Effects of erythropoietin on renal tissue in an experimental rat model of septic shock

S. Oter, V. Oter
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引用次数: 1

Abstract

Aim: To examine the effect of erythropoetin on renal function and histological findings in experimental septic shock model, 24 Sprague-Dawley rats were used. Material and Methods: Rats were divided into control, septic shock, and erythropoetin-treated septic shock groups. Femoral vein and artery catheterization were performed on all rats. Rats in the control group underwent laparotomy and catheterization; in the test groups, cecal ligation-perforation and bladder cannulation were added. Rats in the treatment group received a single intraperitoneal (IP) injection of 250 mg/kg erythropoetin 60 minutes after cecal ligation perforation. Rats were monitored for blood pressure, heart rate, and body temperature to assess the postoperative septic response. The body fluids were replaced as necessary. At the end of 24 hours, rats were sacrificed and renal samples were collected. Results: In our study, although there were lessstudies about septic shock model with erythropoietin, we have achieved similar results as the data in the available literatures. WBC, fever, urinary volume, urinary creatinin, BUN, blood creatinin values were significantly better in sepsis treated by erythropoietin group than non-treated sepsis group (p<0,001, table 1)Significant improvements were observed in histological findings in rats treated with erythropoetin, compared to rats with untreated. Discussion: Our findings demonstrate that erythropoetin has antioxidant effects of sepsis as seen in other studies. We conclude that erythropoetin may be an effective treatment for oxidative damage due to renal tissue perfusion defects in cases of septic shock.
促红细胞生成素对脓毒性休克大鼠肾组织的影响
目的:采用24只Sprague-Dawley大鼠,观察促红细胞生成素对感染性休克模型大鼠肾功能及组织学的影响。材料与方法:将大鼠分为对照组、感染性休克组和促红细胞生成素治疗的感染性休克组。所有大鼠均行股静脉、股动脉置管。对照组大鼠开腹置管;试验组加盲肠结扎穿孔和膀胱插管。治疗组大鼠于盲肠结扎穿孔后60分钟单次腹腔注射促红细胞生成素250 mg/kg。监测大鼠血压、心率和体温,以评估术后脓毒性反应。体液在必要时被替换。24小时后处死大鼠,取肾脏标本。结果:在我们的研究中,虽然关于促红细胞生成素作用下脓毒性休克模型的研究较少,但我们得到的结果与现有文献的数据相似。红细胞生成素治疗组脓毒症的WBC、发热、尿量、尿创造素、BUN、血创造素值明显优于未治疗组(p< 0.001,表1)。红细胞生成素治疗组大鼠的组织学检查结果较未治疗组有显著改善。讨论:我们的研究结果表明,红细胞生成素在脓毒症中具有抗氧化作用,这在其他研究中也有发现。我们的结论是,促红细胞生成素可能是一种有效的治疗氧化损伤,由于肾组织灌注缺陷的情况下,脓毒性休克。
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