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缺血后处理在肾缺血再灌注损伤时对HO-1/CO与iNOS/NO系统的影响
作者:李文澜 柯伟  
单位:湖北省中山医院
关键词: 后处理 一氧化氮 诱导型一氧化氮合酶 血红素氧合酶-1 一氧化碳 
分类号:
出版年·卷·期(页码):2010·38·第六期(593-596)
摘要:

目的 研究缺血后处理在肾缺血再灌注损伤时对HO-1/CO与iNOS/NO系统的影响。方法 SD大鼠36只,雌雄不拘,体重220~280克,随机分为3组(n=12):Ⅰ组为假手术组,Ⅱ组为对照组,Ⅲ组为实验组。观察再灌注24h后肾组织中HO-l和iNOS的表达,血清丙二醛(MDA)的浓度、超氧化物岐化酶(SOD)活性、一氧化氮(NO)及动脉血中一氧化氮血红蛋白(HbCO)的含量,并进行肾组织光镜病理形态学观察。结果 与Ⅰ组比较,Ⅱ组HO-l和iNOS表达显著增强(P<0.05);与Ⅱ组比较,Ⅲ组HO-l的表达明显增强而iNOS表达显著减弱(P<0.05),血清SOD活性及HbCO升高,N0、MDA降低(P<0.05或P<0.01)。Ⅲ组病理改变明显轻于Ⅱ组。结论 缺血后处理对肾缺血再灌注的保护通过上调HO-1/CO与抑制iNOS/NO而发挥作用。

Objective To investigate the effects of HO-1/CO and iNOS/NO in postconditioning on ischemia/reperfusion injury in rats.Methods Thirty-six SD rats were divided into three groups with twelve animals in each group at random:sham-operation group,control group and expremental group.Blood and left kidney was collected after Twenty-four hours’reperfusion.Nitric oxide(NO),activity of superoxide dismutase (SOD) and content of malondialdehyde (MDA),carbon monoxide hemoglobin(HbCO) in blood were examined;heme oxygenase-1(HO-1)’s and iNOS’s expressions in rat kidney tissue were detected by immunohistochemisty and morphometry computer image analysis.Structure of the kidney was evaluated under light microscopy.Results Twenty-four hours after reperfusion, Blood N0,MDA concentrations were significantly increased, SOD activity was significantly decreased a in group Ⅱ as compared with groupⅠand Ⅲ(P<0.05 or P<0.01).Expression of HO-1 was obviously higher while induced Nitric Oxide Synthase(iNOS) was significantly lower in group Ⅲ than that in group Ⅱ.Expression of HO-1 and iNOS were significantly higher in group Ⅱ as compared with groupthan that in group Ⅰ..The damage to renal tubules was significantly attenuated in group Ⅲ compared with group Ⅱ.Conclusion Postconditioning could protect the renal IRI by up-regulating HO-1/CO and inhibiting the expression of iNOS/NO.

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