阿佩林-13对呼吸机引起的急性肺损伤的保护作用
Siyu Lian1, Xianming Zhang2, Yi Shen1
1Department of Respiratory and Critical Care Medicine, Affiliated Hospital of Guizhou Medical University, Guiyang, 550004, China.
Molecular biology reports
|January 4, 2024
概括
通过减少炎症,亡和氧化应激,阿佩林-13的使用可以缓解大鼠的呼吸器诱导肺损伤 (VILI). 这项研究证明了阿佩林-13的存在.
科学领域:
- 肺部医学 肺部医学
- 临界护理医学 临界护理医学
- 分子生物学分子生物学
背景情况:
- 机械呼吸 (MV) 对于生命支持至关重要,但可能导致呼吸器诱导的肺损伤 (VILI).
- 维利病变包括炎症,氧化应激和亡,但尚未完全理解.
- 阿佩林/APJ轴是一个内源性机制,可以在急性呼吸窘迫综合征 (ARDS) 期间抵消损伤.
研究的目的:
- 在VILI的老鼠模型中研究apelin-13的保护作用.
- 为了确定阿佩林-13是否通过抑制炎症,亡和氧化应激来减轻VILI.
主要方法:
- 建立了一个VILI老鼠模型,使用高潮量通风4小时.
- 通过qRT-PCR,免疫光学和西部涂抹评估了阿佩林/APJ轴激活.
- 通过病理染色评估肺损伤,W/D比,BALF蛋白,炎症细胞因子 (IL-1β,IL-6,TNF-α) 和氧化应激标志物 (MPO,CAT,MDA).
主要成果:
- 在VILI大鼠肺部,阿佩林-13治疗激活了阿佩林/APJ轴.
- 阿佩林-13减少了肺组织的病理损伤,并逆转了与亡相关的蛋白质表达 (Bax,Bcl-2).
- 炎症性细胞因子水平降低,而抗氧化活性 (CAT) 增加,氧化应激标志物 (MDA) 降低.
结论:
- 在VILI过程中,阿佩林/APJ轴被激活.
- 过度表达的阿佩林-13提供了对VILI的保护.
- 阿佩林-13通过减少肺炎,亡和氧化应激减轻VILI.
相关概念视频
Ventilatory Modes
157
Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
157
Mechanical Ventilation III: Noninvasive Ventilation
124
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
124
Acute Respiratory Failure-V
142
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
142


