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使用气的膨胀可以通过调节冷缺血阶段的线粒体功能来改善供体肺部的质量
Le Duan1,2, Lini Quan1,2, Bin Zheng3
1Department of Anesthesiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, China.
BMC pulmonary medicine
|June 17, 2023
概括
寒冷缺血期间的气膨胀通过减少线粒体损伤和炎症来改善供体肺部的质量. 这一过程增强了线粒体功能,可以通过Nrf2/HO-1通路实现.
科学领域:
- 移植科学 移植科学
- 线粒体生物学 线粒体生物学
- 生物医学工程 生物医学工程
背景情况:
- 线粒体功能障碍会损害器官质量和肺移植结果.
- 在冷保存的供体肺部维护线粒体功能的作用尚不清楚.
研究的目的:
- 为了研究气在冷性缺血期间对捐赠肺中的线粒体功能障碍的保护作用.
- 探索底层的调节机制,特别是Nrf2/HO-1通路.
主要方法:
- 在寒冷缺血期间,捐赠者的肺部被氧气或-氧-混合物膨胀.
- 评估了炎症,氧化应激,亡,组织学和线粒体功能.
- 评估了Nrf2和HO-1的表达.
主要成果:
- 与对照组相比,气膨胀显著降低了炎症反应,氧化应激和组织病理损伤.
- 治疗恢复了线粒体的结构和功能,抑制了厌氧糖解,并增加了线粒体生物合成.
- 与单独氧相比,对线粒体功能障碍和更高的Nrf2/HO-1水平表现出更好的保护.
结论:
- 在冷性缺血阶段,用气膨胀肺部可能会提高供体肺部的质量.
- 可以减轻线粒体损伤,氧化应激,炎症和亡.
- 保护作用很可能是由Nrf2/HO-1通路的激活介导的.
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