外周阿片受体激动剂Dalargin在不同应激耐受性大鼠心肌挫伤发病机制中的作用

A. B. Priymak, O. V. Korpacheva, A. N. Zolotov, E. I. Kluchnikova
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摘要

的目标。目的探讨外周阿片受体激动剂大豆豆苷对不同应激耐受性大鼠心肌挫伤后适应策略的影响。材料与方法。实验以216只体重250 ~ 300 g的雄性大鼠为实验对象,采用强迫游泳(Porsolt)试验和野外试验,按应激性排序。将大鼠分为3组:对照组和钝性心脏损伤组,分别在麻醉前2小时、损伤前、损伤后2小时肌内给予或不给予dalargin(100µg/kg)。每组分为高、中、低应激耐受性3个亚组,每组8只。心肌挫伤用原装装置模拟。测定损伤后24小时各组大鼠血液中葡萄糖、乳酸、甘油三酯、皮质酮、总蛋白、白蛋白、白细胞计数、还原性谷胱甘肽和总抗氧化能力。心肌挫伤使代谢谱改变为应激相关模式。在低应激耐受性的动物中,直肠温度、白细胞计数、皮质酮、葡萄糖、乳酸和甘油三酯水平的升高最为显著,还原性谷胱甘肽和心肌总抗氧化能力的下降幅度最大。不论动物是否有应激抵抗,大豆芽素均可减轻应激反应。钝性心脏损伤和心肌挫伤在所有大鼠中均可引起以高分解代谢、全身炎症反应综合征和心肌氧化应激为特征的应激反应,在低应激耐受性动物中反应最为显著。外周阿片受体激动剂dalargin不改变应激模式,但抑制应激反应。
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Dalargin, a peripheral opiate receptor agonist, in the pathogenesis of myocardial contusion in rats with different stress tolerance
Aim. To evaluate the effect of dalargin, a peripheral opiate receptor agonist, on the adaptive strategy of rats with different stress tolerance after the myocardial contusion.Materials and Methods. The experiment was performed on 216 male rats weighing 250-300 g which were ranked according to stress resistance using the forced-swim (Porsolt) test and the open feld test. Rats were divided into 3 groups: control animals and those with a blunt cardiac injury, with or without dalargin administration (100 µg/kg intramuscularly 2 hours before anesthesia, immediately before injury, and 2 hours post injury). Each group included 3 subgroups (n = 8 rats per each) with high, medium, and low stress tolerance. Myocardial contusion was simulated using an original device. Blood levels of glucose, lactic acid, triglycerides, corticosterone, total protein, albumin, white blood cell count, reduced glutathione and total antioxidant capacity were measured in all rats 24 hours post injury.Results. Myocardial contusion altered the metabolic profle to the stress-related pattern. The most signifcant increase in rectal temperature, white blood cell count, corticosterone, glucose, lactic acid, and triglyceride levels as well as maximum decrease in reduced glutathione and total myocardial antioxidant capacity were documented in animals with low stress tolerance. Administration of dalargin alleviated the stress response regardless of animal stress resistance.Conclusion. Blunt cardiac injury and myocardial contusion induce stress response characterised by hypercatabolism, systemic infammatory response syndrome, and myocardial oxidative stress in all rats, with a most signifcant response in animals with low stress tolerance. A peripheral opiate receptor agonist dalargin did not change the response pattern but curbed the stress response.
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