多器官腹腔缺血预处理对实验性肾移植的影响。

Acta cirurgica brasileira Pub Date : 2024-12-20 eCollection Date: 2024-01-01 DOI:10.1590/acb400225
Juan Cruz Abate, Ivana Ivanoff Marinoff, Nathalie Arnal, Mariana Machuca, Rodrigo Papa-Gobbi, Leandro Vecchio, Martín Rumbo, Pablo Stringa, Natalia Raquel Lausada
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引用次数: 0

摘要

目的:为了减轻实体器官移植过程中引发的缺血再灌注损伤(IRI),我们旨在评估多器官腹部缺血预处理(MAIP)在肾脏IRI中的作用。方法:建立肾移植实验模型。将大鼠分为三组:无干预基础组,收集生理数据;对照组(CT)为未发生maep的移植动物;另一组是治疗组,在获取左肾期间对供体实施maep方案,监测受体24小时。结果:尿素、肌酐和乳酸脱氢酶,以及组织病理学分析(班夫:CT值1,66±0,57 vs.基础0,和MAIP 1)显示明显倾向于MAIP组。肿瘤坏死因子-α、白细胞介素-6和CXCL10以及氧化应激指标的检测结果相似,CXCL10[0,295±0,0074任意单位(AU) CT和0,0057±0,0065任意单位(AU) map]和TBARS(2,93±0,08 nmol/μg CT;2,49±0,23 nmol/μg maap;p 0.05)。结论:研究结果表明,maep对移植肾具有保护作用,可作为一种iri保护策略,增强移植肾功能相关参数。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of multiorgan abdominal ischemic preconditioning on experimental kidney transplantation.

Purpose: To mitigate ischemia-reperfusion injury (IRI) triggered in solid organ transplant procedures, we aimed to evaluate the effects of multi-organ abdominal ischemic preconditioning (MAIP) in the context of renal IRI.

Methods: An experimental kidney transplant model was conducted. Rats were divided into three groups: an intervention free basal group from which physiological data was collected; a control group (CT), which consisted of transplanted animals without MAIP; and a treated group, in which a MAIP protocol was implemented in the donor during the procurement of the left kidney, monitoring the recipient for 24 hours.

Results: Urea, creatinine, and lactate dehydrogenase, as well as histopathological analysis (Banff: CT 1,66 ± 0,57 vs. basal 0, and MAIP 1), showed a clear trend in favor of MAIP group. Similar results were observed for tumor necrosis factor-α, interleukin-6 and CXCL10, as well as indicators of oxidative stress, with statistically significant levels for CXCL10 [0,295 ± 0,0074 arbitrary units (AU) CT and 0,0057 ± 0,0065 AU MAIP] and TBARS (2,93 ± 0,08 nmol/μg CT; and 2,49 ± 0,23 nmol/μg MAIP; p 0.05).

Conclusion: The findings indicated that the MAIP exerts a protective influence on the transplanted kidneys, functioning as an IRI-protective strategy and enhancing the parameters associated with renal graft functionality.

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