Uchida M, Takemoto Y, Nagasue N, Kimoto T, Dhar D K, Nakamura T
Second Department of Surgery, Shimane Medical University, Izumo, Japan.
J Hepatol. 1994 Jun;20(6):714-9. doi: 10.1016/s0168-8278(05)80140-0.
Calcium concentrations in pig livers were serially estimated following ischemia-reperfusion. Ischemia was produced by clamping the hepatic artery and the portal vein for 90 min (Group 1, n = 6) or for 180 min (Group 2, n = 6) during temporary side-to-side portacaval shunt performed before the induction of ischemia. Although there were no significant changes in hepatic calcium concentrations during ischemia, an immediate accumulation of calcium occurred 30 min after reperfusion in both groups. After these increases, the hepatic calcium concentration decreased to near the pre-ischemic level within 20 min in all animals in Group 1. The recovery of calcium was incomplete in Group 2. When the peak was defined as the highest level of calcium and the bottom as the lowest point after peak 60 min after reperfusion, the mean-peak was 11.0 +/- 1.3 (mean +/- SEM) nmol/mg dry weight liver in Group 1 and 12.8 +/- 1.4 nmol/mg dry weight liver in Group 2 (not significant). However, the mean-bottom in Group 1 was lower than that in Group 2 (5.5 +/- 0.3 and 8.1 +/- 0.8 nmol/mg dry weight liver, respectively, p < 0.05). These results indicate that hepatic calcium increases immediately after reperfusion and that recovery from this calcium accumulation seems to be a crucial factor for minimizing cellular injury.
在缺血再灌注后对猪肝中的钙浓度进行了连续评估。在缺血诱导前进行暂时性侧侧门腔分流时,通过夹闭肝动脉和门静脉90分钟(第1组,n = 6)或180分钟(第2组,n = 6)来制造缺血。尽管在缺血期间肝钙浓度没有显著变化,但两组在再灌注30分钟后均立即出现钙的积累。在这些升高之后,第1组所有动物的肝钙浓度在20分钟内降至接近缺血前水平。第2组的钙恢复不完全。当将峰值定义为钙的最高水平,将谷值定义为再灌注60分钟后峰值后的最低点时,第1组的平均峰值为11.0±1.3(平均值±标准误)nmol/毫克干重肝脏,第2组为12.8±1.4 nmol/毫克干重肝脏(无显著差异)。然而,第1组的平均谷值低于第2组(分别为5.5±0.3和8.1±0.8 nmol/毫克干重肝脏,p < 0.05)。这些结果表明,再灌注后肝钙立即增加,并且从这种钙积累中恢复似乎是将细胞损伤降至最低的关键因素。