Han Rui, Li Zhi-peng, Lu Bei, Zhang Min, Li Xin-miao, Feng Ji, Xu Guo-jie, Zhao Zi-gang, Niu Chun-yu
Institute of Microcirculation, Hebei Northern University, Zhangjiakou, Hebei, China.
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue. 2011 Aug;23(8):454-7.
To observe the effects of mesenteric lymph drainage and transfusion on pump activity and oxygen free radical of erythrocyte membrane of rats following hemorrhagic shock or normal, respectively.
Twenty-four male Wistar rats were randomly divided into sham-shock group, shock group, shock mesenteric lymph drainage group (drainage group) and shock mesenteric lymph transfusion group (transfusion group) by randomization, with 6 rats in each group. Model of hemorrhagic shock was reproduced both in shock group and drainage group after anesthesia and operation, mesenteric lymph was drained 1 hour after shock in drainage group. Sham-shock group only received anesthesia and laparotomy, and the obtained mesenteric lymph was transfused in transfusion group. Blood was obtained from abdominal aorta, and red cell membrane suspension was prepared after 3 hours of shock or corresponding time, then the indices of erythrocyte membrane pump activity and oxygen free radical were determined.
Compared with sham-shock group, the activity of Na(+)-K(+)-ATPase (μmol×mg(-1)×h(-1)), Ca(2+)-ATPase (μmol×mg(-1) ×h(-1) ) and superoxide dismutase (SOD) (NU/mg)of red cell membrane were decreased markedly (Na(+)-K(+)-ATPase: 0.039±0.011 vs. 0.068±0.010; Ca(2+)-ATPase: 0.035±0.016 vs. 0.087±0.015; SOD: 0.785±0.289 vs. 1.202±0.328, P<0.05 or P<0.01), and the content of malondialdehyde (MDA, nmol/mg) was increased markedly in shock group (1.914±0.225 vs. 0.913±0.138, P<0.01). Compared with shock group, the activity of Na(+)-K(+)-ATPase (0.056±0.009), Ca(2+)-ATPase (0.079±0.025) and SOD (1.220±0.380) of red cell membrane were increased in drainage group, and the level of MDA (1.214±0.127) was decreased markedly (P<0.05 or P<0.01). Compared with sham-shock group, the activity of Na(+)-K(+)-ATPase (0.050±0.013), Ca(2+)-ATPase (0.056±0.023) of red cell membrane in transfusion group were significantly lower (both P<0.05), the content of MDA (1.456±0.270) was significantly higher (P<0.01), respectively, the activity of SOD (0.862±0.288) showed a lowering trend, but there was no statistical significance (P>0.05).
Mesenteric lymph return is a key factor in decreasing pump activity while aggravating free radical damage injury of erythrocyte membrane.
分别观察肠系膜淋巴引流和输注对失血性休克大鼠及正常大鼠泵活性和红细胞膜氧自由基的影响。
将24只雄性Wistar大鼠随机分为假休克组、休克组、休克肠系膜淋巴引流组(引流组)和休克肠系膜淋巴输注组(输注组),每组6只。休克组和引流组在麻醉和手术后复制失血性休克模型,引流组在休克1小时后进行肠系膜淋巴引流。假休克组仅接受麻醉和剖腹手术,并将获取的肠系膜淋巴输注到输注组。于休克3小时或相应时间后从腹主动脉取血,制备红细胞膜悬液,然后测定红细胞膜泵活性和氧自由基指标。
与假休克组相比,休克组红细胞膜Na(+)-K(+)-ATP酶活性(μmol×mg(-1)×h(-1))、Ca(2+)-ATP酶活性(μmol×mg(-1)×h(-1))和超氧化物歧化酶(SOD)(NU/mg)明显降低(Na(+)-K(+)-ATP酶:0.039±0.011对0.068±0.010;Ca(2+)-ATP酶:0.035±0.016对0.087±0.015;SOD:0.785±0.289对1.202±0.328,P<0.05或P<0.01),丙二醛(MDA,nmol/mg)含量明显升高(1.914±0.225对0.913±0.138,P<0.01)。与休克组相比,引流组红细胞膜Na(+)-K(+)-ATP酶活性(0.056±0.009)、Ca(2+)-ATP酶活性(0.079±0.025)和SOD活性(1.220±0.380)升高,MDA水平(1.214±0.127)明显降低(P<0.05或P<0.01)。与假休克组相比,输注组红细胞膜Na(+)-K(+)-ATP酶活性(0.050±0.013)、Ca(2+)-ATP酶活性(0.056±0.023)明显降低(均P<0.05),MDA含量(1.456±0.270)明显升高(P<0.01),SOD活性(0.862±0.288)呈降低趋势,但差异无统计学意义(P>0.05)。
肠系膜淋巴回输是降低泵活性并加重红细胞膜自由基损伤的关键因素。