NO和氧自由基在心肌缺血再灌注损伤中的协同作用——心肌缺血再灌注损伤产生的NO自由基的ESR研究

用低温电子自旋共振(ESR)技术检测到了大鼠心肌缺血再灌注过程产生的NO自由基与含铁蛋白结合的ESR信号 并且利用这一技术研究了大鼠心肌缺血再灌注损伤过程中NO和氧自由基的协同作用.结果发现,在缺血再灌注损伤的心肌中可同时检测到氧自由基和与血红蛋白β-亚基铁结合的NO自由基(β-NO复合物).在正常心肌中检测不到这两个信号,即使在灌注液中加入L-精氨酸也检测不到这两个信号.在缺血再灌注损伤的心肌中就可以检测的这两个信号了,而且随着在灌注液中加入L-精氨酸浓度的增加,这一信号也随之增加.在灌注液中加入NO合成酶抑制剂N~G-硝基精氨酸甲脂(NAME),这两个信号受到抑制.在灌注液中检测标志心肌损伤的乳酸脱氢酶(LDH)和肌酸激酶(CK)活性发现,在灌注液中加入低浓度的L-精氨酸(1mmol/L以下),对缺血再灌注心肌损伤有一定保护作用,但是,若加入高浓度L-精氨酸,则加重缺血再灌注心肌的损伤.加NAME对缺血再灌注心肌有明显保护作用.在灌注液中加入黄嘌吟/黄嘌吟氧化酶(X/XO)或Fe²⁺/H₂O₂,同时增加缺血再灌注心肌中的NO和氧自由基含量,并加重心肌的损伤.在灌注液中加入超氧化物歧化酶(SOD)和过氧化氢酶(CAT),同时减少缺血再灌注心肌中NO和氧自由基的含量,并减轻心肌的损伤.     

ESR检测大鼠心脏缺血—再灌产生的氧自由基及药物的消除

据报道,心肌缺血——再灌损伤的机制与活性氧自由基的产生紧切相关,在大鼠心脏产生氧自由基是以黄嘌呤氧化酶(XO)途径为主.心肌中的黄嘌呤脱氢酶(XD)在Ca~(2+)激活水解酶的作用下向XD转化.而此我们设想,协同使用钙拮抗剂与超氧阴离子(O_2~1)清除剂(超氧化物歧化酶,SOD)可能加强对心肌的保护作用.本实验用电子自旋共振波谱仪(ESR)直接检测大鼠缺血——再灌心肌产生的活性氧自由基,从心脏收缩幅度,静息张力,肌酸激酶(CK)释放和心肌组织丙二醛(MDA)为指标,观察钙拮抗剂硫氮(艹卓)酮(DTZ)和SOD的分别作用和联合作用,发现两药合用可明显减少心肌活性氧自由基的产生.     

ESR检测大鼠心脏缺血—再灌产生的氧自由基及药物的消除

据报道,心肌缺血——再灌损伤的机制与活性氧自由基的产生紧切相关,在大鼠心脏产生氧自由基是以黄嘌呤氧化酶(XO)途径为主.心肌中的黄嘌呤脱氢酶(XD)在Ca~(2+)激活水解酶的作用下向XD转化.而此我们设想,协同使用钙拮抗剂与超氧阴离子(O_2~1)清除剂(超氧化物歧化酶,SOD)可能加强对心肌的保护作用.本实验用电子自旋共振波谱仪(ESR)直接检测大鼠缺血——再灌心肌产生的活性氧自由基,从心脏收缩幅度,静息张力,肌酸激酶(CK)释放和心肌组织丙二醛(MDA)为指标,观察钙拮抗剂硫氮(艹卓)酮(DTZ)和SOD的分别作用和联合作用,发现两药合用可明显减少心肌活性氧自由基的产生.     

辅酶Q10,甘露醇及别嘌呤醇清除活性氧自由基的ESR研究

药物清除氧自由基的ESR研究近年来在国内已有报道,但以中药有效成分为多见,我们选择了在心脏直视手术时用于临床心肌保护的几种有效药物:辅酶Q_(10)甘露醇及别嘌呤醇,用ESR技术测定其清除活性氧自由基的作用,以了解它们防治心肌缺血再灌注损伤的机理。     

芦丁等天然产物清除活性氧自由基O_(?)~-和·OH的ESR研究

本文用促癌剂PMA(phorbol myristate acetate)刺激人多形核白细胞(PMN)呼吸暴发产生的活性氧自由基,Fenton反应产生的羟自由基·OH,光照核黄素和黄嘌呤/黄嘌呤氧化酶体系中产生的超氧阴离子自由基O(?)为模型,用自旋捕集方法研究天然产物芦丁,槲皮素,异槲皮苷和汉防已甲素对活性氧自由基(?)和·OH的清除作用.除汉防已甲素外,其它药物都能很明显地清除PMN呼吸暴发过程中产生的活性氧自由基.芦丁和异槲皮苷对(?)的清除率分别高达78.1%和79.9%,远远大于维生素E(12.7%)的作用.除汉防已甲素外,其它三种药物对·OH的清除作用也大于维生素E.四种天然产物对O(?)和·OH的清除作用都小于维生素C.     

TNF-α在冻融嗜中性粒细胞介导血管内皮细胞损伤中的作用

目的:探讨肿瘤坏死因子-α(TNF-α)在组织冻融造成的血管内皮细胞(VEC)损伤过程中的作用.方法:以右旋糖酐沉降法分离的大鼠嗜中性粒细胞(PMN)和体外培养的大鼠VEC为实验材料,建立细胞冻融模型.通过测定培养液中LDH活性确定VEC损伤程度,采用活性染料吞噬法检测与VEC粘附的PMN数,以流式细胞技术分析淋巴细胞功能相关抗原-1(LFA-1)表达.结果:TNF-α上调冻融PMN表面LFA-1表达,促进冻融PMN与正常VEC粘附,增强VEC损伤.抗LFA-1Mab部分阻断冻融PMN与正常VEC粘附,减轻VEC损伤.结论:在冻融损伤过程中TNF-α促进PMN表面LFA-1表达,增强PMN-VEC粘附,加重VEC损伤.     

芦丁等天然产物清除活性氧自由基O_(?)~-和·OH的ESR研究

本文用促癌剂PMA(phorbol myristate acetate)刺激人多形核白细胞(PMN)呼吸暴发产生的活性氧自由基,Fenton反应产生的羟自由基·OH,光照核黄素和黄嘌呤/黄嘌呤氧化酶体系中产生的超氧阴离子自由基O(?)为模型,用自旋捕集方法研究天然产物芦丁,槲皮素,异槲皮苷和汉防已甲素对活性氧自由基(?)和·OH的清除作用.除汉防已甲素外,其它药物都能很明显地清除PMN呼吸暴发过程中产生的活性氧自由基.芦丁和异槲皮苷对(?)的清除率分别高达78.1%和79.9%,远远大于维生素E(12.7%)的作用.除汉防已甲素外,其它三种药物对·OH的清除作用也大于维生素E.四种天然产物对O(?)和·OH的清除作用都小于维生素C.     

TEMPO对再灌心肌有保护作用

近年来,心肌缺血再灌注,氧自由基引起的心肌损伤已引起极大关注,人们用超氧化物岐化酶、OH·清除剂等干扰自由基的形成或清除已形成的自由基,以减少由自由基造成的损伤,但这些化合物的毒副作用及溶解性等给应用带来了局限性。最近,美国加利福尼亚大学Gelvan等从离体大鼠心脏实验中观察到,缺血再灌损伤     

硫辛酸抗再灌期心律失常与外源性自由基所致动作电位异常的作用

用 Langendorff 法灌流大鼠心脏。结扎冠状动脉左前降支10 min,松结再灌3 min。再灌期内对照组心室颤动发生率为100%,正常窦性心律时间缩短至29±56s。给硫辛酸组(6.8×10~(-6)1.7×lO~(-4)mol/L)心室颤动发生率下降至33—50%。正常窦性心律时间延长至97s 以上。用标准微电极技术记录豚鼠乳头肌动作电位(AP)。在黄嘌呤氧化酶(0.004U/ml)与次黄嘌呤(1Oμmol/L)氧自由基发生系统作用后第3min,未给药组 AP 各参数与对照组比较,APA、RP 和 V_(max)分别下降20%(P<0.05),16%(p<0.05)和45%(p<0.01)。给硫辛酸组(3.5×10~(-5)mol/L)AP 各参数的异常明显减轻,与对照组比较,APA,RP 和 V_(max)分别下降9%(p<0.05),9%(P<0.05)和18%(P<0.05)。给药组与未给药组比较,三项指标差别显著。上述结果提示,硫辛酸的自由基清除作用使异常动作电位得到改善,从而降低了心律失常发生率。     

对肾上腺素性心肌缺血模型大鼠相关指标的探讨

目的进一步探讨客观评价大鼠心肌缺血模型的指标。方法观察皮下注射10mg kg异丙肾上腺素(ISO)造成SD大鼠心肌缺血性损伤模型后心电图的变化、检测血清中肌酸激酶(CK)、乳酸脱氢酶(LDH)、游离脂肪酸(FFA)以及心肌组织的坏死面积、超氧化物歧化酶(SOD)、丙二醛(MDA)含量的变化。结果腹腔注射ISO后30s,大鼠心电图的J点开始降低,2min后缓慢回升,但20min后仍未回复到原来的水平,而且20min内各时间点与给药前比较,模型对照组大鼠的J点与生理盐水对照组比较,差异有显著性(P<0.05);T波则在注射异丙肾上腺素30s后开始下降,10min内两组的T波一直保持显著差异(P<0.05),而且注射异丙肾上腺素后30s(P<0.01)以及5min(P<0.05)与给药前比较,T波均有显著差异;模型对照组大鼠血清中CK、LDH、FFA以及心肌组织中MDA浓度均显著高于生理盐水对照组,心肌坏死面积与这些指标呈正相关关系,心肌组织中SOD浓度显著低于生理盐水对照组。结论J点可以作为评价此种动物模型的主要指标,T波可以作为辅助指标,应重点观察20min内心电图的变化;可以选择CK、LDH、FFA、SOD、MDA等生化指标以及心肌坏死面积等来探讨抗心肌缺血药物的作用机理。     

Effect of reduced oxygen intermediates on sarcolemmal muscarinic receptors from canine heart

The effect of oxygen free radicals generated by xanthine-xanthine oxidase system and hydrogen peroxide were investigated on cardiac muscarinic cholinergic receptors. We have used highly enriched sarcolemmal preparations isolated from canine myocardium. Exposure of the sarcolemma to oxygen free radicals by xanthine-xanthine oxidase system resulted in a significant (P less than 0.05) decrease of Bmax of (3H)-QNB (4.66 +/- 0.51 to 2.68 +/- 0.22 pmoles/mg protein). Addition of superoxide dismutase (SOD) and catalase (10 micrograms/ml) resulted in a significant reversal of Bmax value to 3.72 +/- 0.39 pmoles per mg protein (p less than 0.05). However, the affinity constants of dissociation (KD) were not altered appreciably with the exposure to oxygen free radicals with or without scavengers. Hydrogen peroxide significantly depressed 3H-QNB binding to the receptors in a dose-dependent manner in a concentration range between 4.41 mM -441 mM. This depression was completely inhibited by 10 micrograms/ml catalase. The study demonstrates that the oxygen free radical species are capable of disrupting (3H)-QNB binding to the cardiac muscarinic receptors.     

Neuroprotective effects of Ptychopetalum olacoides Bentham (Olacaceae) on oxygen and glucose deprivation induced damage in rat hippocampal slices

Alcoholic infusions of Ptychopetalum olacoides Bentham (PO, Olacaceae) are used in traditional medicine by patients presenting age associated symptoms and those recovering from stroke. The aim of this study is to evaluate the neuroprotective properties of PO ethanol extract (POEE) using hippocampal slices from Wistar rats exposed to oxygen and glucose deprivation (OGD, followed by reoxygenation). Mitochondrial activity, an index of cell viability, was assessed by the MTT assay; in addition, the free radicals content was estimated by the use of dichlorofluorescein diacetate as probe. The OGD ischemic condition significantly impaired cellular viability, and increased free radicals generation. In non-OGD slices, incubation with POEE (0.6 microg/ml) increased (approximately 40%) mitochondrial activity, without affecting free radicals levels. In comparison to OGD controls, slices incubated with POEE (0.6 microg/ml) during and after OGD exposure had significantly increased cellular viability. In addition, at this same concentration, POEE prevented the increase of free radicals content induced by OGD. In view of the fact that respiratory chain inhibition and increased generation of free radicals are major consequences of the ischemic injury, this study suggests that Ptychopetalum olacoides contains useful neuroprotective compounds and, therefore, deserves further scrutiny.     

Oxygen free radical producing activity of polymorphonuclear leukocytes in patients with Parkinson's disease

Oxygen free radicals (OFRs) have been suggested in the pathogenesis of Parkinson's disease (PD). These free radicals exert their cytotoxic effect by peroxidation of lipid membrane resulting in the formation of malondialdehyde (MDA). Polymorphonuclear (PMN) leukocyte is one of the major sources of OFR. However, the oxygen free radical producing activity of PMN leukocytes in patients with PD is not known. We therefore studied the oxygen free radical producing activity of polymorphonuclear leukocytes and MDA levels in the serum of healthy subjects and in patients with Parkinson's disease. The oxygen free radical producing activity of PMN leukocytes in blood and the MDA content in serum were significantly higher in patients with Parkinson's disease than in healthy subjects. These results indicate a possible role of oxygen free radicals in the pathogenesis of Parkinson's disease.     

Free radicals mediate amphetamine-induced acute pulmonary edema in isolated rat lung

Intravenous amphetamine abuse may cause serious cardiopulmonary complications via unknown mechanisms. We investigated the role of free radicals in the amphetamine-induced lung injury using isolated rat lungs. Adding amphetamine into the perfusate caused dose-dependent increases in perfusion pressure and lung weight. Amphetamine increased the filtration coefficient (K(f)) by 90 +/- 20% and 210 +/- 10% at doses of 10 microM and 50 microM, respectively, as compared to the baseline level. Pretreatment with dimethylthiourea (DMTU), an oxygen radical scavenger, abolished the pulmonary hypertension, lung weight gain, and permeability changes. We also examined the effect of amphetamine on free radical generation in polymorphonuclear leukocytes (PMN). Adding phorbol myristate acetate (PMA, 1 nM) enhanced the chemiluminescence indicating the functional viability of the isolated PMN. Amphetamine (50 microM) significantly enhanced the chemiluminescence generation of PMN by 152 +/- 26% as compared with the baseline value. Combination of amphetamine and PMA increased free radical formation by 360 +/- 85%. In summary, our results showed that amphetamine may cause acute lung injury by overproduction of free radicals. Although amphetamine can activate PMN, the source of free radicals remains to be determined.     

Does selenium exert cardioprotective effects against oxidative stress in myocardial ischemia?

In the mid-1960s, a small number of scientists postulated the role of oxidative stress and oxygen-derived free radicals in the pathophysiological mechanisms underlying ischemic heart disease. However, because of the technical difficulty of measuring free radicals and quantitating oxidative damage, it was very difficult to prove that free radicals could contribute to cell pathology. The role of oxidative stress in biological systems was not definitely recognized until the early 1980s when measurement of short-lived oxygen-derived reactive species was made possible by the advent of sophisticated techniques such as EPR spectroscopy or fluorescent probes. These enabled both the study of free radical biochemistry and the acquisition of useful information about the nature and consequences of free radical-induced protein and lipid oxidation. The hypothesis that reactive oxygen species mediate cellular damage produced upon reperfusion of ischemic myocardium has gained considerable support during the past 10-15 years. Several experimental studies indicated that the administration of antioxidant enzymes or non-enzymatic antioxidants offers a significant degree of protection against ischemic damage, improving functional recovery and reducing morphological alterations to cardiomyocytes. In this context, selenium, as an essential component of glutathione peroxidase, plays a critical role in protecting aerobic tissues from oxygen radical-initiated cell injury.     

Scavenging effect of schizandrins on active oxygen radicals

The reactive oxygen radicals produced from human polymorphonuclear leukocytes (PMN) stimulated with PMA (phorbol myristate acetate), hydroxyl radicals generated by a Fenton reaction, and superoxide anion radicals produced by irradiating solutions of riboflavin in the presence of EDTA have been taken as the models for production of oxygen radicals. With the use of the electron spin resonance spin trapping method, the scavenging effects of schizandrol A (solA) (5 x 10(-4) M) and schizandrin B (sinB) (5 x 10(-4) M) have been studied and compared with the effects of vitamin E (5 x 10(-4) M) and vitamin C (5 x 10(-4) M). It has been found that in cell system the scavenging effects of sinB and solA, as judged by ESR spin trappings, on hydrpxyl radicals (.OH) are greater than vitamin E and vitamin C and the scavenging effects on superoxide anion (O2) are greater than vitamin E but lower than vitamin C. With respect to the Fenton reaction, sinB has the strogest scavenging effect on .OH (77%) and solA has strong scavenging effect on .OH (63%), both of them larger than that of vitamin E (35%) and vitamin C (56%). In the riboflavin/EDTA system, the scavenging effect of sinB (46%) is smaller than that of vitamin C (96%) but larger than that of vitamin E (23%); the scavenging effect of solA is not obvious (14%). With the use of spin probe oximetry, the oxygen consumption during the respiratory burst of stimulated PMN has been measured when exposed to schizandrins. The experiment results demonstrated that they do not affect the activity of production of active oxygen radicals in the respiratory burst of PMN stimulated with PMA.     

Effects of sphingosine and sphingosine analogues on the free radical production by stimulated neutrophils: ESR and chemiluminescence studies

Sphingolipids inhibit the activation of the neutrophil (PMN) NADPH oxidase by protein kinase C pathway. By electron spin resonance spectroscopy (ESR) and chemiluminescence (CL), we studied the effects of sphingosine (SPN) and ceramide analogues on phorbol 12-myristate 13-acetate (PMA, 5x10(-7) M) stimulated PMN (6x10(6) cells). By ESR with spin trapping (100 mM DMPO: 5,5-dimethyl-1-pyrroline-Noxide), we showed that SPN (5 to 8x10(-6) M), C2-ceramide (N-acetyl SPN) and C6-ceramide (N-hexanoyl SPN) at the final concentration of 2x10(-5) and 2x10(-4) M inhibit the production of free radicals by stimulated PMN. The ESR spectrum of stimulated PMN was that of DMPO-superoxide anion spin adduct. Inhibition by 5x10(-6) M SPN was equivalent to that of 30 U/ml SOD. SPN (5 to 8x10(-6) M) has no effect on in vitro systems generating superoxide anion (xanthine 50 mM/xanthine oxidase 110 mU/ml) or hydroxyl radical (Fenton reaction: 88 mM H2O2, 0.01 mM Fe2+ and 0.01 mM EDTA). SPN and N-acetyl SPN also inhibited the CL of PMA stimulated PMN in a dose dependent manner (from 2x10(-6) to 10(-5) M), but N-hexanoyl SPN was less active (from 2x10(-5) to 2x10(-4) M). These effects were compared with those of known PMN inhibitors, superoxide dismutase, catalase and azide. SPN was a better inhibitor compared with these agents. The complete inhibition by SPN of ESR signal and CL of stimulated PMN confirms that this compound or one of its metabolites act at the level of NADPH-oxidase, the key enzyme responsible for production of oxygen-derived free radicals.     

Role of Oxygen-Derived Free Radicals in Gastric Mucosal Injury Induced by Ischemia or Ischemia-Reperfusion in Rats

Oxygen-derived free radicals have been implicated as possible mediators in the development of tissue injury induced by ischemia and reperfusion. Clamping of the celiac artery in rats reduced the gastric mucosal blood flow to 10% of that measured before the clamping. The area of gastric erosions and thiobarbituric acid (TBA) reactants in gastric mucosa were significantly increased 60 and 90 min after clamping. These changes were inhibited by treatment with SOD and catalase. Thirty and 60 min after reoxyganation, produced by removal of the clamps following 30 min of ischemia, gastric mucosal injury and the increase in TBA reactants were markedly aggravated compared with those induced by ischemia alone. SOD and catalase significantly inhibited these changes. The serum a-tocopherol/cholesterol ratio, an index of in vivo lipid peroxidation, was significantly decreased after long periods of ischemia (60 and 90 min), or after 30 and 60 min of reperfusion following 30 min of ischemia. These results indicated that active oxygen species and lipid peroxidation may play a role in the pathogenesis of gastric mucosal injury induced by both ischemia alone and ischemia-reperfusion. Although, allopurinol inhibited the formation of gastric mucosal injury and the increase in TBA reactants in gastric mucosa, the depletion of polymorphonuclear leukocytes (PMN) counts induced by an injection of anti-rat PMN antibody did not inhibit these changes. As compared with the hypoxanthine-xanthine oxidase system, PMN seem to play a relatively small part in the formation of gastric mucosal injury induced by ischemia-reperfusion.     

Upregulation of Respiratory Burst of Polymorphonuclear Leukocytes By A Bleomycin Derivative, Peplomycin

The influence of peplomycin (PLM) on the respiratory burst of peripheral blood polymorphonuclear leukocytes (PMN) was investigated. Short-term (5 min) treatment of human PMN with 0.1μg/ml to 100μg/ml of PLM increased phorbol myristate acetate (PMA)-and formyl-methionyl-leucyl-phenylalanine (FMLP)-induced luminol-dependent chemiluminescence. PMN, as well as alveolar macrophages from rabbits treated with 0.5 to 1.0 mg/kg of peplomycin per day for 5 days, generated more superoxide (O₂^-) than the cells from untreated rabbits. In both PLM-treated and untreated PMN, chemiluminescence induced by FMLP and PMA was decreased to less than 50% of the control by staurosporine, superoxide dismutase (SOD) and catalase. However, the peak intensity in PLM-untrcated PMN was decreased to about 30% of the control by genislein, while this agent induced a slight decrease in peak intensity in the PLM-treated PMN. Inositol triphosphate and diacyl glycerol levels were not clearly increased by PLM, but an increase of intracellular Ca and a shift of protein kinase C (PKC) to the membrane occurred in PMN within 1 min after PLM treatment. Western blotting revealed that the tyrosine phosphorylation of a 115 kDa protein was upregulated by 5 to 50μg/ml of PLM. While, PLM suppressed SOD activity in alveolar macrophages and PMN. These results seem to indicate that PLM increases the respiratory burst of PMN and macrophages both by way of direct PKC activation and by the upregulation of protein tyrosine phosphorylation. This increased reactive oxygen generation, together with the suppression of SOD activity seems to be tissue-impairing.     

Oxygen free radicals in volume overload heart failure

It has been suggested that oxygen free radicals (OFR) depress the excitation-contraction coupling in cardiac muscle. It is possible that a decrease in the cardiac contractility in the failing heart may be due to an increased OFR producing activity of polymorphonuclear (PMN) leukocytes. We studied the OFR producing activity (chemiluminescence) of PMN leukocytes from blood in dogs with heart failure due to chronic volume overload. The animals were divided into two groups: I) normal, (n = 10): II) dogs with mitral insufficiency (MI) of 6 to 9 months duration, (n = 10). Hemodynamic studies were done to establish the presence of heart failure. Blood samples were collected to measure PMN leukocyte chemiluminescence. There was a decrease in the cardiac index and index of myocardial contractility (dp/dt/IIP) and an increase in the left ventricular end-diastolic pressure in dogs with MI indicating left ventricular failure. The peak chemiluminescent activity of the PMN leukocytes in blood of dogs with failure was about four folds greater than that in the blood from normal dogs. These results suggest that there may be an increased OFR generation in dogs with volume overload heart failure. The decrease in the myocardial contractility in the failing heart might be due to an increase in the OFR produced by the PMN leukocytes.