Laboratório de Investigação Medica 37, Departamento de Gastroenterologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo 05508-220, SP, Brazil.
Disciplina de Anestesiologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo 05508-220, SP, Brazil.
Int J Mol Sci. 2024 Aug 14;25(16):8833. doi: 10.3390/ijms25168833.
Liver ischaemia-reperfusion (IR) during hepatic surgeries can lead to liver cell death via oxidative stress and the activation of immune cells, the release of cytokines, and damage-associated molecular patterns. Ascorbic acid has been shown to confer potential protective effects against IR injury, mainly due to its antioxidant properties. This study evaluated the effect of ascorbic acid infusion at different time points during hepatic IR in rats. Thirty-six male Wistar rats were divided into control and experimental groups that received the same total ascorbic acid dose at three different infusion times: before ischaemia, before reperfusion, or before both ischaemia and reperfusion. All of the animals experienced hepatic IR injury. We measured the hepatic enzymes, cytokines, and portal blood flow. Animals receiving ascorbic acid before both ischaemia and reperfusion had lower liver enzyme levels, reduced inflammation, and better portal venous flow than other animals. Divided doses of ascorbic acid before IR may be beneficial for reducing liver injury associated with IR.
肝脏缺血再灌注(IR)在肝脏手术中可导致肝细胞死亡,其机制涉及氧化应激和免疫细胞激活、细胞因子释放以及损伤相关分子模式的激活。抗坏血酸具有潜在的抗 IR 损伤作用,主要与其抗氧化特性有关。本研究评估了在大鼠肝脏 IR 过程中不同时间点给予抗坏血酸输注的效果。36 只雄性 Wistar 大鼠分为对照组和实验组,实验组在三个不同的输注时间点给予相同的总抗坏血酸剂量:缺血前、再灌注前或缺血和再灌注前。所有动物均经历了肝脏 IR 损伤。我们测量了肝酶、细胞因子和门脉血流。在缺血和再灌注前给予抗坏血酸的动物的肝酶水平较低,炎症反应减轻,门脉血流更好。IR 前分剂量给予抗坏血酸可能有益于减轻与 IR 相关的肝损伤。