外源氧化在实验研究中的器官保护作用的潜在机制
Nikolay O Kamenshchikov1, Mariia L Diakova1, Yuri K Podoksenov1
1Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk 634012, Russia.
Biomedicines
|April 27, 2024
概括
在心脏手术期间外源性氧化 (NO) 治疗与心肺旁路 (CPB) 和循环停止 (CA) 保护器官. NO改善了红细胞功能和组织代谢,减少了CPB.
科学领域:
- 心血管外科心血管外科
- 生理学 生理学 生理学
- 生物化学 生物化学
背景情况:
- 使用心肺绕道 (CPB) 和循环停止 (CA) 的心脏手术可能会导致器官损伤.
- 这种损伤与代谢问题,微循环问题和氧化 (NO) 缺乏有关.
- 了解NO的保护机制对于改善手术结果至关重要.
研究的目的:
- 研究外源NO如何在CPB和CA期间保护器官.
- 评估NO对葡萄糖分解,红细胞变形能力和组织代谢的影响.
- 阐明NO系统性器官保护作用背后的机制.
主要方法:
- 一项前性随机对照研究对24只绵羊进行.
- 绵羊被分为四组:CPB,CPB + CA,CPB + NO,以及CPB + CA + NO.
- 在CPB和/或CA期间,在没有NO的治疗组中,用80ppm的氧化 (NO) 给药.
主要成果:
- 在CPB和CA期间,NO疗法保留了红细胞变形性.
- 组织新陈代谢有所改善,这体现在心肌和肺组织中乳酸水平较低和ATP水平较高.
- 葡萄糖的降解标志物和内皮功能障碍指标在NO给药时保持不变.
结论:
- 外源NO的手术内输送在CPB和CA期间提供了全身器官保护.
- NO减轻了CPB对红细胞功能和组织代谢的有害影响.
- NO治疗是减少心脏外科手术中器官损伤的有希望的策略.
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