MD. Laboratory for Experimental Surgery - Department of Experimental Surgery - Universidade do Estado do Pará (UEPA) - Belém (PA), Brazil.
MS. Laboratory for Experimental Surgery - Department of Experimental Surgery - Universidade do Estado do Pará (UEPA) - Belém (PA), Brazil.
Acta Cir Bras. 2021 Sep 3;36(7):e360707. doi: 10.1590/ACB360707. eCollection 2021.
To clarify the best protocol for performing remote ischemic conditioning and to minimize the consequences of ischemia and reperfusion syndrome in brain, the present study aimed to evaluate different time protocols and the relation of the organs and the antioxidant effects of this technique.
The rat's left femoral artery was clamped with a microvascular clamp in times that ranged from 1 to 5 minutes, according to the corresponding group. After the cycles of remote ischemic conditioning and a reperfusion of 20 minutes, the brain and the left gastrocnemius were collected. The samples were used to measure glutathione peroxidase, glutathione reductase and catalase levels.
In the gastrocnemius, the 4-minute protocol increased the catalase concentration compared to the 1-minute protocol, but the latter increased both glutathione peroxidase and glutathione reductase compared to the former. On the other hand, the brain demonstrated higher catalase and glutathione peroxidase in 5-minute group, and the 3-minute group reached higher values of glutathione reductase.
Remote ischemic conditioning increases brain antioxidant capacity in a time-dependent way, while muscle presents higher protection on 1-minute cycles and tends to decrease its defence with longer cycles of intermittent occlusions of the femoral artery.
为了阐明实施远程缺血预处理的最佳方案,并最大程度地减少脑缺血再灌注综合征的后果,本研究旨在评估不同时间方案以及该技术与器官的关系和抗氧化作用。
根据相应的组别,用微血管夹夹住大鼠的左股动脉 1 至 5 分钟。在远程缺血预处理的循环和 20 分钟的再灌注后,收集大脑和左腓肠肌。将样本用于测量谷胱甘肽过氧化物酶、谷胱甘肽还原酶和过氧化氢酶的水平。
在腓肠肌中,与 1 分钟方案相比,4 分钟方案增加了过氧化氢酶的浓度,但后者与前者相比,增加了谷胱甘肽过氧化物酶和谷胱甘肽还原酶。另一方面,大脑在 5 分钟组中表现出更高的过氧化氢酶和谷胱甘肽过氧化物酶,而 3 分钟组则达到了更高的谷胱甘肽还原酶值。
远程缺血预处理以时间依赖的方式增加大脑的抗氧化能力,而肌肉在 1 分钟循环中表现出更高的保护作用,并随着股动脉间歇性闭塞时间的延长而降低其防御能力。