• 江西醫(yī)學院第二附屬醫(yī)院普外一科(南昌330006);

目的探討甘氨酸對大鼠肝臟熱缺血再灌注后肝竇內(nèi)皮細胞損傷的保護作用及其機理。方法取健康雄性SD大鼠72只,制備成鼠肝熱缺血再灌注模型,而后隨機分成正常對照組、缺血再灌注組、士的寧+甘氨酸治療組和甘氨酸治療組, 每組各18只。分別于再灌注后1、3、24 h檢測血漿中內(nèi)皮素(ET)、透明質(zhì)酸(HA)、腫瘤壞死因子α (TNFα)、谷丙轉(zhuǎn)氨酶(ALT)及肝組織中超氧化物歧化酶(SOD)含量的變化,并在光鏡下觀察肝竇內(nèi)皮細胞的病理改變。結(jié)果在再灌注后的不同時點,甘氨酸治療組中ET、HA、TNFα及ALT含量較缺血再灌注組顯著降低(P<0.01或P<0.05),SOD值相應升高,同時光鏡下肝竇內(nèi)皮細胞的病理變化明顯改善,士的寧可部分拮抗甘氨酸的作用。結(jié)論甘氨酸對鼠肝熱缺血再灌注后肝竇內(nèi)皮細胞的損傷具有保護作用。推測這種作用可能與肝竇內(nèi)皮細胞及枯否細胞膜上的甘氨酸受體密切相關。

引用本文: 舒明,熊本京,傅華群,蔣筱強,鄒書兵. 甘氨酸對鼠肝熱缺血再灌注后肝竇內(nèi)皮細胞損傷的保護作用. 中國普外基礎與臨床雜志, 2003, 10(4): 351-354. doi: 復制

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  1. 1. Hayashi H, Chaudry IH, Clemens MG, et al. Hepatic ischemic modals for determining the effects of ATPMgCl2 treatment [J]. J Surg Res, 1986; 40(2)∶167.
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  3. 3. Gujral JS, Bucci TJ, Farhood A, et al. Mechanism of cell death during warm hepatic ischemiareperfusion in rats: apoptosis or necrosis? [J]. Hepatology, 2001; 33(2)∶397.
  4. 4. Hisama N, Yamaguchi Y, Ishiko T, et al. Kupffer cell production of cytokineinduced neutrophil chemoattractant following ischemia/reperfusion injury in rats [J]. Hepatology, 1996; 24(5)∶1193.
  5. 5. Kourembanas S, Marsden PA, McQuillan LP, et al. Hypoxia induces endothelin gene expression and secretion in cultured human endothelium [J]. J Clin Invest, 1991; 88(3)∶1054.
  6. 6. Itasaka H, Kishikawa K, Suehiro T, et al. Serum hyaluronic acid for the assessment of graft viability in porcine liver transplantation [J]. Surg Today, 1994; 24(8)∶719.
  7. 7. Ikejima K, Qu W, Stachlewitz RF, et al. Kupffer cells contain a glycinegated chloride channel [J].Am J Physiol, 1997; 272(6 Pt 1)∶G1581.
  8. 8. Zhang Y, Ikejima K, Honda H, et al.Glycine prevents apoptosis of rat sinusoidal endothelial cells caused by deprivation of vascular endothelial growth factor [J]. Hepatology, 2000; 32(3)∶542.
  9. 9. Nishimura Y, Romer LH, Lemasters, et al. Mitochondrial dysfunction and cytoskeletal disruption during chemical hypoxia to cultured rat hepatic sinusoidal endothelial cells: the pH paradox and cytoprotection by glucose, acidotic pH, and glycine [J]. Hepatology, 1998; 27(4)∶1039.