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[己酮可可碱对木瓜蛋白酶诱导后肺实质损伤程度的影响]

[The effect of pentoxifylline on the degree of lung parenchyma injury after papain].

作者信息

Sulkowski S, Nowak H F, Sulkowska M, Dziecioł J

机构信息

Zakładu Anatomii Patologicznej AM, Białymstoku.

出版信息

Pneumonol Alergol Pol. 1993;61(11-12):579-85.

PMID:8148756
Abstract

In the last years pentoxifylline (PTXF) has been successfully used in reducing acute injury of the lung parenchyma in ARDS. The authors have studied the effect of PTXF on degree of papain induced lung injury. Papain was administered intratracheally in a dose of 2 mg, 4 mg, 6 mg in 1 ml of PBS. The effect of papain on bronchoalveolar lavage characteristics was also evaluated. Wistar rats of both sexes were used in the experiment. The degree of lung destruction, reflected by interstitial hemorrhage was assessed by measuring hemoglobin content in the fluid of the lavaged lungs. The hemoglobin levels were assessed spectrofluorometrically with the use of the 414 nm wave length. A reduction of hemoglobin content was seen after PTXF administration only in animals receiving the lowest dosage of papain. However in all animals a decrease in the BAL neutrophil count was demonstrated. The protective effect of PTXF on pulmonary tissue in papain induced injury models and situations leading to development of ARDS may suggest a similar pathomechanism in both entities.

摘要

在过去几年中,己酮可可碱(PTXF)已成功用于减轻急性呼吸窘迫综合征(ARDS)中肺实质的急性损伤。作者研究了PTXF对木瓜蛋白酶诱导的肺损伤程度的影响。将1毫升磷酸盐缓冲液(PBS)中2毫克、4毫克、6毫克剂量的木瓜蛋白酶经气管内给药。还评估了木瓜蛋白酶对支气管肺泡灌洗特征的影响。实验使用了雌雄Wistar大鼠。通过测量灌洗肺液中的血红蛋白含量来评估以间质出血为反映的肺破坏程度。使用414纳米波长通过荧光分光光度法评估血红蛋白水平。仅在接受最低剂量木瓜蛋白酶的动物中,给予PTXF后血红蛋白含量降低。然而,在所有动物中均显示支气管肺泡灌洗中性粒细胞计数减少。PTXF在木瓜蛋白酶诱导的损伤模型和导致ARDS发生的情况下对肺组织的保护作用可能表明这两种情况具有相似的发病机制。

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