Lipid peroxidation and the antioxidant system of the lungs during hyperbaric oxidation and its aftereffect: prospective study

Nikolay V. Yakovlev, Pavel N. Savilov
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Abstract

OBJECTIVE. To study the state of lipid peroxidation (LP) and the antioxidant system in the lungs of a healthy organism with single and repeated use of HBO in the therapeutic regime and the dynamics of the detected changes in the posthyperoxic period. MATERIALS AND METHODS. The experiments were conducted on a 100 mongrel white rats (males) weighing 180-220 g. Hyperbaric oxygenation (HBO) was performed in a therapeutic “soft” mode (2 ata, 50 min), 1 session per day. The studies were carried out immediately after the first and fifth sessions of HBO, as well as on the 5th day after a single application of HBO and on the 5th knock after the end of the five-day course of HBO. The content of extraerythrocytic hemoglobin (EEG), malondialdehyde (MDA), urea, uric acid (UC), activity of superoxide dismutase (SOD) and catalase were studied in the lung tissue. RESULTS. A five-day course of HBO does not lead to the accumulation of EEG in the lung tissue and causes an increase in the concentration of MDA in it only after the 5th session of HBO, whereas on the 5th day of the posthyperoxic period (PHP) it is within the normal range. Adapting to the selected HBO regimen, the lung tissue responds by increasing the activity of SOD and catalase, which normalize with an increase in the number of sessions to five. Unlike SOD, the increase in catalase activity on the 5th day of PHP depends on the number of HBO sessions. If the HBO-determined accumulation of urea by the lung tissue persists on the 5th day of the post-peroxic period, then the accumulation of UC is only with hyperoxic exposure. DISCUSSION. The changes we have identified are a manifestation of the natural reaction of the LP and the antioxidant system of the lungs of a healthy organism to an over-saturation with oxygen carried out in a therapeutic “soft” mode of 2 ata, 50 min. CONCLUSION. A five-day course of HBO in a therapeutic “soft” mode (2 ata, 50 min, 1 session per day) does not cause uncontrolled activation of POL and depletion of the antioxidant system in the lung tissue.
高压氧期间肺部脂质过氧化和抗氧化系统及其后遗症:前瞻性研究
目的研究在治疗过程中单次和多次使用高压氧时健康机体肺部的脂质过氧化(LP)状态和抗氧化系统,以及过氧后检测到的变化动态。 实验对象是 100 只体重为 180-220 克的杂种白鼠(雄性)。高压氧(HBO)采用 "软 "治疗模式(2 ata,50 分钟),每天 1 次。研究是在第一和第五次高压氧治疗后立即进行的,以及在单次高压氧治疗后的第五天和五天高压氧疗程结束后的第五天进行的。研究了肺组织中红细胞外血红蛋白(EEG)、丙二醛(MDA)、尿素、尿酸(UC)的含量,以及超氧化物歧化酶(SOD)和过氧化氢酶的活性。 结果显示为期五天的 HBO 不会导致 EEG 在肺组织中积累,只有在第 5 次 HBO 后才会导致 MDA 浓度增加,而在过氧后期(PHP)的第 5 天,MDA 浓度处于正常范围内。为了适应所选的 HBO 方案,肺组织会提高 SOD 和过氧化氢酶的活性,随着疗程次数增加到 5 次,这两种酶的活性也会恢复正常。与 SOD 不同,过氧化氢酶活性在 PHP 第 5 天的增加取决于 HBO 治疗的次数。如果 HBO 确定的肺组织尿素积累在过氧后第 5 天仍持续存在,那么 UC 的积累只与高氧暴露有关。 讨论。我们所发现的变化是健康机体肺部低压和抗氧化系统对氧气过饱和的自然反应的一种表现,氧气过饱和是在 2 ata、50 分钟的 "软 "治疗模式下进行的。 结论。以 "软 "治疗模式(2 个氧气瓶,50 分钟,每天一次)进行为期五天的 HBO 不会导致肺组织中 POL 的失控激活和抗氧化系统的耗竭。
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