Effect of bilirubin in ischemia/reperfusion injury on rat small intestine

Effect of bilirubin in ischemia/reperfusion injury on rat small intestine
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DOI:
10.1053/jpsu.2001.28816
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发表时间:
2001-12-01
影响因子:
2.4
通讯作者:
Kale, N
Kale, N
中科院分区:
医学3区
文献类型:
--
作者:
Ceran, C;Sönmez, K;Kale, N

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目的:本研究的目的是确定胆红素对大鼠实验性小肠缺血/再灌注(I/R)损伤的影响。方法,30只大鼠分为5组(n = 6)。在S组中,通过颈静脉输注生理盐水,在B组中,通过颈静脉输注胆红素20mg/kg,无需额外的操作。 S-IR组、生理盐水组、B-1-IR组和B-2-IR组分别输注10 mg/kg/h和20 mg/kg/h胆红素2小时。在这些组中,输注后通过闭塞肠系膜上动脉 45 分钟然后再灌注 1 小时来进行 I/R 程序。再灌注后,切除小肠进行组织病理学和丙二醛(MDA)评估。粘膜损伤评分为0~5级,对丙二醛水平和组织病理学分级进行统计分析。结果:S-IR组粘膜损伤较重(4~5级),B-1-IR组粘膜损伤较轻(0~3级),B-2-IR组无粘膜损伤(0级)。 S-IR 组的评分在统计上高于 B-1-IR 和 B-2-IR 组 (P < .05)。 S-IR 组的组织 MDA 水平显着高于 B-1-IR 和 B-2-IR 组 (U = 36, P < .05)。胆红素水平与 MDA 水平呈负相关 (r = -0.94)。结论:胆红素可有效预防大鼠肠道 I/R 损伤。这一观察结果与胆红素作为抗氧化剂、在身体防御中发挥作用的假设是一致的。 WB 版权所有 (C) 2001。桑德斯公司。
Purpose: The aim of this study was to determine the effects of bilirubin in experimental small intestinal ischemia/reperfusion (I/R) injury in rats.Methods, Thirty rats were divided into 5 groups (n = 6). In group S, saline and in group B, bilirubin, 20 mg/kg were infused via the jugular vein without an additional procedure. In groups S-IR, saline, B-1-IR and B-2-IR, 10 and 20 mg/kg/h of bilirubin were infused for 2 hours, respectively. In these groups, an I/R procedure was done after infusions by occluding the superior mesenteric artery for 45 minutes followed by 1 hour of reperfusion. After reperfusion, the small intestines were resected for histopathologic and malondialdehyde (MDA) assessments. Mucosal lesions were scored between 0 and 5. Malondialdehyde levels and histopathologic grades were analyzed statistically.Results: Mucosal injury was severe in S-IR (grade 4 to 5), mild in B-1-IR (grade 0 to 3) and none in B-2-IR group (grade 0). Grades of group S-IR were higher than those of B-1-IR and B-2-IR statistically (P < .05). Tissue MDA levels of the S-IR group were significantly higher than those of B-1-IR and B-2-IR groups (U = 36, P < .05). Bilirubin levels correlated inversely with MDA levels (r = -0.94).Conclusions: Bilirubin effectively prevents intestinal I/R injury in rat. This observation is consistent with the hypotheses regarding bilirubin as an antioxidant, having a role in the body defense. Copyright (C) 2001 by WB. Saunders Company.