脑损伤和再灌液受损与氧自由基

临床研究脑外伤、脑缺血时产生大量氧自由基使细胞磷脂发生过氧化反应造成脑细胞继发性损害,抗自由基的药物具有抑制自由基的产生或使其分解、转化的作用,因此,对脑外伤、脑缺血的继发性损害有一定防治效果.

Effect of remifentanil on toll-like receptor 4, NF-κB and IL-6 in rabbit myocardial ischemia/reperfusion model

Objective： To investigate whether remifentanil induced cardioprotecting effect is associated with expression of toll-like receptor 4 （TLR4）, nuclear factor rB （NF-r.B） and serum interleukin -6 （IL-6）. Methods： Fifty rabbits were randomly divided into 5 groups （n=10） according to the treatment： sham operation group （group A）, ischemla-reperfusion group （group B）, low-dose remifentanil group （group C）, mediate-dose remifentanil group （group D）, and high-dose remlfentanil group （group E） Myocardial TLR4 mRNA levels, NF-r.B protein expression and serum levels of IL-6 were observed in 120 min after reperfusion. Results： The myocardial expressions of TLR4 mRNA, NF-rd3 protein and IL-6 level in sera of groups B, C, D and E were elevated compared with group A. However, remifentanil significantly reduced the levels of TLR4 mRNA, NF- r.B protein expression and serum IL-6 in groups C, D and E compared with group B. There were remarkable differences between the groups （P〈O.O1）. Conclusion： Intravenous remifentanil has protective effect against rabbit myocardial ischemia/reperfusion injury. This effect may be associated with TLR4, NF-r.B expressions on myocytes and serum level of IL-6 in a dose-dependent manner

Effect of ONO-4057 and tacrolimus on ischemia-reperfusion injury of the liver

AIM: To investigate the effects of a novel Leukotriene B4 receptor antagonist and/or tacrolimus on ischemia-reperfusion in a rat liver model. METHODS: Male Lewis rats were pretreated with ONO-4057 (100 mg/kg) and/or tacrolimus (1 mg/kg) orally, and divided into four experimental groups; group 1 (control), group 2 (ONO-4057), group 3 (tacrolimus), group 4 (ONO-4057 + tacrolimus). RESULTS: There was a tendency for long survival in the groups treated with tacrolimus alone and ONO-4057 plus tacrolimus. Post-reperfusion serum aspartate aminotransferase levels decreased more signif icantly in ONO-4057 plus tacrolimus group (P < 0.01), than in the tacrolimus alone group (P < 0.05), compared to controls. CONCLUSION: This study demonstrated that pretreat-ment with ONO-4057 in combination with tacrolimus produced additive effects in a rat model of liver isch-emia-reperfusion injury.

Expression of Toll-like Receptor 2/4 on Alveolar Macrophage in the Model of Total Hepatic Ischemia/Reperfusion Injury in Mice

Objective： To explore the expression and meaning of Toll-like receptor 2/4 in alveolar macrophage during the process of total hepatic ischemia in mice. Methods： BALB/c mice were used in a model of total hepatic ischemia/reperfusion. Alveolar Macrophage were collected at the time point of lh, 6h and 12h by the means of bronchoalveolar lavage （BAL）, and its TLR2/4 mRNA and protein were detected with Flow Cytometry and Real-time PCR. The level of TNF in BAL fluid were measured. The concentration of MPO, the ratio of wet/dry and lung histological scores were used to assess the degrees of lung injuries. Results： At the three time points of hepatic ischemia reperfusion, the expression of TLR2/4 protein of and mRNA were up-regulated and the level of TLR2 was on the rise continually. TLR4 at the time of 6 h reached the peak value （P〈0.01）. The level of TNF-2 in BAL fluid reached the highest point at the time of 6 h （P〈0.01）. The ratio of wet/dry rose continually during hepatic ischemia reperfusion. After 1 h, the level of MPO increased rapidly. Then it reached the peak value during the period of 6 h to 12 h. Conclusion： TLR2/4 on the mice of alveolar macrophage were activated in the process of hepatic ischemia/reperfusion and involved in the injury of lung.

Effects of Electroacupuncture on the Ability of Learning and Memory in Rats with Ischemia-reperfusion Injury

Objective： To observe the effects of pretreatment and treatment with electroacupuncture on the ability of learning and memory in rats with ischemia-reperfusion injury, and to provide the research basis for preventing and treating the disorder of learning and memory in patients with apoplectic sequelae. Methods： Seventy-two SD rats, clean class, were randomly divided into sham operation group, model group, pretreatment group, and treatment group. The step-through latency and number of errors, nerve injury score, and the number of cholinoceptor in the affected hippocampus were recorded to analyze the effects of pretreatment and treatment with electroacupuncture on the ability of learning and memory in rats with ischemia-reperfusion injury. Results： 1） The rats with ischemia had various signs of nerve injury. Compared with that in the sham operation rats, the nerve injury score in the model rats was lower, the step-through latency and number of errors were increased, and the content of special mAchR was decreased （P〈0.05）; 2） Electroacupuncture could decrease the nerve injury score of the model rats. Compared with those in the model group, the step-through latency and number of errors all had significant difference in the pretreatment and treatment groups （P〈0.05）; 3） Compared with that in the model group, the content of mAchR was increased in the pretreatment group （P〈0.05）, and increased a little in the treatment group. Conclusion： Pretreatment and treatment with electroacupuncture can prolong step-through latency, and

Effect of electroacupuncture preconditioning at “Nèiguān” (内关 PC 6) on gene expression of myocardial opioid receptors in rats with ischemia-reperfusion

Objective To explore protective effects of electroacupuncture at ＂Nèiguān＂ （内关 PC 6） for preconditioning on myocardial ischemia-reperfusion injury （MIRI） and the mechanisms involved. Methods Forty-eight male Wistar rats were randomly divided into a sham operation group （Group N）, a MIRI group （Group M） and an electroacupuncture （EA） group （Group E）. The MIRI model was established by ligating the left anterior descending artery （LAD） for 30 min followed by reperfusion for 120 min. Partition sutures were passed under LAD without ligation for rats in Group N. Rats in Group E were pretreated with electroacupuncture （EA） applied at bilateral ＂Nèiguān＂ （内关 PC 6） for 20 min once a day for 3 consecutive days before ischemia. The infarct size plus the area at risk was evaluated by 2,3,5-triphenyltetrazolium chloride staining, and serum isoenzyme of creatine kinase （CK-MB） and lactate dehydrogenase （LDH） levels were measured by biochemical methods. Myocardium morphological changes were observed under light microscopy. The mRNA expressions of myocardial δ and κ opioid receptors （DOR and KOR） were tested by real-time RT-PCR measurements. Results The myocardial infarct size in Group E was more significantly decreased than that in Group M （P0.05）. The levels of CK-MB [（980？±？92） U/L] and LDH [（2743？±？124） U/L] in Group M were significantly higher than those in Group N [（312？±？41） U/L] and [（530？±？56） U/L], respectively （both P0.01）. The levels of CK-MB [（572？±？70） U/L] and LDH [（1819？±？97） U/L] in Group E were significantly lower than those in Group M （both P0.01）. There were no significant differences in mRNA expressions of DOR and KOR between Group M and Group N （both P0.05）, but DOR expression in Group E was significantly higher than that either in Group M or in Group N （both P0.01 ）. No significant differences were found in KOR expression among the three groups （all P0.05）. Conclusion Up-regulation of expression of δ opioid receptors may be involved in protective effects of EA at Nèiguān （内关 PC 6） for preconditioning on MIRI.