Caldeira Diego Elias da Silva, Silveira Marina Rodrigues Garcia da, Margarido Maria Rita Rodrigues Alves, Vanni José Carlos, Feres Omar, Silva Orlando Castro E
Faculty of Medicine of Marília, Marília, São Paulo, Brasil.
Ribeirão Preto Medical School, Ribeirão Preto, São Paulo, Brasil.
Acta Cir Bras. 2014;29 Suppl 1:24-8. doi: 10.1590/s0102-86502014001300005.
To determine the effect of hyperbaric hyperoxia as hepatic preconditioning on hepatocellular integrity in rats submitted to intermittent hepatic ischemia/reperfusion injury.
Twenty male Wistar rats were divided into 4 groups (SHAM, I/R, HBO-I/R and CONTROL). The surgical technique consisted of total clamping of the hepatic pedicle for 15 min, followed by reperfusion for 5 min, performed twice. The application of hyperbaric oxygen (HBO) was carried out in a collective chamber (simultaneous exposure of 4 rats) pressurized directly with oxygen at 2 ATA for 60 min. Tissue malondialdehyde (MDA) levels were determined and blood samples were collected for the determination of serum AST and ALT levels. Data were analyzed statistically by the Mann-Whitney test, with the level of significance set at p < 0.05.
A statistically significant difference in MDA (p< 0.05) was observed between control and HBO-I/R, but not between control and I/R. Regarding AST, there was a difference between control and I/R and HBO-I/R. Analysis of ALT revealed a significant difference between control and I/R (p<0.05) and between I/R and HBO-I/R, with no difference between control and HBO-IR.
Hyperoxic preconditioning proved to be favorable regarding alanine transaminase, but not aspartate aminotranserase or malondialdehyde levels.
确定高压高氧作为肝脏预处理对遭受间歇性肝脏缺血/再灌注损伤的大鼠肝细胞完整性的影响。
将20只雄性Wistar大鼠分为4组(假手术组、缺血/再灌注组、高压氧-缺血/再灌注组和对照组)。手术技术包括完全夹闭肝蒂15分钟,然后再灌注5分钟,重复两次。高压氧(HBO)治疗在一个集体舱内进行(4只大鼠同时暴露),直接用氧气加压至2个绝对大气压,持续60分钟。测定组织丙二醛(MDA)水平,并采集血样测定血清AST和ALT水平。数据采用Mann-Whitney检验进行统计学分析,显著性水平设定为p < 0.05。
对照组与高压氧-缺血/再灌注组之间MDA有统计学显著差异(p<0.05),但对照组与缺血/再灌注组之间无差异。关于AST,对照组与缺血/再灌注组以及高压氧-缺血/再灌注组之间存在差异。ALT分析显示对照组与缺血/再灌注组之间有显著差异(p<0.05),缺血/再灌注组与高压氧-缺血/再灌注组之间也有显著差异,而对照组与高压氧-缺血/再灌注组之间无差异。
高氧预处理在丙氨酸转氨酶方面被证明是有利的,但在天冬氨酸转氨酶或丙二醛水平方面并非如此。