Departamento de Bioquímica Humana, Facultad de Medicina, Universidad de Buenos Aires, Buenos Aires, Argentina.
Hospital Británico de Buenos Aires, Buenos Aires, Argentina.
Anaesthesiol Intensive Ther. 2022;54(5):357-364. doi: 10.5114/ait.2022.122549.
Sepsis is a syndrome of physiological, pathological, and biochemical disorders with several processes co-occurring; reactive oxygen species (ROS) production and apoptosis are 2 of them. Succinate is a Krebs cycle intermediate that is oxydized in complex II of the mitochondria. This study aims to investigate the influence of succinate infusion on these processes.
Sepsis was induced with caecal ligation and puncture in 200 gr Sprague Dawley rats. Four groups were formed with 10 animals (1 - control, 2 - succinate, 3 - sepsis, and 4 - sepsis + succinate). 5 mmol kg-1 of intraperitoneal succinate were administered twice in groups 2 and 4. ROS and caspase-3 levels were measured.
Overall, ROS levels (P = 0.017), but not caspase-3 levels (P = 0.89) differed significantly between the groups. The succinate administration reduced serum ROS levels (group 4 vs. 3) in a statistically significant way [0.0623 units (95% CI: 0.0547-0.0699) vs. 0.0835 (0.06-0.106), P = 0.017)], but it did not reduce serum caspase-3 levels (P = 0.39). There was no correlation between serum ROS levels and serum caspase-3 levels.
In this model, ROS levels were reduced with succinate infusion, but caspase-3 levels were not. In addition, ROS levels and apoptosis levels are not correlated, which suggests that those processes occur at different times.
败血症是一种生理、病理和生化紊乱的综合征,有几个过程同时发生;活性氧(ROS)的产生和细胞凋亡就是其中的两个。琥珀酸是三羧酸循环的中间产物,在线粒体复合物 II 中被氧化。本研究旨在探讨琥珀酸输注对这些过程的影响。
通过盲肠结扎和穿刺术在 200 克斯普拉格-道利大鼠中诱导败血症。将 10 只动物分为 4 组(1-对照组,2-琥珀酸组,3-败血症组,4-败血症+琥珀酸组)。在第 2 组和第 4 组中,腹腔内注射 5mmolkg-1的琥珀酸两次。测量 ROS 和 caspase-3 水平。
总体而言,各组间 ROS 水平(P = 0.017),但 caspase-3 水平(P = 0.89)差异无统计学意义。琥珀酸的给予在统计学上显著降低了血清 ROS 水平(第 4 组比第 3 组)[0.0623 单位(95%CI:0.0547-0.0699)比 0.0835(0.06-0.106),P = 0.017],但没有降低血清 caspase-3 水平(P = 0.39)。血清 ROS 水平与血清 caspase-3 水平之间没有相关性。
在该模型中,ROS 水平随着琥珀酸输注而降低,但 caspase-3 水平没有降低。此外,ROS 水平和凋亡水平没有相关性,这表明这些过程发生在不同的时间。