Li Yang, Wang Xinying, Li Ning, Li Jieshou
Research Institute of General Surgery, Jinling Hospital, School of Medicine, Nanjing University, 305 Zhongshan East Road, Nanjing 210002, China.
Lipids Health Dis. 2014 Sep 8;13:146. doi: 10.1186/1476-511X-13-146.
N-3 PUFAs have been demonstrated in vitro it could prevent the intestinal tight junctions (TJs) from the ischemia/re-perfusion injury and the inflammatory reaction injury. The purpose of this study was to evaluate the protection of n-3 PUFAs on the intestinal TJs in the rat model of hemorrhagic shock followed by resuscitation.
Male SD rats (n = 72; 250 ~ 300 g) were randomly divided into 6 groups: SHAM, hemorrhagic shock (HS), hemorrhagic shock/resuscitation (HS/R), ω-6 group, ω-3 group and ω-3 treatment group. Shock was induced, and a mean arterial pressure was maintained at 35 to 40 mmHg for 60 minutes. Resuscitation was carried out by returning half of the shed blood and Ringer's lactate solution. In ω-6 and ω-3 group, Intralipid or fish oil (0.2 g/Kg), respectively, was infused 30 minutes after shock. And fish oil was infused with resuscitation in ω-3 treatment group. Half of each group was killed at 30 minutes and 4 hours after resuscitation, respectively. The serum samples and the intestinal sample was collected for further examination.
There is no difference between ω-3, ω-3 treatment and sham group in Chiu's score, but the other three groups have higher scores than they did. Compared with HS, HSR and ω-6 group, ω-3 and ω-3 treatment group showed most intact in intestinal mucoscal villi and TJs through HE, SEM and LSCM. The levels of IL-6 and TNF-α of bowel tissue in ω-3 and ω-3 treatment group were significantly lower than HS and HSR groups'. At the time point of 30 min, the levels of serum endotoxin were dramatically higher in HS、 HSR and ω-6 groups when compared with ω-3, ω-3 treatment and sham group. However, it in ω-3 group was greater than sham and HS group until 4 hours.
Fish oil pretreatment before resuscitation showed a beneficial effect to the intestinal TJs and atteunated inflammation after H/R in HS/R rat model and is better than ω-6 PUFAs did.
体外实验已证实,n-3多不饱和脂肪酸(PUFAs)可预防肠紧密连接(TJs)免受缺血/再灌注损伤和炎症反应损伤。本研究旨在评估n-3 PUFAs对失血性休克复苏大鼠模型肠TJs的保护作用。
雄性SD大鼠(n = 72;250~300 g)随机分为6组:假手术组(SHAM)、失血性休克组(HS)、失血性休克/复苏组(HS/R)、ω-6组、ω-3组和ω-3治疗组。诱导休克,使平均动脉压维持在35至40 mmHg 60分钟。通过回输一半失血量和乳酸林格氏液进行复苏。在ω-6组和ω-3组中,休克后30分钟分别输注英脱利匹特或鱼油(0.2 g/Kg)。在ω-3治疗组中,鱼油在复苏时输注。每组各一半大鼠分别在复苏后30分钟和4小时处死。收集血清样本和肠样本进行进一步检测。
ω-3组、ω-3治疗组和假手术组在Chiu评分上无差异,但其他三组评分高于这三组。与HS组、HS/R组和ω-6组相比,ω-3组和ω-3治疗组通过苏木精-伊红染色(HE)、扫描电子显微镜(SEM)和激光扫描共聚焦显微镜(LSCM)观察显示肠黏膜绒毛和TJs最完整。ω-3组和ω-3治疗组肠组织中白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)水平显著低于HS组和HS/R组。在30分钟时间点,与ω-3组、ω-3治疗组和假手术组相比,HS组、HS/R组和ω-6组血清内毒素水平显著升高。然而,直到4小时,ω-3组的血清内毒素水平仍高于假手术组和HS组。
在失血性休克复苏大鼠模型中,复苏前鱼油预处理对肠TJs有有益作用,并减轻了缺血/再灌注后的炎症反应,且优于ω-6多不饱和脂肪酸。