Department of Anesthesiology, West China Hospital of Sichuan University, Chengdu, Sichuan Province, PR China.
J Surg Res. 2012 May 1;174(1):e11-6. doi: 10.1016/j.jss.2011.10.001. Epub 2011 Oct 25.
Hydrogen gas, an antioxidant agent, was found to protect against cerebral and myocardial ischemia-reperfusion (I/R) injury. In the present study, we investigated the effect of hydrogen-rich saline (HRS) on the I/R-induced lung injury.
Left lung of male New Zealand White rabbits rendered normothermic ischemia for 60 min and reperfused for up to 240 min. Treated animals received intraperitoneal injection of 5 mL/kg HRS or the same volume of normal saline 10 min before the start of reperfusion. Blood and lung tissue samples were obtained for blood gas and biochemical analyses. The tissues obtained from lower lobe of left lung were used for histologic examination.
After 240 min of reperfusion, intraperitoneal administration of HRS increased PaO2/FiO2 ratio and superoxide dismutase activities, and decreased malondialdehyde contents, proinflammatory cytokines expression, and myeloperoxidase activities, along with reduced wet/dry ratio and histologic injury scores (P < 0.05 versus I/R group).
These results suggest that intraperitoneal administration of HRS before reperfusion protects the lung from I/R injury. The protective effect seems to be closely related to regulating oxidative damage and antioxidant enzyme activities and neutrophil infiltration.
氢气是一种抗氧化剂,已被发现可预防脑和心肌缺血再灌注(I/R)损伤。在本研究中,我们研究了富氢盐水(HRS)对 I/R 引起的肺损伤的影响。
将雄性新西兰白兔的左肺在常温下缺血 60 分钟,再灌注长达 240 分钟。治疗组动物在再灌注开始前 10 分钟接受腹腔注射 5 mL/kg HRS 或等量生理盐水。采集血液和肺组织样本进行血气和生化分析。从左肺下叶获得的组织用于组织学检查。
再灌注 240 分钟后,腹腔内给予 HRS 可提高 PaO2/FiO2 比值和超氧化物歧化酶活性,降低丙二醛含量、促炎细胞因子表达和髓过氧化物酶活性,并降低湿/干比和组织学损伤评分(与 I/R 组相比,P<0.05)。
这些结果表明,再灌注前腹腔内给予 HRS 可保护肺免受 I/R 损伤。保护作用似乎与调节氧化损伤和抗氧化酶活性以及中性粒细胞浸润密切相关。