Gupta A, Majumdar S, Sanyal S N
Department of Experimental Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Res Exp Med (Berl). 1996;196(1):67-76. doi: 10.1007/BF02576829.
Prematurely born infants are at a high risk of developing neonatal respiratory distress syndrome (RDS), and it is believed that besides an insufficient surfactant (SF) system the initial breathing of O2-enriched air may in some way be responsible for this syndrome. Hyperventilation is a dominant stimulator for SF secretion but it may lead to oxidant-mediated cellular injury to type II cells. Since type II cells are the sole source of SF synthesis, the effect of ventilation support on these cells becomes important. In the present study, the changes in the antioxidant enzymes (AOEs) such as superoxide dismutase (SOD), catalase and glutathione peroxidase (GPX) in the type II cells of fetal rabbit lungs resulting from exogenous SF liposomes and steroid intervention have been investigated. The specific activities of the AOEs were found to be higher in the presence of SF liposomes in prematurely born pups whose mothers were not steroid treated (control), while such an increase was more pronounced in dexamethasone-treated groups. The results indicate that the exogenous surfactant and steroid intervention may favourably alter the AOE defences in the type II cells of fetal rabbits.
早产婴儿患新生儿呼吸窘迫综合征(RDS)的风险很高,据信除了表面活性物质(SF)系统不足外,吸入富氧空气的初始呼吸可能在某种程度上导致了这种综合征。过度通气是刺激SF分泌的主要因素,但它可能导致氧化剂介导的II型细胞的细胞损伤。由于II型细胞是SF合成的唯一来源,通气支持对这些细胞的影响变得很重要。在本研究中,研究了外源性SF脂质体和类固醇干预对胎兔肺II型细胞中超氧化物歧化酶(SOD)、过氧化氢酶和谷胱甘肽过氧化物酶(GPX)等抗氧化酶(AOE)的影响。在未接受类固醇治疗的早产幼崽(对照组)的母亲中,在存在SF脂质体的情况下,AOE的比活性较高,而在地塞米松治疗组中这种增加更为明显。结果表明,外源性表面活性剂和类固醇干预可能有利于改变胎兔II型细胞中的AOE防御。