一氧化氮在大鼠肢体缺血再灌注后肺损伤中的作用

The effect of nitric oxide on acute lung injury following ischemia/ reperfusion of hind limbs in the rat

在大鼠肢体缺血再灌注 (LIR)损伤模型上 ,观察应用一氧化氮合酶 (NOS)抑制剂氨基胍 (AG)及一氧化氮(NO)合成前体物质L 精氨酸 (L Arg)对大鼠骨骼肌和肺组织的NOS活性、NO含量、丙二醛 (MDA)、髓过氧化物酶(MPO)和湿 /干重 (W/D)值的影响以及肺磷脂酰胆碱 (PC)的改变 ,并观察了肺组织在光镜下形态学的变化。结果显示 ,与对照组比较 ,LIR组骨骼肌和肺组织NOS活性均增强 ,MDA值、MPO活性增加 ,W/D值增大 ,肺PC含量降低 ;光镜下 ,肺间质多形核粒细胞 (PMN)聚集和浸润 ,肺间隔面密度值增加。给予AG后 ,与LIR组相比NOS活性降低 ,NO产生下降 ,而MPO活性、W/D比值增加 ,肺PC含量进一步降低 ;镜下PMN聚集和浸润增加 ,肺间隔面密度值增大。而给予L Arg后能减轻LIR引起的上述变化。上述结果提示 ,LIR后 2h时 ,骨骼肌和肺组织NOS活性增加 ,NO产生增多 ;内源性NO可能在LIR所诱发的早期急性肺损伤中起保护作用。

On a model of reperfusion after ischemia in the hind limbs (LIR) of rats, we used aminoguanidine (AG) which inhibits nitric oxide synthase (NOS) and L-arginine ( L-Arg), one of the substrates in the process of nitric oxide synthesis, to observe the changes in NO, NOS, malondialdehyde (MDA), myeloperoxidase (MPO) and wet/dry ratio (W/D) in both skeletal muscles and the lung as well as the changes in phosphatidyl choline (PC) of lung surfactant.The morphologic changes were observed with microscopy. It was observed that the values of NOS, MPO, MDA of the muscle and lung in LIR group increased significantly and the content of PC decreased obviously compared with those of the normal control. Pulmonary observation revealed that after LIR leucocyte assembling and infiltration took place, which was dominated by polymorphocytes with broadened pulmonary interstitial tissue. In LIR+ L-Arg group the above changes were reversed, and in LIR+AG group the injuries became more serious. The results obtained suggest that the activity of NOS and the production of NO following ischemia/reperfusion of hind limbs increased significantly, and that the endogenous NO may play a protective role during the early stage of acute lung injury after LIR.