Sahin Sabiha, Oter Serdar, Burukoğlu Dilek, Sutken Emine
Department of Pediatrics Emergency and Critical Care, Medicine Faculty, Eskisehir Osmangazi University, Eskisehir, Turkey.
Med Sci Monit Basic Res. 2013 Feb 7;19:54-61. doi: 10.12659/msmbr.883758.
To examine the effect of carnosine on liver function and histological findings in experimental septic shock model, 24 Sprague-Dawley rats were used.
MATERIAL/METHODS: Rats were divided into control, septic shock, and carnosine-treated septic shock groups. Femoral vein and artery catheterization were performed on all rats. Rats in the control group underwent laparotomy and catheterization; in the test groups, cecal ligation-perforation and bladder cannulation were added. Rats in the treatment group received a single intraperitoneal (IP) injection of 250 mg/kg carnosine 60 minutes after cecal ligation-perforation. Rats were monitored for blood pressure, heart rate, and body temperature to assess the postoperative septic response, and body fluids were replaced as necessary. At the end of 24 hours, rats were sacrificed and liver samples were collected.
Statistically significant improvements were observed in liver function, tissue and serum MDA levels, and histological findings in rats treated with carnosine, compared to rats with untreated sepsis. HB and HCT values did not change significantly during the course of the experiment. Rats exposed to septic shock and treated with carnosine exhibited decreased sinusoidal dilatation and cellular inflammation into the portal region, compared to the sepsis group; the livers of rats in this group had near-normal histological structure.
We conclude that carnosine may be an effective treatment for oxidative damage due to liver tissue perfusion defects in cases of septic shock.
为研究肌肽对实验性脓毒症休克模型肝脏功能及组织学表现的影响,选用了24只Sprague-Dawley大鼠。
材料/方法:将大鼠分为对照组、脓毒症休克组和肌肽治疗脓毒症休克组。所有大鼠均行股静脉和动脉插管。对照组大鼠行剖腹术及插管;试验组大鼠在此基础上增加盲肠结扎穿孔术及膀胱插管术。治疗组大鼠在盲肠结扎穿孔术后60分钟腹腔内注射250mg/kg肌肽。监测大鼠的血压、心率和体温以评估术后脓毒症反应,并根据需要补充体液。24小时结束时,处死大鼠并采集肝脏样本。
与未治疗的脓毒症大鼠相比,肌肽治疗的大鼠在肝功能、组织及血清丙二醛水平和组织学表现方面有统计学意义的改善。实验过程中血红蛋白(HB)和血细胞比容(HCT)值无明显变化。与脓毒症组相比,遭受脓毒症休克并接受肌肽治疗的大鼠肝血窦扩张及门静脉区域细胞炎症减轻;该组大鼠肝脏的组织结构接近正常。
我们得出结论,肌肽可能是治疗脓毒症休克时肝脏组织灌注缺陷所致氧化损伤的有效方法。