Freitas Silvio Henrique, Dória Renata G S, Bueno Rachel S, Rocha William B, Filho Jair R E, Moraes Julieta R E, Vidane Atanásio Serafin, Ambrósio Carlos E
Faculty of Veterinary Medicine, University of Cuiaba, Cuiabá, Mato Grosso, Brazil.
Department of Veterinary Medicine, Faculty of Animal Sciences and Food Engineering, University of São Paulo, Pirassununga, São Paulo, Brazil.
PLoS One. 2017 Jun 12;12(6):e0178665. doi: 10.1371/journal.pone.0178665. eCollection 2017.
In surgical procedures involving the liver, such as transplantation, resection, and trauma, a temporary occlusion of hepatic vessels may be required. This study was designed to analyze the lesions promoted by ischemia and reperfusion injury of the hepatic pedicle, in the liver and lung, using histopathological and immunohistochemical techniques. In total, 39 Wistar rats were divided into four groups: control group (C n = 3) and ischemia groups subjected to 10, 20, and 30 minutes of hepatic pedicle clamping (I10, n = 12; I20, n = 12; I30, n = 12). Each ischemia group was subdivided into four subgroups of reperfusion (R15, n = 3; R30, n = 3; R60, n = 3; R120, n = 3), after 15, 30, 60, and 120 minutes of reperfusion, respectively. Significant differences were observed in the liver parenchyma (P < 0.05) between the values of microvesicles and hydropic degeneration at different times of ischemia and reperfusion. However, the values of vascular congestion, necrosis, and pyknotic nuclei showed no significant differences (P > 0.05). In the lung parenchyma, a significant difference was observed (P < 0.05) between the values of alveolar septal wall thickening and inflammatory infiltration at different times of ischemia and reperfusion. However, there was no significant difference (P < 0.05) between the values of vascular congestion, bronchial epithelial degeneration, interstitial edema, and hemorrhage. The positive immunoreactivity of caspase-3 protein in the liver parenchyma (indication of ongoing apoptosis), showed no significant differences (P > 0.05) at different times of ischemia and reperfusion. In the pulmonary parenchyma, the immunoreactivity was not specific, and was not quantified. This study demonstrated that the longer the duration of ischemia and reperfusion, the greater are the morphological lesions found in the hepatic and pulmonary parenchyma.
在涉及肝脏的外科手术中,如移植、切除和创伤手术,可能需要暂时阻断肝血管。本研究旨在运用组织病理学和免疫组织化学技术,分析肝蒂缺血再灌注损伤在肝脏和肺中引发的病变。总共39只Wistar大鼠被分为四组:对照组(C,n = 3)以及肝蒂夹闭10分钟、20分钟和30分钟的缺血组(I10,n = 12;I20,n = 12;I30,n = 12)。每个缺血组在再灌注15分钟、30分钟、60分钟和120分钟后,分别再细分为四个再灌注亚组(R15,n = 3;R30,n = 3;R60,n = 3;R120,n = 3)。在不同缺血和再灌注时间点,肝实质中微泡和水样变性的值之间观察到显著差异(P < 0.05)。然而,血管充血、坏死和固缩核的值未显示出显著差异(P > 0.05)。在肺实质中,不同缺血和再灌注时间点肺泡间隔壁增厚和炎症浸润的值之间观察到显著差异(P < 0.05)。然而,血管充血、支气管上皮变性、间质水肿和出血的值之间没有显著差异(P > 0.05)。肝实质中caspase - 3蛋白的阳性免疫反应性(表明正在发生凋亡)在不同缺血和再灌注时间点未显示出显著差异(P > 0.05)。在肺实质中,免疫反应性不具有特异性,未进行定量分析。本研究表明,缺血再灌注持续时间越长,在肝实质和肺实质中发现的形态学病变就越严重。