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时间至关重要:吸入甲烷可减轻晚期实验性脓毒症中的线粒体和器官功能障碍。

Time Matters: Methane Inhalation Mitigates Mitochondrial and Organ Dysfunction in Advanced Experimental Sepsis.

作者信息

Gulácsi Levente Frigyes, Rutai Attila, Juhász László, Czakó Bálint László, Szabó Andrea, Boros Mihály, Kaszaki József, Poles Marietta Zita, Tallósy Szabolcs Péter

机构信息

Institute of Surgical Research, Albert Szent-Györgyi Medical School, University of Szeged, 6720 Szeged, Hungary.

出版信息

Antioxidants (Basel). 2025 Jul 1;14(7):814. doi: 10.3390/antiox14070814.

DOI:10.3390/antiox14070814
PMID:40722918
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12291870/
Abstract

This study aimed to characterize the time-dependent effects of methane (CH) inhalation, initiated at defined intervals following sepsis onset, on organ function, systemic oxygen utilization, and mitochondrial respiration in a rodent model. Adult rats were subjected to abdominal sepsis or sham operation. Septic animals were assigned to groups receiving 2.2% CH in normoxic air at specific post-insult phases (early: 3-6 h; intermediate: 16-19 h; late: 19-22 h), while a control group remained untreated. At 24 h, organ function was evaluated using a Rat-Specific Organ Failure Assessment (ROFA) score, along with measurements of plasma myeloperoxidase (MPO) activity, Complex I-II-linked oxidative phosphorylation in renal and cerebellar tissues, systemic oxygen extraction, and global tissue perfusion (pCO-gap). Sepsis induced significant organ dysfunction, impaired hemodynamics, reduced oxygen utilization, and decreased mitochondrial respiration. CH inhalation improved survival when administered early, restored cerebellar mitochondrial respiration during the intermediate phase, and in the late phase reduced ROFA scores and MPO levels, while attenuating mitochondrial dysfunction in renal and cerebellar tissues. All CH-treated groups demonstrated improved renal function and enhanced tissue oxygenation. Targeted CH inhalation during sepsis confers protective effects by preserving mitochondrial function, reducing inflammation, and improving oxygen dynamics, suggesting promising therapeutic potential.

摘要

本研究旨在确定在啮齿动物模型中,败血症发作后以特定间隔开始吸入甲烷(CH)对器官功能、全身氧利用和线粒体呼吸的时间依赖性影响。成年大鼠接受腹部败血症手术或假手术。败血症动物被分配到在特定损伤后阶段(早期:3 - 6小时;中期:16 - 19小时;晚期:19 - 22小时)接受常氧空气中2.2% CH的组,而对照组不接受治疗。在24小时时,使用大鼠特异性器官衰竭评估(ROFA)评分评估器官功能,同时测量血浆髓过氧化物酶(MPO)活性、肾和小脑组织中复合体I - II相关的氧化磷酸化、全身氧摄取和整体组织灌注(pCO - 间隙)。败血症导致显著的器官功能障碍、血流动力学受损、氧利用减少和线粒体呼吸降低。早期吸入CH可提高生存率,在中期恢复小脑线粒体呼吸,在晚期降低ROFA评分和MPO水平,同时减轻肾和小脑组织中的线粒体功能障碍。所有CH治疗组均表现出肾功能改善和组织氧合增强。败血症期间靶向吸入CH通过保留线粒体功能、减轻炎症和改善氧动力学发挥保护作用,提示其具有广阔的治疗潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd3/12291870/46273a0c61d2/antioxidants-14-00814-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd3/12291870/a85cec2ffffc/antioxidants-14-00814-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd3/12291870/87e342f1acb9/antioxidants-14-00814-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd3/12291870/9f6bb915bbdd/antioxidants-14-00814-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd3/12291870/2577e61cc6f3/antioxidants-14-00814-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd3/12291870/72a310de924c/antioxidants-14-00814-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd3/12291870/46273a0c61d2/antioxidants-14-00814-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd3/12291870/a85cec2ffffc/antioxidants-14-00814-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd3/12291870/87e342f1acb9/antioxidants-14-00814-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd3/12291870/9f6bb915bbdd/antioxidants-14-00814-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd3/12291870/2577e61cc6f3/antioxidants-14-00814-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd3/12291870/72a310de924c/antioxidants-14-00814-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfd3/12291870/46273a0c61d2/antioxidants-14-00814-g006.jpg

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本文引用的文献

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METHANE ADMINISTRATION DURING OXYGENATION MITIGATES ACUTE KIDNEY INJURY IN A PIG MODEL OF 24-H VENO-VENOUS EXTRACORPOREAL MEMBRANE OXYGENATION.在24小时静脉-静脉体外膜肺氧合猪模型中,氧合期间给予甲烷可减轻急性肾损伤。
Shock. 2025 Jun 1;63(6):935-943. doi: 10.1097/SHK.0000000000002586. Epub 2025 Mar 28.
2
Renal mitochondria response to sepsis: a sequential biopsy evaluation of experimental porcine model.肾脏线粒体对脓毒症的反应:实验性猪模型的序贯活检评估
Intensive Care Med Exp. 2025 Feb 22;13(1):25. doi: 10.1186/s40635-025-00732-0.
3
The use of methylene blue in adult patients with septic shock: a systematic review and meta-analysis.
亚甲蓝在成人感染性休克患者中的应用:一项系统评价和荟萃分析。
Braz J Anesthesiol. 2025 Jan-Feb;75(1):844580. doi: 10.1016/j.bjane.2024.844580. Epub 2024 Nov 29.
4
Reevaluating vitamin C in sepsis and septic shock: a potential benefit in severe cases?重新评估败血症和感染性休克中的维生素C:对重症病例有潜在益处?
Front Med (Lausanne). 2024 Oct 29;11:1476242. doi: 10.3389/fmed.2024.1476242. eCollection 2024.
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Sepsis-induced mitochondrial dysfunction: A narrative review.脓毒症诱导的线粒体功能障碍:一篇综述
World J Crit Care Med. 2023 Jun 9;12(3):139-152. doi: 10.5492/wjccm.v12.i3.139.
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Neurochemical effects of sepsis on the brain.脓毒症对大脑的神经化学影响。
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Current role of high dose vitamin C in sepsis management: A concise review.高剂量维生素C在脓毒症治疗中的当前作用:简要综述
World J Crit Care Med. 2022 Nov 9;11(6):349-363. doi: 10.5492/wjccm.v11.i6.349.
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Methane-rich saline protects against sepsis-associated cognitive deficits in mice.富含甲烷的盐水可预防小鼠脓毒症相关认知功能障碍。
Brain Res. 2022 Sep 15;1791:148000. doi: 10.1016/j.brainres.2022.148000. Epub 2022 Jun 30.
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Bioactivity of Inhaled Methane and Interactions With Other Biological Gases.吸入甲烷的生物活性及其与其他生物气体的相互作用。
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The microbial composition of the initial insult can predict the prognosis of experimental sepsis.初始感染的微生物组成可以预测实验性败血症的预后。
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