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[硫化氢对重度烧伤大鼠重要脏器的影响]

[Influence of hydrogen sulfide on important organs in rats with severe burn].

作者信息

Li Yi, Wang Hong-Jin, Song Xue-Fang, Yang Hui-Lian

机构信息

Department of Burns and Plastic Surgery, Qinghai University Affiliated Hospital, Xining 810001, China.

出版信息

Zhonghua Shao Shang Za Zhi. 2011 Feb;27(1):54-8.

Abstract

OBJECTIVE

To investigate the changes in hydrogen sulfide (H2S) and cystathionine gamma-lyase (CSE) in rats with severe burn, and to analyze the effects on important organs.

METHODS

One hundred and four healthy male SD rats were divided into normal control group (NC, n = 8), burn group (B, n = 48), and H2S intervention group (HI, n = 48) according to the random number table. SD rats in HI group were intraperitoneally injected with NaHS (56 micromol/kg) once a day for 5 days. Then rats in HI and B groups were subjected to 30% TBSA full-thickness burn. Blood sample as well as heart, liver, lung, kidney, and stomach tissue samples were harvested from rats in B group at post burn hour (PBH) 2, 6, 12, 24, 48, and 96 respectively for determination of serum content of H2S and CSE activity. Serum content of alanine transaminase (ALT), aspartate aminotransferase (AST), MB isoenzyme of creatine kinase (CK-MB), urea nitrogen (BUN), and creatinine (Cr) in HI and B groups were examined at each time point. Samples were harvested from above organs in each group for histomorphological observation. Above-mentioned indexes were also determined in NC group as control. Data were processed with SNK- q test, t test, correlation analysis (between serum content of H2S and CSE activities, biochemical indexes).

RESULTS

Serum content of H2S and CSE activities of above organs (except for lung tissue at PBH 48, 96) in B group within PBH 96 were lower than those in NC group, reaching minimum values at PBH 6 or 12. Compared with those in NC group, serum contents of all biochemical indexes in B group were obviously increased within PBH 48, in which serum contents of BUN [(32.5 +/- 9.8) mmol/L] and Cr [(65 +/- 9) micromol/L] reached peak at PBH 6, and serum contents of ALT [(423 +/- 59) U/L], AST [(993 +/- 60) U/L], and CK-MB [(49 261 +/- 6637) U/L] peaked at PBH 12. Serum contents of all biochemical indexes in HI group at each time point were significantly decreased as compared with those in B group, but the same change tendencies were showed in both groups. Histomorphological observation showed that all the organs were severely injured in B group at PBH 24, whereas those in HI group were markedly ameliorated. Serum content of H2S in B group was respectively correlated with CSE activities of all organs (with r value from 0.639 to 0.894, P values all below 0.005) and serum contents of biochemical indexes (with r value from 0.301 to 0.585, P values all below 0.001).

CONCLUSIONS

H2S/CSE system may take part in pathophysiological process in rats with severe burn. Exogenous H2S replacement therapy can protect important organs of rats with severe burn.

摘要

目的

探讨重度烧伤大鼠硫化氢(H2S)及胱硫醚γ-裂解酶(CSE)的变化,并分析其对重要脏器的影响。

方法

将104只健康雄性SD大鼠按随机数字表法分为正常对照组(NC,n = 8)、烧伤组(B,n = 48)和H2S干预组(HI,n = 48)。HI组大鼠每天腹腔注射硫氢化钠(NaHS,56 μmol/kg),连续5天。然后HI组和B组大鼠均行30%总体表面积的全层烧伤。分别于烧伤后(PBH)2、6、12、24、48及96小时采集B组大鼠血液样本及心、肝、肺、肾和胃组织样本,测定血清H2S含量及CSE活性。于各时间点检测HI组和B组大鼠血清丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、肌酸激酶MB同工酶(CK-MB)、尿素氮(BUN)及肌酐(Cr)含量。采集每组上述脏器样本进行组织形态学观察。以NC组作为对照,测定上述指标。数据采用SNK-q检验、t检验及相关性分析(血清H2S含量与CSE活性、生化指标之间)进行处理。

结果

B组大鼠PBH 96内上述脏器(PBH 48、96时的肺组织除外)的血清H2S含量及CSE活性均低于NC组,于PBH 6或12时降至最低值。与NC组比较,B组大鼠PBH 48内各生化指标血清含量均明显升高,其中BUN[(32.5±9.8)mmol/L]及Cr[(65±9)μmol/L]血清含量于PBH 6时达峰值,ALT[(423±59)U/L]、AST[(993±60)U/L]及CK-MB[(49 261±6637)U/L]血清含量于PBH 12时达峰值。HI组各时间点各生化指标血清含量均较B组明显降低,但两组变化趋势相同。组织形态学观察显示,PBH 24时B组所有脏器均严重受损,而HI组脏器损伤明显改善。B组大鼠血清H2S含量与各脏器CSE活性(r值为0.6390.894,P值均<0.005)及生化指标血清含量(r值为0.3010.585,P值均<0.001)均呈相关性。

结论

H2S/CSE系统可能参与重度烧伤大鼠的病理生理过程。外源性H2S替代疗法可保护重度烧伤大鼠的重要脏器。

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