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在肾下腹主动脉阻塞大鼠模型中,通过调节抗炎和抗硝化途径,保护直接受影响的器官以及远处器官免受缺血再灌注损伤。

Protects the Directly Affected Organ as Well as Distant Organs Against I/R Injury by Modulating Anti-Inflammatory and Anti-Nitrosative Pathways in A Rat Model for Infra-Renal Aortic Occlusion.

机构信息

Department of Cardiovascular Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey.

Department of Histology and Embryology, Faculty of Medicine, Gazi University, Ankara, Turkey.

出版信息

J Invest Surg. 2021 Sep;34(9):935-946. doi: 10.1080/08941939.2020.1716118. Epub 2020 Jan 31.

Abstract

OBJECTIVE

To investigate the protective effect and underlying mechanisms of , a medicinal plant, on kidney and skeletal muscle injury induced by infra-renal abdominal aorta clamping for 2-hours (ischemia) and following removal of the clamp (reperfusion, 2-hours).

METHODS

Rats were divided into four groups (n = 6): (I) animals given only saline (sham-control); (II) animals given extract for 10-days (300 mg/kg/day) (-treated sham); (III) animals subjected to ischemia/reperfusion (I/R); (IV) animals given extract and then subjected to I/R. Kidneys and lower extremity muscles were examined for GPx, CAT, iNOS, 3-NT, IL-1β and TNF-α. Apoptosis and injury were evaluated by TUNEL and H&E staining, respectively.

RESULTS

I/R resulted in TUNEL positive cells, periarterial edema and glomerular capillary dilatation, decreased GPx activity, unchanged CAT, iNOS, 3-NT, IL-1β and TNF-α in kidney. minimized renal remote reperfusion injury, and Group IV showed a lower degree of renal histopathology score when compared to the others. mitigated muscle I/R injury, decreased muscle hypertrophy, myofibril abnormalities and apoptosis. Muscle 3-NT and cytokine levels were increased by I/R, and inhibited iNOS and 3-NT both in sham-control and I/R groups. Muscle GPx unaffected by I/R or CAT was inhibited only in treated I/R group. Muscle iNOS, 3-NT, IL-1β, TNF-α levels and CAT activity of -treated I/R rats were lower than those in sham-control or -treated sham.

CONCLUSIONS

can protect the directly affected organ as well as distant organs against I/R injury by modulating anti-inflammatory and anti-nitrosative pathways.

摘要

目的

研究药用植物 对肾和骨骼肌损伤的保护作用及其机制,这种损伤是由肾下腹主动脉夹闭 2 小时(缺血)和夹闭解除后(再灌注,2 小时)引起的。

方法

将大鼠分为 4 组(n=6):(I)仅给予生理盐水的动物(假手术对照);(II)给予 提取物 10 天(300mg/kg/天)的动物(未治疗的假手术);(III)缺血/再灌注(I/R)动物;(IV)给予 提取物然后进行 I/R 的动物。检查肾脏和下肢肌肉的 GPx、CAT、iNOS、3-NT、IL-1β 和 TNF-α。通过 TUNEL 和 H&E 染色分别评估细胞凋亡和损伤。

结果

I/R 导致 TUNEL 阳性细胞、血管周围水肿和肾小球毛细血管扩张,降低肾脏的 GPx 活性,CAT 不变,iNOS、3-NT、IL-1β 和 TNF-α 降低。 减轻了肾脏的远程再灌注损伤,与其他组相比,IV 组的肾脏组织病理学评分较低。 减轻了肌肉 I/R 损伤,减少了肌肉肥大、肌纤维异常和细胞凋亡。肌肉 3-NT 和细胞因子水平因 I/R 而升高,且在 sham-control 和 I/R 组中均抑制了 iNOS 和 3-NT。肌肉 iNOS、3-NT、IL-1β、TNF-α 水平和 CAT 活性在 -治疗 I/R 大鼠中低于 sham-control 或 -治疗假手术组。

结论

可以通过调节抗炎和抗硝化途径来保护直接受影响的器官和远处器官免受 I/R 损伤。

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