Eynan Mirit, Krinsky Nitzan, Biram Adi, Arieli Yehuda, Arieli Ran
Israel Naval Medical Institute, Israel Defense Forces Medical Corps, Box 22, Rambam Health Care Campus, P.O. Box 9602, 3109601 Haifa, Israel.
Brain Res. 2014 Jul 29;1574:77-83. doi: 10.1016/j.brainres.2014.05.051. Epub 2014 Jun 11.
Central nervous system oxygen toxicity (CNS-OT) can occur in humans at pressures above 2atmospheres absolute (ATA), and above 4.5ATA in the rat. Pulmonary oxygen toxicity appears at pressures above 0.5ATA. We hypothesized that exposure to mild HBO following extreme exposure might provide protection against CNS, but not pulmonary oxygen toxicity. We measured the activity of superoxide dismutase (SOD), catalase (CAT) and glutathione peroxidase (GPX), and nitrotyrosine and nNOS levels in the brain and lung in the following groups: (1) Sham rats, no pressure exposure (SHAM); (2) Exposure to 6ATA oxygen for 60% of latency to CNS-OT (60%LT); (3) Exposure to 6ATA for 60% of latency to CNS-OT, followed by 20min at 2.5ATA for recovery (REC); (4) Exposure to 6ATA for 60% of latency to CNS-OT, followed by 20min at 2.5ATA oxygen and a subsequent increase in pressure to 6ATA until the appearance of convulsions (CONV); (5) Control rats exposed to 6ATA until the appearance of convulsions (C). SOD and CAT activity were reduced in both brain and lung in the REC group. GPX activity was reduced in the hippocampus in the REC group, but not in the cortex or the lung. nNOS levels were reduced in the hippocampus in the REC group. Contrary to our hypothesis, no difference was observed between the brain and the lung for the factors investigated. We suggest that at 2.5ATA and above, CNS and pulmonary oxygen toxicity may share similar mechanisms.
中枢神经系统氧中毒(CNS - OT)在人类中当绝对压力高于2个大气压(ATA)时可能发生,在大鼠中当压力高于4.5ATA时会发生。肺氧中毒在压力高于0.5ATA时出现。我们假设在极端暴露后进行轻度高压氧(HBO)暴露可能对中枢神经系统提供保护,但对肺氧中毒无保护作用。我们测量了以下几组大鼠脑和肺中超氧化物歧化酶(SOD)、过氧化氢酶(CAT)和谷胱甘肽过氧化物酶(GPX)的活性,以及硝基酪氨酸和nNOS水平:(1)假手术大鼠,未进行压力暴露(SHAM);(2)暴露于6ATA氧气,时长为中枢神经系统氧中毒潜伏期的60%(60%LT);(3)暴露于6ATA,时长为中枢神经系统氧中毒潜伏期的60%,随后在2.5ATA下恢复20分钟(REC);(4)暴露于6ATA,时长为中枢神经系统氧中毒潜伏期的60%,随后在2.5ATA氧气下暴露20分钟,随后压力增加至6ATA直至惊厥出现(CONV);(5)对照大鼠暴露于6ATA直至惊厥出现(C)。REC组脑和肺中的SOD和CAT活性均降低。REC组海马体中的GPX活性降低,但皮质或肺中未降低。REC组海马体中的nNOS水平降低。与我们的假设相反,在所研究的因素方面,脑和肺之间未观察到差异。我们认为在2.5ATA及以上,中枢神经系统和肺氧中毒可能具有相似的机制。