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多索茶碱对 COPD 大鼠机械通气时肺炎症反应及氧化应激的影响。

Effect of doxofylline on pulmonary inflammatory response and oxidative stress during mechanical ventilation in rats with COPD.

机构信息

Department of Anesthesiology, The Second Affiliated Hospital of Fujian Medical University, No. 950 of Donghai Street, Fengze District, Quanzhou, 362000, China.

Department of Pathology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, 362000, China.

出版信息

BMC Pulm Med. 2022 Feb 17;22(1):66. doi: 10.1186/s12890-022-01859-6.

Abstract

OBJECTIVE

To evaluate the effects of doxofylline on inflammatory responses and oxidative stress during mechanical ventilation in rats with chronic obstructive pulmonary disease (COPD).

METHODS

Eight-week-old male Sprague Dawley rats were selected, and the COPD rat model was constructed. The rats were randomly divided into a model group (group M), a model + normal saline group (group N), a doxofylline group (group D), and a control group fed with conventional chow and given normal oxygen supply (group C) (n = 12 in each group). Tracheal intubation and mechanical ventilation were conducted in the rats in each group after anesthesia. A real-time intravenous infusion with 50 mg/kg of doxofylline was conducted in group D, and there was no drug intervention in groups C, N and M. Pathological manifestations of the pulmonary tissues were observed and compared among the groups. And some indicators were evaluated.

RESULTS

(1) The pulmonary tissues of the rats in groups M, N, and D exhibited typical pathological histological changes of COPD. (2) Groups M, N, and D showed increased Ppeak, PaCO, total white blood cell count in BALF, and IL-8, TNF-α, and MDA levels in the pulmonary tissue and BALF, and decreased PaO and IL-10 and SOD levels, compared with group C. (3). Group D showed decreased Ppeak, PaCO, total white blood cell count in BALF, and IL-8, TNF-α, and MDA levels in the pulmonary tissue, and increased PaO and IL-10 and SOD levels, compared with group N or M.

CONCLUSION

Doxofylline was shown to improve ventilation and air exchange during mechanical ventilation in rats with COPD, reduce the inflammatory response and oxidative stress, and mitigate the degree of pulmonary tissue injury.

摘要

目的

评估二羟茶碱在慢性阻塞性肺疾病(COPD)大鼠机械通气期间对炎症反应和氧化应激的影响。

方法

选择 8 周龄雄性 Sprague Dawley 大鼠,构建 COPD 大鼠模型。将大鼠随机分为模型组(M 组)、模型+生理盐水组(N 组)、二羟茶碱组(D 组)和常规饲料喂养、给予常氧的对照组(C 组)(每组 12 只)。麻醉后,各组大鼠行气管插管和机械通气。D 组大鼠行实时静脉输注 50mg/kg 二羟茶碱,C、N、M 组无药物干预。观察各组大鼠肺组织的病理表现并进行比较,评估部分指标。

结果

(1)M、N、D 组大鼠的肺组织均出现典型的 COPD 病理组织学改变。(2)M、N、D 组大鼠的 Ppeak、PaCO2、BALF 中总白细胞计数以及肺组织和 BALF 中 IL-8、TNF-α、MDA 水平均高于 C 组,PaO2、IL-10、SOD 水平均低于 C 组。(3)D 组大鼠的 Ppeak、PaCO2、BALF 中总白细胞计数以及肺组织和 BALF 中 IL-8、TNF-α、MDA 水平均低于 N 组或 M 组,PaO2、IL-10、SOD 水平均高于 N 组或 M 组。

结论

二羟茶碱可改善 COPD 大鼠机械通气时的通气和换气功能,减轻炎症反应和氧化应激,减轻肺组织损伤程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e45c/8851859/24864c3ee137/12890_2022_1859_Fig1_HTML.jpg

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