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右美托咪定对实验性脓毒症大鼠肝损伤的影响:一项组织病理学和免疫组织化学研究。

The effects of dexmedetomidine on liver injury in rats with experimental sepsis: A histopathological and immunohistochemical study.

作者信息

Keleş Ömer Faruk, Sayhan Kaplan Havva, Çiçek Hacı Ahmet, Palabiyik Onur, Yener Zabit

机构信息

Department of Pathology, Faculty of Veterinary Medicine, Van Yuzuncu Yil University, Van, Türkiye.

Department of Anesthesiology and Reanimation, Faculty of Medicine, Van Yuzuncu Yil University, Van,Türkiye; Department of Anesthesiology and Reanimation, Ministry of Health, Etlik City Hospital, Ankara, Türkiye.

出版信息

Ulus Travma Acil Cerrahi Derg. 2025 Feb;31(2):112-118. doi: 10.14744/tjtes.2025.55338.

Abstract

BACKGROUND

In the rat sepsis model, the protective effect of dexmedetomidine (Dex) in sepsis-induced tissue injuries by reducing inflammation is still unclear, and research is ongoing to determine whether Dex modulates sepsis-induced tissue injury. To investigate the effect of Dex on liver injury in sepsis rats histopathologically and immunohistochemically.

METHODS

In this study, sepsis was induced in rats by 10 ml/kg E. coli injection and the protective efficacy of Dex against liver damage was investigated with histopathological and immunohistochemical findings by intraperitoneal administration of 100 mcg/kg Dex.

RESULTS

In our results, the most striking and basic morphological changes in the liver tissues of sepsis group rats were neutrophil leukocyte infiltrations in and around the vessels. In Dex-treated groups, neutrophil leucocyte infiltrations were more prominent and marked dilatations were observed in the vessels. The fact that inflammatory reactions were more prominent in the Dex-treated groups was thought to be related to the increase in vascular permeability due to Dex's vasodilation effect.

CONCLUSION

according to the histopathological and immunohistochemical findings obtained in the present study, we conclude that Dex did not alleviate sepsis-induced liver inflammation in a rat sepsis model.

摘要

背景

在大鼠脓毒症模型中,右美托咪定(Dex)通过减轻炎症对脓毒症诱导的组织损伤的保护作用仍不清楚,目前正在进行研究以确定Dex是否能调节脓毒症诱导的组织损伤。本研究旨在通过组织病理学和免疫组织化学方法研究Dex对脓毒症大鼠肝损伤的影响。

方法

本研究中,通过给大鼠注射10 ml/kg大肠杆菌诱导脓毒症,并通过腹腔注射100 mcg/kg Dex,利用组织病理学和免疫组织化学结果研究Dex对肝损伤的保护效果。

结果

在我们的研究结果中,脓毒症组大鼠肝脏组织最显著和基本的形态学变化是血管内及血管周围的中性粒细胞浸润。在Dex治疗组中,中性粒细胞浸润更为明显,且观察到血管显著扩张。Dex治疗组炎症反应更突出这一事实被认为与Dex的血管舒张作用导致血管通透性增加有关。

结论

根据本研究获得的组织病理学和免疫组织化学结果,我们得出结论,在大鼠脓毒症模型中,Dex并未减轻脓毒症诱导的肝脏炎症。

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