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晚期脓毒症时肝组织的氧化能力

Oxidative capability of hepatic tissue in late sepsis.

作者信息

Clemens M, Chaudry I H, Baue A E

出版信息

Adv Shock Res. 1981;6:55-64.

PMID:7349586
Abstract

It has been previously demonstrated that mitochondria isolated from the livers of septic rats display an oxidative phosphorylation capability similar to that of mitochondria from normal hepatocytes. The present study was performed to determine whether this is also true at the level of the whole tissue or was perhaps the result of mitochondrial isolation. To study this, sepsis in rats was produced by cecal ligation and puncture (CLP). 16-19 hr after CLP (late sepsis) rats were sacrificed and the livers removed and placed in ice-cold Krebs Ringer's phosphate buffer. Slices less than 1-mm thick were prepared and placed in the well of a temperature controlled O2 monitor. O2 consumption by liver slices was monitored in buffer equilibrated with 100% O2 (high O2) or room air (low O2). Slices from both septic and sham-operated rats exhibited high initial rates of respiration in high O2 environment (34.3 +/- 3.4 and 31.5 +/- 2.5 microliters/min/gm, respectively). Rates of oxygen consumption were significantly lower after 20 min in high O2 and initially in low O2. Under each environmental condition there was no significant difference in O2 consumption between liver slices from sham-operated and septic rats. The decline in O2 consumption in high O2 was not reversed by resuspending in high O2 buffer but was further inhibited by KCN. These results support the view that depressed O2 consumption in late sepsis is secondary to decreased O2 delivery rather than a primary deficit in oxidative capability of the hepatocytes.

摘要

先前已有研究表明,从脓毒症大鼠肝脏分离出的线粒体具有与正常肝细胞线粒体相似的氧化磷酸化能力。本研究旨在确定在整个组织水平上是否也是如此,或者这可能是线粒体分离的结果。为了研究这一点,通过盲肠结扎和穿刺(CLP)制备大鼠脓毒症模型。在CLP术后16 - 19小时(晚期脓毒症)处死大鼠,取出肝脏并置于冰冷的krebs林格磷酸盐缓冲液中。制备厚度小于1毫米的肝切片,并将其放入温度可控的氧气监测仪的孔中。在与100%氧气平衡的缓冲液(高氧)或室内空气(低氧)中监测肝切片的氧气消耗。来自脓毒症大鼠和假手术大鼠的肝切片在高氧环境中均表现出较高的初始呼吸速率(分别为34.3±3.4和31.5±2.5微升/分钟/克)。在高氧环境中20分钟后以及最初在低氧环境中,氧气消耗速率显著降低。在每种环境条件下,假手术大鼠和脓毒症大鼠的肝切片之间的氧气消耗没有显著差异。高氧环境中氧气消耗的下降不能通过重悬于高氧缓冲液中而逆转,但会被KCN进一步抑制。这些结果支持这样一种观点,即晚期脓毒症中氧气消耗降低是由于氧气输送减少所致,而非肝细胞氧化能力的原发性缺陷。

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