Literature DB >> 16437652

Reperfusion injury after critical intestinal ischemia and its correction with perfluorochemical emulsion "perftoran".

Vyacheslav Leontjevich Kozhura1, Dmitriy Alexeevich Basarab, Marina Innokentievna Timkina, Arkadiy Mikhailivich Golubev, Vasiliy Ivanovich Reshetnyak, Viktor Vasiljevich Moroz.   

Abstract

AIM: To investigate the anti-ischemic properties of perfluorochemical emulsion "perftoran" in mesenteric region.
METHODS: Experiments were conducted on 146 nonlinear white male rats weighing 200-350 g. Partial critical intestinal ischemia was induced by thorough atraumatic strangulation of 5-6 cm jejunal loop with its mesentery for 90 min. Global critical intestinal ischemia was made by atraumatic occlusion of the cranial mesenteric artery (CMA) for 90 min also. Perftoran (PF, 0.8-1.0 mL per 100 g) in experimental groups or 0.9% sodium chloride in control groups was injected at 75 min of ischemic period. Mean systemic arterial blood pressure (BP(M)) registration, intravital microscopy and morphological examination of ischemic intestine and its mesentery were performed in both groups.
RESULTS: During 90 min of reperfusion, BP(M) progressively decreased to 27.3+/-7.4% after PF administration vs 38.6+/-8.0% in the control group of rats with partial intestinal ischemia (NS) and to 50.3+/-6.9% vs 53.1+/-5.8% in rats after global ischemia (NS). During the reperfusion period, full restoration of microcirculation was never registered; parts with restored blood flow had leukocyte and erythrocyte stasis and intra-vascular clotting, a typical "non-reflow" phenomenon. The reduction of mesenteric 50-400 mum feeding artery diameter was significantly less in the PF group than in the control group (24+/-5.5% vs 45.2+/-3.6%, P<0.05) 5 min after partial intestinal ischemia. This decrease progressed but differences between groups minimized at the 90(th) min of reperfusion (41.5+/-4.2% and 50.3+/-2.8%, respectively). In reperfusion of rat's intestine, a significant mucosal alteration was registered. Villous height decreased 2.5-3 times and the quantity of crypts decreased more than twice. In the group of rats administered PF, intestinal mucosal layer was protected from irreversible post-ischemic derangement during reperfusion. Saved cryptal epithelial cells were the source of regeneration of the epithelium, which began to cover renewing intestinal villi after 24 h of blood flow restoration. View of morphological alterations was more heterogeneous in CMA groups.
CONCLUSION: Systemic administration of perftoran promotes earlier and more complete structural regeneration during reperfusion in rats after partial and global critical intestinal ischemia.

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Year:  2005        PMID: 16437652      PMCID: PMC4725088          DOI: 10.3748/wjg.v11.i45.7084

Source DB:  PubMed          Journal:  World J Gastroenterol        ISSN: 1007-9327            Impact factor:   5.742


  20 in total

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  2 in total

1.  Dose-dependent effects of perfluorocarbon-based blood substitute on cardiac function in myocardial ischemia-reperfusion injury.

Authors:  Vladimir Jakovljevic; Sergey Vorobyev; Sergey Bolevich; Elena Morozova; Stefani Bolevich; Alexander Saltykov; Peter Litvickiy; Vladimir Fisenko; Alexander Tsymbal; Alexandra Orlova; Tatiana Sinelnikova; Maria Kruglova; Ekaterina Silina; Anastasia Mikhaleva; Isidora Milosavljevic; Jasmina Sretenovic; Vladislava Stojic; Jovana Jeremic; Tamara Nikolic Turnic
Journal:  Mol Cell Biochem       Date:  2022-05-29       Impact factor: 3.396

2.  Cerebral Microvascular and Systemic Effects Following Intravenous Administration of the Perfluorocarbon Emulsion Perftoran.

Authors:  Rania Abutarboush; Biswajit K Saha; Saad H Mullah; Francoise G Arnaud; Ashraful Haque; Chioma Aligbe; Georgina Pappas; Charles R Auker; Richard M McCarron; Paula F Moon-Massat; Anke H Scultetus
Journal:  J Funct Biomater       Date:  2016-11-18
  2 in total

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