文章摘要
去铁胺对高氧机械通气大鼠肺表面活性蛋白D和抗氧化酶的影响
Effect of deferoxamine on pulmonary surfactant protein D and antioxidant enzymes in rats exposed to hyperoxia ventilation
  
DOI:10.12089/jca.2019.10.016
中文关键词: 去铁胺  肺表面活性蛋白D  高氧  机械通气  肺损伤
英文关键词: Deferoxamine  Pulmonary surfactant protein D  Hyperoxia  Ventilation  Lung injury
基金项目:
作者单位E-mail
沙小兰 730000,兰州大学第一临床医学院麻醉学专业  
李玉兰 兰州大学第一医院麻醉科 jasm@sina.com 
王晓霞 730000,兰州大学第一临床医学院麻醉学专业  
王晶晶 兰州大学第一医院麻醉科  
陈苏衡 730000,兰州大学第一临床医学院麻醉学专业  
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中文摘要:
      
目的 研究去铁胺(DFO)对高氧机械通气大鼠肺表面活性蛋白D(SP-D)和抗氧化酶的影响。
方法 雄性SD大鼠24只,体重180~220 g。随机分为三组:空气组(M组)、高氧组(H组)和DFO组(D组),每组8只。麻醉状态下,M组行空气(FiO2=21%)机械通气,H组和D组行高氧(FiO2=90%)机械通气。M组和H组尾静脉输注生理盐水1 ml/h,D组尾静脉输注等容量DFO(200 mg/kg,1 ml/h)。机械通气4 h后取左肺制备支气管肺泡灌洗液(BALF),取右肺组织制备肺组织匀浆、计算湿干重比(W/D)并制备病理切片、行病理损伤评分。采用ELISA法测定BALF和肺组织匀浆中SP-D含量、谷胱甘肽还原酶(GR)和黄嘌呤氧化酶(XOD)活性。
结果 H组和D组BALF和肺组织匀浆中SP-D含量明显低于M组(P<0.05),GR活性明显弱于M组(P<0.05),XOD活性明显强于M组(P<0.05),W/D和病理损伤评分明显高于M组(P<0.05)。D组SP-D含量明显高于H组(P<0.05),GR活性明显强于H组(P<0.05),XOD活性明显弱于H组(P<0.05),W/D和病理损伤评分明显低于H组(P<0.05)。
结论 高氧机械通气4 h可造成明显的肺损伤和肺组织SP-D含量降低,去铁胺可增加SP-D含量、减轻肺损伤,其机制与增强肺组织GR活性和降低XOD活性有关。
英文摘要:
      
Ojective To investigate the effect of deferoxamine (DFO) on pulmonary surfactant protein D (SP-D) and antioxidant enzymes in rats exposed to hyperoxia ventilation.
Methods Twenty-four male sprague dawley rats, weighing 180-220 g, were randomly divided into 3 groups (n = 8): air group (group M), hyperoxia group (group H) and DFO group (group D). The rats in group M were ventilated with air (FiO2 = 21%) and the rats in groups H and D were ventilated with oxygen (FiO2 = 90%) for 4 h. Meanwhile, normal saline 1 ml/h was infused via tail vein in groups M and H. The rats in group D were infused intravenously with the same volume of DFO (200 mg/kg, 1 ml/h). Bronchoalveolar lavage fluid (BALF) was prepared in left lung after 4 h of ventilation. The right lung was taken to make tissue homogenate, the wet/dry weight (W/D) ratio was measured, the pathological changes was observed and the injury level was evaluated. The content of pulmonary surfactant protein D (SP-D), the activity of glutathione reductase (GR) and xanthine oxidase (XOD) were detected in BALF and lung homogenate by ELISA.
Results The content of SP-D and the activity of GR in groups H and D were much lower than those in group M (P < 0.05). The activity of XOD, lung W/D and pathological evaluation in groups H and D were much higher than those in group M (P < 0.05). The content of SP-D and the activity of GR in group D were higher than those in group H (P < 0.05). Meanwhile, the activity of XOD, lung W/D and pathological evaluation in group D were significantly lower than those in group H (P < 0.05).
Conclusion Four hours of hyperoxia ventilation causes significant lung injury and SP-D content reduction in lung tissue. Deferoxamine infusion has an effect of increasing SP-D content and alleviating lung injury, and the mechanism is related to the increased GR and decreased XOD activity.
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