Wang Dai-Jun, Tian Hua
Department of Human Anatomy, Weifang Medical University, Weifang, Shandong, China.
School Hospital, Weifang Medical University, Weifang, Shandong, China.
J Surg Res. 2014 Dec;192(2):464-70. doi: 10.1016/j.jss.2014.06.008. Epub 2014 Jun 11.
To date, there are no effective treatments for extremity ischemia-reperfusion (IR) injury. The objective of the present study was to explore the protective effect of Mailuoning on IR injury by investigating the plasma levels of 8-iso-prostaglandin F2 alpha (8-iso-PGF2α) and the activity of superoxide dismutase (SOD) in rabbits.
The experimental models of posterior limb IR injury were established in thirty rabbits that were divided into three groups: the sham, IR, and IR + Mailuoning groups. At the end of ischemia, Mailuoning was injected intravenously into the rabbits in the IR + Mailuoning group, and normal saline solution was administered to the rabbits in the sham and IR groups. Venous blood samples were collected to measure the levels of 8-iso-PGF2α and the activity of SOD in the plasma at the following time points: at the onset of ischemia, the end of ischemia, and 2, 4, 8, 12, and 24 h after reperfusion. The skeletal muscles were harvested to examine the ultrastructure.
The levels of 8-iso-PGF2α increased significantly and SOD activity decreased in the IR group at every time point after reperfusion (P <0.01 or P <0.05). In contrast, the levels of 8-iso-PGF2α and SOD activity were not significantly different after reperfusion in the IR + Mailuoning group (P >0.05) but were significantly different compared with the IR group (P <0.01). Using electron microscopy, the skeletal muscle injury was shown to be milder in the IR+ Mailuoning group after reperfusion compared with the IR group.
The Mailuoning is capable of decreasing the excessive production of 8-iso-PGF2α and protecting SOD activity, thereby exhibiting a protective effect on extremity IR injury.
迄今为止,尚无针对肢体缺血再灌注(IR)损伤的有效治疗方法。本研究的目的是通过检测兔血浆中8-异前列腺素F2α(8-iso-PGF2α)水平和超氧化物歧化酶(SOD)活性,探讨脉络宁对IR损伤的保护作用。
将30只兔建立后肢IR损伤实验模型,分为三组:假手术组、IR组和IR+脉络宁组。缺血结束时,给IR+脉络宁组兔静脉注射脉络宁,给假手术组和IR组兔静脉注射生理盐水。于缺血开始时、缺血结束时、再灌注后2、4、8、12和24小时采集静脉血样,检测血浆中8-iso-PGF2α水平和SOD活性。取骨骼肌观察超微结构。
再灌注后各时间点,IR组8-iso-PGF2α水平显著升高,SOD活性降低(P<0.01或P<0.05)。相比之下,IR+脉络宁组再灌注后8-iso-PGF2α水平和SOD活性差异无统计学意义(P>0.05),但与IR组相比差异有统计学意义(P<0.01)。电子显微镜观察显示,再灌注后IR+脉络宁组骨骼肌损伤较IR组轻。
脉络宁能够减少8-iso-PGF2α的过度产生,保护SOD活性,从而对肢体IR损伤发挥保护作用。