Department of Anaesthesiology, Gazi University, Ankara, Turkey.
J Anesth. 2014 Jun;28(3):347-53. doi: 10.1007/s00540-013-1741-2. Epub 2013 Nov 6.
Taurine, the major intracellular free amino acid found in high concentrations in mammalian cells, is known to be an endogenous antioxidant and a membrane-stabilizing agent. It was hypothesized that taurine may be effective in reducing ischemia-reperfusion injury after lung transplantation and an experimental study was conducted in a rat model.
The number of Sprague-Dawley rats used in the study was 35. Animals were randomized into five groups of 7 rats each, including control, donor I, donor II, ischemia-reperfusion injury, and treatment groups. All animals were exposed to the same experimental conditions in the preoperative period. Rats were fixed in a supine position after the induction. After the rats were shaved, a left pneumonectomy was performed following sternotomy in control, donor I, and donor II groups. The harvested grafts in donor I and donor II groups were transplanted to the rats of the ischemia-reperfusion group and treatment group, respectively. However, taurine was administered intraperitoneally for 3 days before the harvesting procedure in donor II. All harvested lungs were kept in a Euro-Collins solution at +4 °C for 24 h in a half-inflated manner. After harvesting and transplantation, lungs were sampled for histopathological and biochemical analysis.
Malondialdehyde and superoxide dismutase, glutathione peroxidase, and catalase levels were lower in the treatment group than the other groups (p < 0.05). Histopathological findings were better in treatment group than the ischemia-reperfusion group (p < 0.05).
It was demonstrated that donor treatment with taurine resulted in preservation of transplanted lung tissue in respect to histopathological and biochemical findings.
牛磺酸是哺乳动物细胞中高浓度存在的主要细胞内游离氨基酸,已知其具有内源性抗氧化剂和膜稳定作用。据推测,牛磺酸可能有效减少肺移植后的缺血再灌注损伤,因此进行了一项大鼠模型的实验研究。
本研究共使用了 35 只斯普拉格-道利大鼠。动物随机分为五组,每组 7 只,包括对照组、供体 I 组、供体 II 组、缺血再灌注损伤组和治疗组。所有动物在术前均接受相同的实验条件。诱导后,大鼠仰卧位固定。对照组、供体 I 组和供体 II 组大鼠在剃毛后行胸骨切开术行左肺切除术。供体 I 组和供体 II 组的供体肺分别移植至缺血再灌注组和治疗组大鼠。但供体 II 组在采集供体肺前 3 天经腹腔内给予牛磺酸。所有采集的肺在 Euro-Collins 溶液中于 +4°C 下以半充气状态保存 24 小时。采集和移植后,对肺进行组织病理学和生化分析。
与其他组相比,治疗组丙二醛和超氧化物歧化酶、谷胱甘肽过氧化物酶和过氧化氢酶水平较低(p<0.05)。治疗组的组织病理学发现优于缺血再灌注组(p<0.05)。
供体用牛磺酸处理可在组织病理学和生化方面保存移植肺组织。