右美托咪定对自体原位肝移植大鼠肠损伤坏死性上睑下垂的影响

Yong-wang Wang, Qingping Wang, Gang Wang, Weihua Liu, H. Du, Wenli Yu, Yonghao Yu
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Blood samples were collected from the inferior vena cava at 6 h after opening the hepatic portal vein (at 6 h after the end of surgery in group S) for determination of serum diamine oxidase (DAO), D-lactic acid (D-LA) and tumor necrosis factor-α (TNF-α) and interleukin-10 (IL-10) concentrations.The intestine was removed for examination of the pathological changes (with a light microscope) and for determination of the level of malondialdehyde (MDA) content and superoxide dismutase (SOD) activity (using spectrophotometry) and expression of receptor-interacting protein kinase-1 (RIPK1), RIPK3, and mixed lineage kinase domain-like (MLKL) in intestinal tissues (by Western blot). 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摘要

目的探讨右美托咪定对自体原位肝移植(AOLT)大鼠肠损伤时坏死性上睑下垂的影响。方法选用SPF级成年雄性Sprague-Dawley大鼠24只,8 ~ 10周龄,体重250 ~ 280 g,采用随机数字表法分为3组,每组8只。虚假的操作组(S组),AOLT组(T)和dexmedetomidine组(D组)。dexmedetomidine 50μg / kg是腹腔内注射在D组,手术前30分钟从下腔静脉血样收集打开肝门静脉后6 h(在手术结束后6 h组S)测定血清二胺氧化酶(DAO), D-lactic酸(D-LA)和肿瘤坏死因子-α(TNF -α)和白细胞介素- 10”(il - 10)的浓度。取肠,光镜下观察病理变化,分光光度法检测丙二醛(MDA)含量和超氧化物歧化酶(SOD)活性,Western blot法检测肠组织中受体相互作用蛋白激酶-1 (RIPK1)、RIPK3和混合谱系激酶结构域样(MLKL)的表达。根据Chiu对肠道损伤进行评估和评分。结果与S组比较,T组大鼠血清DAO、D-LA、TNF-α、IL-10浓度、肠道MDA含量及Chiu’S评分显著升高,SOD活性降低,RIPK1、RIPK3、MLKL表达上调(P<0.05)。与T组比较,D组大鼠血清DAO、D- la、TNF-α浓度、肠道MDA含量和Chiu’s评分显著降低,SOD活性和血清IL-10浓度升高,RIPK1、RIPK3、MLKL表达下调(P<0.05)。结论右美托咪定减轻AOLT大鼠肠道损伤的机制与抑制坏死下垂有关。关键词:右美托咪定;肝移植;肠;坏死
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Effect of dexmedetomidine on necroptosis during intestinal injury in rats undergoing autologous orthotopic liver transplantation
Objective To evaluate the effect of dexmedetomidine on necroptosis during intestinal injury in rats undergoing autologous orthotopic liver transplantation (AOLT). Methods Twenty-four SPF adult male Sprague-Dawley rats, aged 8-10 weeks, weighing 250-280 g, were divided into 3 groups (n=8 each) using a random number table method: sham operation group (group S), AOLT group (group T) and dexmedetomidine group (group D). Dexmedetomidine 50 μg/kg was intraperitoneally injected at 30 min before surgery in group D. Blood samples were collected from the inferior vena cava at 6 h after opening the hepatic portal vein (at 6 h after the end of surgery in group S) for determination of serum diamine oxidase (DAO), D-lactic acid (D-LA) and tumor necrosis factor-α (TNF-α) and interleukin-10 (IL-10) concentrations.The intestine was removed for examination of the pathological changes (with a light microscope) and for determination of the level of malondialdehyde (MDA) content and superoxide dismutase (SOD) activity (using spectrophotometry) and expression of receptor-interacting protein kinase-1 (RIPK1), RIPK3, and mixed lineage kinase domain-like (MLKL) in intestinal tissues (by Western blot). Intestinal damage was assessed and scored according to Chiu. Results Compared with group S, the serum DAO, D-LA, TNF-α and IL-10 concentrations, intestinal MDA content and Chiu′s score were significantly increased, the SOD activity was decreased, and the expression of RIPK1, RIPK3 and MLKL was up-regulated in group T (P<0.05). Compared with group T, the serum DAO, D-LA and TNF-α concentrations, intestinal MDA content and Chiu′s score were significantly decreased, the SOD activity and serum IL-10 concentration were increased, and the expression of RIPK1, RIPK3 and MLKL was down-regulated in group D (P<0.05). Conclusion The mechanism by which dexmedetomidine attenuates intestinal injury is related to inhibiting necroptosis in rats undergoing AOLT. Key words: Dexmedetomidine; Liver transplantation; Intestine; Necrosis
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中华麻醉学杂志
中华麻醉学杂志 Medicine-Anesthesiology and Pain Medicine
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