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非麻醉性惰性气体氦气心脏保护作用涉及的靶点

Targets Involved in Cardioprotection by the Non-Anesthetic Noble Gas Helium.

作者信息

Weber Nina C, Smit Kirsten F, Hollmann Markus W, Preckel Benedikt

机构信息

Department of Anesthesiology, Laboratory of Experimental Intensive Care and Anesthesiology (L.E.I.C.A.), Academic Medical Center (AMC), University of Amsterdam, Meibergdreef 9, 1100 DD Amsterdam, The Netherlands.

出版信息

Curr Drug Targets. 2015;16(8):786-92. doi: 10.2174/1389450116666150120104459.

Abstract

Research data from the past decade indicate that noble gases like xenon and helium exert profound cardioprotection when applied before, during or after organ ischemia. Of all noble gases, especially helium, has gained interest in the past years because it does not have an anesthetic "side effect" like xenon, allowing application of this specific gas in numerous clinical ischemia/reperfusion situations. Because helium has several unique characteristics and no hemodynamic side effects, helium could be administered in severely ill patients. Investigations in animals as well as in humans have proven that this noble gas is not completely inert and can induce several biological effects. Though the underlying molecular mechanisms of helium-induced cardiac protection are still not yet fully understood, recently different signaling pathways have been elucidated.

摘要

过去十年的研究数据表明,氙气和氦气等惰性气体在器官缺血前、缺血期间或缺血后应用时,可发挥显著的心脏保护作用。在所有惰性气体中,尤其是氦气,在过去几年中引起了人们的关注,因为它不像氙气那样具有麻醉“副作用”,这使得这种特定气体能够应用于众多临床缺血/再灌注情况。由于氦气具有几个独特的特性且无血流动力学副作用,因此可用于重症患者。对动物和人类的研究已经证明,这种惰性气体并非完全惰性,能够诱导多种生物学效应。尽管氦气诱导心脏保护的潜在分子机制仍未完全了解,但最近已经阐明了不同的信号通路。

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