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n-3多不饱和脂肪酸对大鼠失血性休克/复苏模型肠道屏障保护作用的研究。

The study of n-3PUFAs protecting the intestinal barrier in rat HS/R model.

作者信息

Li Yang, Wang Xinying, Li Ning, Li Jieshou

机构信息

Research Institute of General Surgery, Jinling Hospital, School of Medicine, Nanjing University, 305 Zhongshan East Road, Nanjing 210002, China.

出版信息

Lipids Health Dis. 2014 Sep 8;13:146. doi: 10.1186/1476-511X-13-146.

Abstract

BACKGROUND

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.

METHODS

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.

RESULT

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.

CONCLUSION

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.

摘要

背景

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。

方法

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。

结果

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。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dd5/4246481/e1595e83a024/12944_2014_1158_Fig1_HTML.jpg

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