Reperfusion injury after critical intestinal ischemia and its correction with perfluorochemical emulsion "perftoran"

Vyacheslav Leontjevich Kozhura1, Dmitriy Alexeevich Basarab, Marina Innokentievna Timkina

  • 1Laboratory of Experimental Therapy, Research Institute of General Reanimatology, Russian Academy of Medical Sciences, Moscow 107031, Russia.

Abstract

Insights

Perfluorochemical emulsion "perftoran" administration improved intestinal recovery after ischemia in rats. It protected the mucosal layer, promoting faster regeneration of villi and crypts during reperfusion.

Area of Science:

  • Biomedical Engineering
  • Regenerative Medicine
  • Surgical Research

Background:

  • Intestinal ischemia poses significant clinical challenges, often leading to severe tissue damage and impaired recovery.
  • Perfluorochemical emulsions are investigated for their potential to improve oxygen delivery and tissue preservation during ischemic events.

Purpose of the Study:

  • To evaluate the anti-ischemic and regenerative effects of perfluorochemical emulsion "perftoran" in a rat model of mesenteric ischemia.
  • To assess the impact of perftoran on microcirculation, tissue morphology, and mucosal regeneration following partial and global intestinal ischemia.

Main Methods:

  • Induction of partial (jejunal loop strangulation) and global (cranial mesenteric artery occlusion) intestinal ischemia in rats.
  • Intravenous administration of perftoran or saline (control) during the ischemic period.
  • Monitoring of systemic blood pressure, intravital microscopy, and morphological examination of the ischemic intestine and mesentery.

Main Results:

  • Perftoran administration showed a trend towards better blood pressure maintenance during reperfusion but did not fully prevent microcirculatory disturbances like stasis and non-reflow.
  • Significantly reduced mesenteric feeding artery constriction was observed in the perftoran group after partial ischemia.
  • Perftoran protected the intestinal mucosal layer from irreversible damage, preserving cryptal epithelial cells crucial for regeneration.

Conclusions:

  • Systemic administration of perftoran promotes earlier and more complete structural regeneration in the rat intestine following partial and global ischemia.
  • Perftoran demonstrates protective effects on intestinal mucosa, facilitating epithelial regeneration during reperfusion.