PULMONARY REPERFUSION INJURY - EVIDENCE FOR OXYGEN-DERIVED FREE-RADICAL MEDIATED DAMAGE AND EFFECTS OF DIFFERENT FREE-RADICAL SCAVENGERS

被引：36

作者：

JURMANN, MJ

DAMMENHAYN, L

SCHAEFERS, HJ

HAVERICH, A

机构：

[1] Department of Thoracic and Cardiovascular Surgery, Surgical Center, Hannover Medical School, Honnever, FRG

[2] Abteilung für Thorax- und Herzchirurgie, Chirurgisches Zentrum, Medizinische Hochschule, Hannover, W-3000, Konstanty-Gutschow-Straße 8

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1990年 / 4卷 / 12期

关键词：

LUNG TRANSPLANTATION; HEART-LUNG TRANSPLANTATION; ORGAN PRESERVATION; OXYGEN-DERIVED FREE RADICALS; REPERFUSION INJURY;

D O I：

10.1016/1010-7940(90)90059-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Blood granulocyte-mediated reactions involving generation of oxygen-derived free radicals have recently been shown to be capable of causing injury to the lungs. These findings suggest a similar mechanism also to be involved in the development of pulmonary ischemia/reperfusion injury. In the present study, therefore, the effects of three oxygen-derived free radical scavengers, superoxide dismutase (SOD; 1 mg/kg), catalase (20 000 IU/kg) and allopurinol (45 mg/kg), were evaluated during reperfusion in a rabbit model after 2 h normothermic ischemia of the lung. During reperfusion, ischemic lungs were found to have an elevated pulmonary vascular resistance, increased total and extravascular lung water content, and decreased arterial oxygen tension (PaO2) compared to control animals. SOD and catalase, but not allopurinol, were able to reduce pulmonary injury by lowering the pulmonary vascular resistance, but could not prevent pulmonary damage as shown by total lung water (TLW) or PaO2. It is concluded that oxygen-derived free radicals such as hydrogen peroxide and the superoxide anion may play an important role in precipitating pulmonary injury after ischemia. The failure of xanthine oxidase inhibition (allopurinol) to exert protective effects may suggest that oxygen-derived free radical generation following pulmonary ischemia occurs predominantly via leukocyte-mediated reactions.

引用

页码：665 / 670

页数：6

共 36 条

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