Kuzon W M, Walker P M, Mickle D A, Harris K A, Pynn B R, McKee N H
J Surg Res. 1986 Jul;41(1):24-32. doi: 10.1016/0022-4804(86)90004-1.
A modified isolated canine gracilis model of acute complete muscle ischemia was developed and then tested metabolically and histologically in 25 animals to assess its validity. In each dog, both gracili were isolated on their major vascular pedicles. One muscle underwent ischemia and reperfusion by placing and removing microvascular clips on the artery and vein. The other gracilis muscle was used as a control. Total muscle blood flow measurements, blood samples, and muscle biopsies were taken every other hour for up to 11 hr after preparation. The fiber-type profile of the gracilis was determined bilaterally using a myosin ATPase stain (n = 10). The results verified these hypotheses: after surgical preparation, the right and left muscles in the same dog are equivalent metabolically, after a 2-hr stabilization period, gracilis blood flow, oxygen and glucose uptake, lactate release, and tissue glycogen, lactate, phosphocreatine, and ATP levels remain within normal limits and unchanged for the next 9 hr, the surgical isolation of the gracilis muscle on a single vascular pedicle does not result in significant metabolic changes, in this model, a 2-hr ischemia is reversible, but a 7-hr ischemia results in irreversible ischemic injury. As well, fiber-type profile, muscle blood flow, and metabolic parameters can very significantly among animals supporting the necessity of a contralateral control. Therefore, this modified gracilis muscle model with its contralateral muscle as a control is suitable for acute skeletal muscle ischemia experiments of at least 9-hr duration.
建立了一种改良的犬急性完全性肌肉缺血离体股薄肌模型,然后对25只动物进行代谢和组织学检测以评估其有效性。在每只犬中,双侧股薄肌均在其主要血管蒂上进行分离。通过在动脉和静脉上放置和移除微血管夹,使一块肌肉经历缺血和再灌注。另一块股薄肌用作对照。制备后每隔1小时进行一次全肌肉血流量测量、采集血样和进行肌肉活检,持续11小时。使用肌球蛋白ATP酶染色双侧测定股薄肌的纤维类型分布(n = 10)。结果证实了以下假设:手术制备后,同一只犬的左右肌肉在代谢上是等效的;经过2小时的稳定期后,股薄肌血流量、氧气和葡萄糖摄取、乳酸释放以及组织糖原、乳酸、磷酸肌酸和ATP水平在接下来的9小时内保持在正常范围内且无变化;将股薄肌在单一血管蒂上进行手术分离不会导致明显的代谢变化;在该模型中,2小时的缺血是可逆的,但7小时的缺血会导致不可逆的缺血性损伤。此外,不同动物之间的纤维类型分布、肌肉血流量和代谢参数差异可能非常显著,这支持了设置对侧对照的必要性。因此,这种以对侧肌肉作为对照的改良股薄肌模型适用于至少持续9小时的急性骨骼肌缺血实验。