Department of Cardiothoracic Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Department of Pathology, 421 Hospital of PLA, Guangzhou, China.
Cardiorenal Med. 2018;8(3):173-182. doi: 10.1159/000487490. Epub 2018 Apr 11.
This study aimed to evaluate the cardioprotective effects of ω-3 polyunsaturated fatty acids (PUFAs) postconditioning against ischemia-reperfusion (I/R) injury.
Sixty Sprague-Dawley rats were randomly divided into 4 groups (n = 15 for each) and used to generate the Langendorff isolated perfused rat heart model. The sham group received a continuous perfusion of 150 min. The remaining three I/R-treated groups sequentially received a 30-min perfusion, a 30-min cardioplegia, and a 90-min reperfusion. The I/R-ischemic preconditioning (IP) group additionally received three cycles of 20-s reperfusion and 20-s coronary reocclusion preceded the 90 min of reperfusion. The I/R-ω group were perfused with ω-3 PUFAs for 15 min before the 90 min of reperfusion. The myocardial infarct size, the degree of mitochondrial damage, the antioxidant capacity of the myocardium, and the cardiac functions during reperfusion were compared among groups.
Compared with the I/R group, the I/R-ω group had significantly reduced myocardial infarct size, reduced levels of lactate dehydrogenase and malondialdehyde, elevated superoxide dismutase level, and elevated rising (+dp/dtmax) and descending (-dp/dtmax) rate of left ventricular pressure. The I/R-ω group had a significantly lower rate of mitochondrial damage in myocardial tissue compared with the I/R and I/R-IP groups.
ω-3 PUFA postconditioning possesses good cardioprotective effects and may be developed into a therapeutic strategy for myocardial I/R injury.
本研究旨在评估ω-3 多不饱和脂肪酸(PUFA)后处理对缺血再灌注(I/R)损伤的心脏保护作用。
60 只 Sprague-Dawley 大鼠随机分为 4 组(每组 n = 15),用于生成 Langendorff 分离灌注大鼠心脏模型。假手术组接受连续灌注 150 分钟。其余 3 个 I/R 处理组依次接受 30 分钟灌注、30 分钟心脏停搏液和 90 分钟再灌注。I/R-缺血预处理(IP)组在 90 分钟再灌注前额外接受 3 个 20 秒再灌注和 20 秒冠状动脉再闭塞循环。I/R-ω 组在 90 分钟再灌注前用 ω-3 PUFAs 灌注 15 分钟。比较各组心肌梗死面积、线粒体损伤程度、心肌抗氧化能力和再灌注期间心功能。
与 I/R 组相比,I/R-ω 组心肌梗死面积明显减小,乳酸脱氢酶和丙二醛水平降低,超氧化物歧化酶水平升高,左心室压力上升(+dp/dtmax)和下降(-dp/dtmax)率升高。与 I/R 和 I/R-IP 组相比,I/R-ω 组心肌组织线粒体损伤程度明显降低。
ω-3PUFA 后处理具有良好的心脏保护作用,可能成为心肌 I/R 损伤的治疗策略。