Caldeira Diego Elias da Silva, Souza Maria Eliza Jordani, Gomes Maria Cecília Jordani, Picinato Maria Aparecida Neves Cardoso, Fina Clarice Fleury, Feres Omar, Castro e Silva Orlando
Marilia Faculty of Medicine, Marilia, SP, Brazil.
Acta Cir Bras. 2013;28 Suppl 1:66-71. doi: 10.1590/s0102-86502013001300013.
to assess the effect of hyperbaric oxygen (HBO) as pre-conditioning on periodic liver ischemia/reperfusion injury.
Thirty-six male Wistar rats were divided into 4 groups (SHAM, I/R , HBO-I/R and CONTROL). The surgical technique consisted of total clamping of the hepatic pedicle for 15 min followed by twice repeated reperfusion for 5 min (unclamping). HBO was applied in a collective chamber (simultaneous exposure of 4 rats) directly pressurized with oxygen at 2 ATA for 60 min. Hepatic mitochondrial function was determined using samples of the median lobe obtained after exactly 5 min of reperfusion for the analysis of mitochondrial respiration based on the determination of states 3 and 4, the respiratory control ratio and the transition of mitochondrial permeability (mitochondrial swelling).Data were analyzed by the Mann-Whitney test and the level of significance was set at p < 0.05.
There was a statistically significant difference (p < 0.05) in state 3 between the CONTROL and I/R and HBO-I/R groups, in state 4 between the CONTROL and I/R and HBO-I/R groups; in respiratory control ratio (RCR) between the CONTROL and I/R and HBO-I/R groups and between the CONTROL and Sham groups, and in mitochondrial swelling between the CONTROL and I/R and HBO-/R groups and between the Sham and I/R and HBO-I/R groups.
In this process of periodic ischemia and reperfusion, hyperbaric pre-conditioning did not improve significantly hepatic mitochondrial function.
评估高压氧(HBO)预处理对肝脏周期性缺血/再灌注损伤的影响。
将36只雄性Wistar大鼠分为4组(假手术组、缺血/再灌注组、HBO-缺血/再灌注组和对照组)。手术操作包括完全夹闭肝蒂15分钟,随后两次重复再灌注5分钟(松开夹子)。HBO在一个集体舱内进行(4只大鼠同时暴露),直接用氧气加压至2个绝对大气压,持续60分钟。在再灌注恰好5分钟后,取中叶样本测定肝线粒体功能,基于状态3和状态4的测定、呼吸控制率以及线粒体通透性转变(线粒体肿胀)来分析线粒体呼吸。数据采用Mann-Whitney检验进行分析,显著性水平设定为p < 0.05。
对照组与缺血/再灌注组以及HBO-缺血/再灌注组之间在状态3、状态4方面存在统计学显著差异(p < 0.05);对照组与缺血/再灌注组以及HBO-缺血/再灌注组之间,以及对照组与假手术组之间在呼吸控制率(RCR)方面存在差异;对照组与缺血/再灌注组以及HBO-缺血/再灌注组之间,以及假手术组与缺血/再灌注组以及HBO-缺血/再灌注组之间在线粒体肿胀方面存在差异。
在这种周期性缺血和再灌注过程中,高压氧预处理并未显著改善肝线粒体功能。