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舒氧康对急性肺损伤家兔肺iNOS和eNOS表达的影响

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目的:观察舒氧康对急性肺损伤(ALI)家兔肺iNOS和eNOS表达的影响并探讨其保护机制.方法:45只家兔随机分为对照组(A组),肺损伤组(B组)和舒氧康组(C组),每组15只,B和C组采用撞击致急性肺损伤模型,C组同时给予舒氧康静滴,分别在0,1,2,3,4 h时间点行血气分析,4 h后处死动物,测定肺湿十比(W/D)、血清NO、肺组织丙二醛(MDA)和髓过氧化物酶(MPO)含量,免疫组化法检测肺组织iNOS和eNOS表达.结果:与A组相比,B组损伤后PaO_2,SpO_2和PaCO_2显著降低(P<0.05),肺iNOS表达显著增强,eNOS表达明显降低(P<0.05),肺W/D、血清NO、肺MDA和MPO含量著增高(P<0.05).C绀与B组比较,PaO_2、SpO_2和PaCO_2明显升高(P<0.05),肺iNOS表达显著降低,eNOS表达明显升高(P<0.05),肺W/D、血清NO、肺MDA和MPO含量明显降低(P<0.05).结论:舒氧康通过抑制肺iNOS异常高表达和增加eNOS表达对急性肺损伤有保护作用.
Effect of oxygenator on expression of lung tissue iNOS and eNOS during acute lung injury in rabbits
AIM:To investigate the effect of of oxygenator on expression of lung tissue iNOS and eNOS during acute lung injury in rabbits and explore its protective mechanism.METHODS:Forty-five rabbits were divided into 3 groups:control group(group A),ALI group(group B)and oxygenator treatment group(group C)with 15 in each group.ALI model was established by special equipment in group B and C,and oxgenator was applied in group C.Blood samples were taken for blood-gas analysis at 0,1,2,3,4 h after trauma.Four hours later,the animals were killed,and the expression of iNOS and eNOS in lung tissue were tested by immunohistochemistry,the weight to dry lung weight ratio,the activities of serum nitric oxide(NO)and lung malondialdehyde(MDA、and myeloperoxidase(MPO)content were determined.RESULTS:Compared with group A,PaO_2,SpO_2 and PaCO_2 significantly decreased(P<0.05).expression of lung tissue iNOS significantly increased while expression of eNOS were significantly decreased (P<0.05),and lung W/D.the activities of serum NO and lung MDA and MPO were significantly increased(P<0.05)in group B.In group C,compared with group B,PaO_2、SpO_2 and PaCO_2 significantly increased(P<0.05),expression of lung tissue iNOS significantly decreased while expression of eNOS were significantiv increased(P<0.05),and lung W/D.the activities of serum NO and lung MDA and MPO were significantly decreased(P<0.05).CONCLUSION:Protective effect of oxygenator on acute lung injury is related to the inhibition of iNOS expression and the inducement of eNOS expression.

oxygenatoracute lung injurynitric oxide synthase

程青、唐忠志、陈忠庆、李军尧、王忠强、邬明、郭亮、曾尟梅

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广州军区武汉总医院急诊科,湖北,武汉,430070

舒氧康 急性肺损伤 一氧化氮合酶

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(24)
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