黏膜中MPO、MDA、XOD值以及血浆中MDA、XOD、LDH值显著升高,胃黏膜和血浆中SOD活性降低。然而,与LI/R组相比,IPC组组织学损伤评分显著降低,胃黏液中胃屏障黏液含量显著增加,胃黏膜或血浆中MPO、MDA、XOD、LDH值显著降低,SOD活性升高。
LI/R可导致应激性溃疡的发生,氧自由基在其中起重要作用。IPC可减轻后肢缺血/再灌注后胃黏膜的损伤。氧自由基减少是IPC的保护机制之一。