氧基在缺血/再输血中的有害作用. 已解决和尚未解决的问题
R A Kloner1, K Przyklenk, P Whittaker
1Heart Institute, Hospital of the Good Samaritan, Los Angeles 90017.
Circulation
|November 1, 1989
概括
氧自由基有助于心肌麻醉和缺血和再注射后的损伤. 虽然抗氧化剂有帮助,但它们在再注射和致命伤害期间的有效性仍在争论中.
科学领域:
- 心血管研究研究心血管研究
- 生物化学 生物化学
- 自由激进生物学 自由激进生物学
背景情况:
- 氧自由基与缺血和再输后的心肌损伤有关.
- 它们的确切来源和它们对再流伤害的贡献程度仍在争论中.
- 自由基导致左心室功能障碍和细胞损伤.
研究的目的:
- 审查氧自由基在心肌缺血-再输液损伤中的作用.
- 评估自由基清除剂和抗氧化剂在减轻再注射损伤方面的有效性.
- 为了解决关于它们治疗潜力的持续争议.
主要方法:
- 审查现有关于氧自由基生成和检测的文献.
- 在缺血-再输血模型中使用自由基清除剂和抗氧化剂的研究分析.
- 检查了对心肌震惊,致命的再输液损伤和心律失常的数据.
主要成果:
- 有证据表明,氧自由基对心肌有有害作用.
- 在一些模型中,抗氧化剂在预防损伤方面显示出好处,特别是在缺血之前服用时.
- 仅在再注血或致命伤害期间使用时,对益处的证据是不确定的.
- 自由基可能会导致反引发的心律失常.
结论:
- 氧自由基在心肌缺血后/再输液后的心肌麻醉中起着重要作用.
- 自由基捕食者的治疗窗口和对致命的再输液损伤的疗效需要进一步研究.
- 重灌治疗对于急性心肌梗塞至关重要,辅助抗氧化疗法的作用尚未确定.
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