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高氧与脑:从分子角度看必要性与损伤之间的联系

Hyperoxia and brain: the link between necessity and injury from a molecular perspective.

作者信息

Simon Machado Richard, Mathias Khiany, Joaquim Larissa, de Quadros Rafaella Willig, Rezin Gislaine Tezza, Petronilho Fabricia

机构信息

Laboratory of Experimental Neurology, Graduate Program in Health Sciences, Health Sciences Unit, University of Southern Santa Catarina, Criciuma, SC, Brazil.

Laboratory of Neurobiology of Inflammatory and Metabolic Processes, Graduate Program in Health Sciences, Health Sciences Unit, University of South Santa Catarina, Tubarão, SC, Brazil.

出版信息

Neurotox Res. 2024 Apr 15;42(2):25. doi: 10.1007/s12640-024-00702-6.

Abstract

Oxygen (O) supplementation is commonly used to treat hypoxia in patients with respiratory failure. However, indiscriminate use can lead to hyperoxia, a condition detrimental to living tissues, particularly the brain. The brain is sensitive to reactive oxygen species (ROS) and inflammation caused by high concentrations of O, which can result in brain damage and mitochondrial dysfunction, common features of neurodegenerative disorders. Hyperoxia leads to increased production of ROS, causing oxidative stress, an imbalance between oxidants and antioxidants, which can damage tissues. The brain is particularly vulnerable to oxidative stress due to its lipid composition, high O consumption rate, and low levels of antioxidant enzymes. Moreover, hyperoxia can cause vasoconstriction and decreased O supply to the brain, posing a challenge to redox balance and neurodegenerative processes. Studies have shown that the severity of hyperoxia-induced brain damage varies with inspired O concentration and duration of exposure. Therefore, careful evaluation of the balance between benefits and risks of O supplementation, especially in clinical settings, is crucial.

摘要

补充氧气(O)常用于治疗呼吸衰竭患者的缺氧。然而,不加区分地使用可能会导致高氧血症,这是一种对活组织,尤其是大脑有害的状况。大脑对高浓度O引起的活性氧(ROS)和炎症敏感,这可能导致脑损伤和线粒体功能障碍,而这是神经退行性疾病的常见特征。高氧血症会导致ROS生成增加,引发氧化应激,即氧化剂和抗氧化剂之间的失衡,进而损害组织。由于大脑的脂质组成、高O消耗率和低水平的抗氧化酶,它特别容易受到氧化应激的影响。此外,高氧血症会导致血管收缩和大脑O供应减少,对氧化还原平衡和神经退行性过程构成挑战。研究表明,高氧血症引起的脑损伤严重程度随吸入O浓度和暴露时间而变化。因此,仔细评估补充O的利弊平衡,尤其是在临床环境中,至关重要。

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