Department of General Surgery, Gazi University Faculty of Medicine, Ankara, Turkey.
Department of Physiology, Kutahya Health Sciences University Faculty of Medicine, Kutahya, Turkey.
BMC Anesthesiol. 2023 Feb 3;23(1):40. doi: 10.1186/s12871-023-01999-0.
During liver surgery and transplantation, periods of partial or total vascular occlusion are inevitable and result in ischemia-reperfusion injury (IRI). Nanomedicine uses the latest technology, which has emerged with interdisciplinary effects, such as biomedical sciences, physics, and engineering, to protect and improve human health. Interdisciplinary research has brought along the introduction of antioxidant nanoparticles as potential therapeutics. The goal of this study was to investigate the effects of cerium oxide (CeO) administration and desflurane anesthesia on liver tissue in liver IR injury.
Thirty rats were randomly divided into five groups: control (C), ischemia-reperfusion (IR), IR-desflurane (IRD), cerium oxide-ischemia reperfusion (CeO-IR), and cerium oxide-ischemia reperfusion-desflurane (CeO-IRD). In the IR, IRD, and CeO-IRD groups, hepatic ischemia was induced after the porta hepatis was clamped for 120 min, followed by 120 min of reperfusion. Intraperitoneal 0.5 mg/kg CeO was administered to the CeO groups 30 min before ischemia. Desflurane (6%) was administered to the IRD and CeO-IRD groups during IR. All groups were sacrificed under anesthesia. Liver tissue samples were examined under a light microscope by staining with hematoxylin-eosin (H&E). Malondialdehyde (MDA) levels, catalase (CAT), glutathione-s-transferase (GST), and arylesterase (ARE) enzyme activities were measured in the tissue samples.
The IR group had considerably more hydropic degeneration, sinusoidal dilatation, and parenchymal mononuclear cell infiltration than the IRD, CeO-IR, and CeO-IRD groups. Catalase and GST enzyme activity were significantly higher in the CeO-IR group than in the IR group. The MDA levels were found to be significantly lower in the IRD, CeO-IR, and CeO-IRD groups than in the IR group.
Intraperitoneal CeO with desflurane reduced oxidative stress and corrected liver damage.
在肝外科手术和肝移植过程中,部分或完全血管闭塞是不可避免的,会导致缺血再灌注损伤(IRI)。纳米医学利用最新技术,这些技术具有生物医学科学、物理和工程等多学科的交叉影响,以保护和改善人类健康。跨学科研究引入了抗氧化纳米粒子作为潜在的治疗方法。本研究旨在探讨氧化铈(CeO)给药和地氟烷麻醉对肝IRI 中肝组织的影响。
30 只大鼠随机分为 5 组:对照组(C)、缺血再灌注组(IR)、IR-地氟烷组(IRD)、氧化铈-缺血再灌注组(CeO-IR)和氧化铈-缺血再灌注-地氟烷组(CeO-IRD)。在 IR、IRD 和 CeO-IRD 组中,夹闭肝门 120min 后诱导肝缺血,再灌注 120min。CeO 组在缺血前 30min 腹腔内给予 0.5mg/kg CeO。IRD 和 CeO-IRD 组在 IR 期间给予地氟烷(6%)。所有组均在麻醉下处死。肝组织标本用苏木精-伊红(H&E)染色在光镜下检查。测定组织样本中的丙二醛(MDA)水平、过氧化氢酶(CAT)、谷胱甘肽-S-转移酶(GST)和芳基酯酶(ARE)酶活性。
IR 组的水样变性、窦扩张和实质单核细胞浸润比 IRD、CeO-IR 和 CeO-IRD 组更为明显。CeO-IR 组的 CAT 和 GST 酶活性明显高于 IR 组。IRD、CeO-IR 和 CeO-IRD 组的 MDA 水平明显低于 IR 组。
腹腔内给予 CeO 并用地氟烷可减轻氧化应激并纠正肝损伤。