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论文摘要

氙气预处理对未成熟心肌缺血/再灌注损伤及氧化应激的影响

Effects of Xenon Preconditioning Against Ischemia/Reperfusion Injury and Oxidative Stress in Immature Heart

作者:李茜, 连春微, 方利群等

Author:LI Qian, LIAN Chun-wei, FANG Li-qun.et al

收稿日期:          年卷(期)页码:2014,45(5):780-784

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:未成熟心肌 缺血再灌注损伤 氙气 预处理

Key words:Immature myocardium Ischemia/reperfusion injury Xenon Preconditioning

基金项目:

中文摘要

目的 观察氙气预处理对未成熟心肌缺血再灌注(I/R)损伤的保护作用,并对其作用机制进行探讨。方法 采用离体心脏灌流模型,将48只离体灌注的幼兔心脏随机分为4组(每组12只):对照组(予以持续灌注300 min)、I/R组(灌注60 min后,缺血60 min,复灌180 min)、氙气预处理组〔分为2个亚组,分别用1倍肺泡最小有效浓度(MAC)、0.5 MAC氙气预处理心脏后,缺血60 min,复灌180 min〕。检测复灌后各组心脏功能、心肌梗死面积、线粒体结构、超氧化物歧化酶(SOD)和丙二醛(MDA)水平。结果 与I/R组相比,1 MAC和0.5 MAC氙气预处理均提高心脏功能(PPPPPP>0.05)。结论 1 MAC和0.5 MAC氙气预处理均能减少离体灌注的未成熟心肌I/R损伤。减轻氧化应激是氙气发挥保护作用的可能机制之一。

英文摘要

Objective To investigate whether xenon preconditioning (PC) could protect immature myocardium against ischemia-reperfusion (I/R) injury in a dose-dependent manner and clarify the role of xenon PC on oxidative stress. Methods Forty-eight isolated perfused immature rabbit hearts were randomly divided into four groups (n=12): The sham group had the hearts perfused continuously for 300 min. In I/R group, the hearts were subjected to 60 min perfusion followed by 60 min ischemia and 180 min reperfusion. In 1 minimum alveolar concentration (MAC) and 0.5 MAC xenon PC groups, the hearts were preconditioned with 1 MAC or 0.5 MAC xenon respectively, following 60 min ischemia and 180 min reperfusion. The cardiac function, myocardial infarct size, mitochondrial structure, superoxide dismutase (SOD) activity and malondialdehyde (MDA) level in each group were determined after reperfusion. Results Compared with I/R group, both 1 MAC and 0.5 MAC xenon preconditioning significantly improved cardiac function (PPPP>0.05). Conclusion Xenon preconditioning at 0.5 and 1 MAC produce similar cardioprotective effects against I/R injury in isolated perfused immature heart.

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