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乌司他丁预处理对肝缺血再灌注大鼠急性肾损伤的预防作用 被引量:6
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作者 崔龙海 李浩 +1 位作者 韩龙哲 李哲浩 《山东医药》 CAS 2018年第31期52-55,共4页
目的观察乌司他丁(UTI)预处理对肝缺血再灌注(I/R)大鼠急性肾损伤的保护作用,并探讨其可能作用机制。方法 30只Wistar大鼠,随机分为假手术(SO)组、缺血再灌注(I/R)组、UTI组,每组各10只。I/R组、UTI组采用Pringle法制备大鼠肝脏I/R损伤... 目的观察乌司他丁(UTI)预处理对肝缺血再灌注(I/R)大鼠急性肾损伤的保护作用,并探讨其可能作用机制。方法 30只Wistar大鼠,随机分为假手术(SO)组、缺血再灌注(I/R)组、UTI组,每组各10只。I/R组、UTI组采用Pringle法制备大鼠肝脏I/R损伤模型(阻断肝脏血流30 min再灌注2 h)。UTI组阻断肝脏血流前30min经隐静脉UTI(3万U/kg)注射。SO组仅解剖分离肝十二指肠韧带。造模后复流2 h处死各组大鼠,采用比色法检测三组血清和肝肾组织肌酐(Cr)、尿素氮(BUN)、丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、谷胱甘肽(GSH)、谷胱甘肽过氧化物酶(GSH-Px)、超氧化物歧化酶(SOD)、丙二醛(MDA)含量。ELISA法测定血清和肾组织白细胞介素18(IL-18)和肿瘤坏死因子α(TNF-α)。行膀胱穿刺并收集测算尿液体积,HE染色法观察三组肝、肾脏组织病理学改变。结果与SO组比较,I/R组大鼠血清Cr、BUN、ALT、AST、IL-18、TNF-α水平升高,GSH、GSH-Px、SOD水平降低,肾组织IL-18、MDA表达升高,GSH、GSH-Px、SOD表达降低(P均<0.05)。与I/R组比较UTI组大鼠血清Cr、BUN、ALT、AST、IL-18、TNF-α水平降低,GSH、GSH-Px、SOD水平升高,肾组织IL-18、MDA表达降低,GSH、GSH-Px、SOD表达升高(P均<0.05)。与SO组比较,I/R组大鼠尿量少,与I/R组比较,UTI组尿量多(P<0.05)。I/R组大鼠肝组织有明显的细胞坏死灶及大量炎性细胞浸润。肾小球及肾间质水肿,肾小管上皮水肿、变形、扩张。UTI组肝脏和肾脏组织结构变化明显轻于I/R组。结论 UTI预处理可有效减轻肝I/R大鼠急性肾损伤,其机制可能与UTI抑制IL-18、TNF-α等表达,促进GSH、GSH-Px、SOD表达有关。 展开更多
关键词 乌司他丁 缺血-灌注 肝脏缺血-再灌注 肾功能 超氧化物歧化酶 丙二醛 白细胞介素18 肿瘤坏死因子Α
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EXPERIMENTAL STUDY ON ISCHEMIA AND REPERFUSION INJURY OF RAT LIVER AND EFFECTS OF LIGUSTRAZINE AND SALVIA COMPOUND 被引量:1
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作者 武卫国 裘法祖 《Chinese Medical Sciences Journal》 CAS CSCD 1994年第3期162-166,共5页
The present study was to investigate changes of free radicals in the whole rat liver, changes of ATP levels of hepatic cells, ultrastructural changes in hepatic tissue during ischemia and reperfusion in rats and the ... The present study was to investigate changes of free radicals in the whole rat liver, changes of ATP levels of hepatic cells, ultrastructural changes in hepatic tissue during ischemia and reperfusion in rats and the effects of ligustrazine and salvia compound. The results indicated that : 1 ) the free radical levels increased by 8. 3-fold and 9.0-fold in the groups with 30 and 60 min ischemia after 40 min reperfusion, as compared with the group with ischemia only (P<0.01, P<0.01, respectively). 2) The levels of ATP returned to normal in the group with 30 min ischemia after reperfusion for 40 min and 3 d , remained low in the group with 90 min ischemia and fell again after a mild increase in the group with 60 min ischemia. 3) The hepatic and endothelial cell damage after ischemia became more severe after reperfusion, as revealed by electron microscopy. The presenet study also showed that ligustrazine and salvia compound have protective effects against reperfusion injury. They can be used to scavenge free radicals, improve hepatic microcirculation and alleviate hepatic and endothelial cell damage. 展开更多
关键词 LIVER reperfusion injury LIGUSTRAZINE salvia compound
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