The pulmonary injury in rats caused by chronic intermittent hypoxia and the intervention effect of Edaravone
-
摘要: 目的: 探讨慢性间歇低氧(CIH)对大鼠肺损伤的机制和依达拉奉的干预作用及可能机制。方法: 采用随机数字表法将96只雄性Wistar大鼠随机分为正常对照组(UC组)、间歇低氧组(CIH组)、依达拉奉治疗组(NE组)、低氧生理盐水组(NS组),各亚组持续时间分别为1、2、3、4周,每个亚组6只大鼠。实验结束后分别观察各亚组大鼠肺组织苏木精-伊红病理变化、血气检测血氧分压(PO2),采用化学法检测肺组织MDA含量和SOD活性,实时荧光定量PCR检测Ang Ⅱ mRNA。结果: UC组未见明显病理损害,而CIH组肺泡壁水肿增厚,肺泡融合,肺间质及支气管上皮内也可见中性粒细胞浸润,且随时间延长,病理损伤逐渐加重;与NS组相比,NE组出现病理损伤的时间较晚且程度较轻;各组亚组内PO2未见差异;与UC组同一时间点比较,CIH组PO2明显降低,而NE组较NS组有所恢复;与UC及NE组比较,CIH组及NS组MDA含量于各个时间点均逐渐增加(P<0.05),SOD活性于各个时间点均逐渐减少(P<0.05);Ang Ⅱ mRNA的表达于各个时间点增加,于4周达高峰;与CIH组比较,NE组各指标的变化过程受到抑制(P<0.05)。CIH组Ang Ⅱ mRNA与SOD呈负相关(r=-0.904,P<0.01);Ang Ⅱ mRNA与MDA呈正相关(r=0.782,P<0.01)。结论: 慢性间歇低氧可通过氧化应激和激活 AngⅡ导致肺组织损伤,依达拉奉可能通过清除氧自由基,从而抵抗间歇低氧所致肺损伤。Abstract: Objective: To investigate the mechanism of the pulmonary injury in rats caused by chronic intermittent hypoxia(CIH) and to investigate the intervention effect of Edaravone.Method: Ninety-six male Wistar rats were divided into four groups randomly:the control group (NC), chronic intermittent hypoxia group (CIH), chronic intermittent hypoxia normal saline matched group(NS), chronic intermittent hypoxia edaravone treatment group (NE). The four groups were also divided into 1, 2, 3, 4 W time subgroups, and each time subgroup had 6 rats. After the experiment, sections of pulmonary were stained with hematoxylin-eosin (HE) and the level of SOD,MDA,PO2 and AngⅡmRNA in rat homogenate pulmonary were measured.Result: Pulmonary histology revealed that the CIH group showed high levels of interstitial edema, alveolar atelectasis, inflammatory cell infiltration of alveolar epithelial cell, pulmonary injury were serious in 1,2,3,4 W. But the pulmonary histology of the UC group and the NS group was normal. Compared with the NS group, pulmonary injury of NE group 1, 2,3,4 W, significantly decreased. Compared with the NC group,the levels of PO2 in the CIH group were decreased; while the compared with the NS group, the levels of PO2 in the NE group were increased. Compared with the UC group and NS group, the levels of AngⅡmRNA in each time point in CIH group were increased gradually (P<0.05), the content of MDA were increased in 1, 2, 3, 4 W (P<0.05), they had reached the peak all at 4 W; while the SOD in each time point in CIH group were decreased gradually (P<0.05) compared with that in UC group and NS group; The AngⅡmRNA levels of CIH in pulmonary showed positive correlation with MDA[r=0.782,P<0.01];while the AngⅡmRNA levels of CIH in pulmonary showed negative correlation with SOD[r=-0.904, P<0.01].Conclusion: CIH can cause pulmonary injury through oxidative stress and activating AngⅡ, and Edaravone could prevent pulmonary injury induced by CIH through scavenging oxygen free radicals.
-
[1] FLEETHAM J A.Is chronic obstructive pulmonary disease related to sleep apnea-hypopnea syndrome[J].Am J Respir C ri t Care Med, 2003,167:3-4.
[2] JELIC S, PADELETTI M,KAWUT S M, et al. Inflammation,oxidative stress, and repair capacity of the vascular endothelium in obstructive sleep apnea[J]. Circulation,2008,117:2270-2278.
[3] SUNDAR K M, DALY S E.Chronic cough and OSA:an underappreciated relationship[J]. Lung, 2014,192:21-25.
[4] TEODORESCU M, POLOMIS D A, GANGNON R E, et al.Asthma Control and Its Relationship with Obstructive Sleep Apnea (OSA) in Older Adults[J]. Bras Pneumol, 2013,39:604-612.
[5] YAMAUCHI M,KIMURA H. Oxidative stress in obstructive sleep ap-nea:putative pathways to the cardiovascular complications[J].Antioxid Redom Signal,2008,10:755-768.
[6] XIANG Y H, SU X L, HE R X, et al. Effects of different patterns of hypoxia on renin angiotension system in serum and tissues of rats[J].Zhonghua Jie He He Hu Xi Za Zhi, 2012,35:33-36.
[7] CARPAGNANO G E, KHARIT ON OV S A, REST A O, et al. Increased 8-isoprostane and interleukin-6 in breath condensate of obstructive sleep apnea patents[J]. Chest, 2002,122:1162-1167.
[8] CHEN L N, YANG X H, NISSEN D H, et al. Dysregulated renin-angiotensin system contributes to acute lung injury caused by hind-limb ischemia-reperfusion in mice[J]. Shock, 2013,40:420-429.
[9] SHANG J, YANG Y Y, GUO X L, et al. Ang Ⅱ type 1 receptor expression in rat aorta exposed to chronic intermittent hypoxia:effects of p38MAPK and ERK1/2 signaling[J].Chin Med, 2013,126:3264-3269.
[10] CHEN C M, CHOU H C, WANG L F, et al. Captopril decreases plasminogen activator inhibitor-1 in rats with ventilator-induced lung injury[J]. Crit Care Med, 2008,36:1880-1885.
[11] DANDONA P, KUMAR V, ALJADA A, et al. Angiotensin Ⅱ receptor blocker valsartan suppresses reactive oxygen species generation in leukocytes, nuclear factor-kappa B, in mononuclear cells of normal subjects:evidence of an antiinfl ammatory action[J]. J Clin Endocrinol Metab, 2003,88:4496-4501.
[12] YAMAUCHI M,KIMURA H. Oxidative stress in obstructive sleep apnea:putative pathways to the cardiovascular complications[J].Antioxid Redom Signal,2008,10:755-768.
[13] CARPAGNANO G E, KHARITONOV S A, REST A O, Increased 8-isoprostane and interleukin-6 in breath condensate of obstructive sleep apnea patents[J]. Chest, 2002,122:1162-1167.
[14] TAJIMA S, SODA M, BANDO M, et al. Preventive effects of edaravone, a free radical scavenger, on lipopolysaccharide-induced lung injury in mice[J].Respirology, 2008,13:646-653.
[15] ZHI Q, SUN H, QIAN X, et al. Edaravone, a novel antidot against lung injury and pulmonary fibrosis induced by paraquat[J]. Immunopharmacol,2011, 11:96-102.
计量
- 文章访问数: 72
- PDF下载数: 46
- 施引文献: 0