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脉络宁注射液对肢体缺血再灌注损伤家兔8-异前列腺素F2α及超氧化物歧化酶的影响

Effect of Mailuoning injection on 8-iso-prostaglandin F2 alpha and superoxide dismutase in rabbits with extremity ischemia-reperfusion injury.

作者信息

Wang Dai-Jun, Tian Hua

机构信息

Department of Human Anatomy, Weifang Medical University, Weifang, Shandong, China.

School Hospital, Weifang Medical University, Weifang, Shandong, China.

出版信息

J Surg Res. 2014 Dec;192(2):464-70. doi: 10.1016/j.jss.2014.06.008. Epub 2014 Jun 11.

Abstract

BACKGROUND

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.

MATERIALS AND METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

背景

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。

材料与方法

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。

结果

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。

结论

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。

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