岭南心血管病杂志2024,Vol.30Issue(6) :645-650.DOI:10.3969/j.issn.1007-9688.2024.06.15

大鼠体外循环肺缺血再灌注的肺功能及炎症因子表达变化

Changes in Lung Function and Expression of Inflammatory Factors in Rats with Pulmonary Ischemia-Reperfusion in Cardiopulmonary Bypass

吴丽映
岭南心血管病杂志2024,Vol.30Issue(6) :645-650.DOI:10.3969/j.issn.1007-9688.2024.06.15

大鼠体外循环肺缺血再灌注的肺功能及炎症因子表达变化

Changes in Lung Function and Expression of Inflammatory Factors in Rats with Pulmonary Ischemia-Reperfusion in Cardiopulmonary Bypass

吴丽映1
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作者信息

  • 1. 广州市第一人民医院心脏大血管外科,广州 510180
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摘要

目的 研究大鼠体外循环肺缺血再灌注损伤的肺损伤机制及炎症因子表达变化.方法 雄性SD大鼠12只分为两组,对照组6只,体外循环肺损伤模型组6只.模型组大鼠颈静脉和股动脉插管,建立体外循环,胸骨左缘第4肋间阻断左侧肺门30 min后,开放30 min,停止体外循环.对照组为胸骨第4肋间切开.于T0~T3 四个时间点行血气分析及检测血清肿瘤坏死因子(TNF)-α与 白细胞介素(IL)-6的浓度.结果 体外循环肺损伤模型组在T1、T2、T3 时刻氧分压(PO2)均低于对照组,二氧化碳分压(PCO2)均高于对照组,差异有统计学意义(P<0.01).体外循环肺损伤模型组炎症因子肿瘤坏死因子-α与白细胞介素-6浓度在T2、T3 时刻均明显高于对照组,其中在T2 时刻达到最高值.结论 大鼠作为体外循环肺缺血再灌注损伤模型是可行的,体外循环肺缺血再灌注损伤使大鼠肺功能降低,炎症因子表达增加,造成大鼠肺功能损伤.

Abstract

Objectives To investigate the mechanism of lung injury and changes in expression of inflammatory factors in rats with pulmonary ischemia-reperfusion in cardiopulmonary bypass(CPB).Methods Twelve male of Sprague Dawley(SD)rats were divided into two groups.There were 6 SD rats in control group and 6 in CPB pulmonary ischemia-reperfusion group.In CPB pulmonary ischemia-reperfusion group,jugular vein and femoral artery were intubated to establish CPB,and the left hilum of the lung was blocked for 30 minutes by the forth intercostal block at the left margin of the sternum.Then the left hilum of the lung was opened.After opening for 30 minutes,the CPB was stopped.In con-trol group,the forth intercostal sternotomy was performed.Arterial blood gas and serum concentrations of tumor necrosis factor(TNF)-α and interleukin(IL)-6 were measured at four time points from T0 to T3.Results The partial pressure of oxygen of CPB pulmonary ischemia-reperfusion group were significantly lower than those of control group at T1,T2,and T3.The partial pressure of carbon dioxide of CPB pulmonary ischemia-reperfusion group were significantly higher than those of control group at T1,T2,and T3(P<0.05).The serum concentrations of TNF-α and IL-6 were significantly higher in CPB pulmonary ischemia-reperfusion group at T2 and T3,with the peak value at T2.Conclusions It is feasible to estab-lish rats as a model of pulmonary ischemia-reperfusion injury in CPB.Pulmonary ischemia-reperfusion injury in CPB reduces pulmonary function of rats and increases the expression of inflammatory factors in rats,resulting in pulmonary function impairment in rats.

关键词

体外循环/大鼠/肺缺血再灌注损伤

Key words

cardiopulmonary bypass/rats/pulmonary ischemia-reperfusion injury

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出版年

2024
岭南心血管病杂志
广东省心血管病研究所

岭南心血管病杂志

CSTPCD
影响因子:0.872
ISSN:1007-9688
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