Effects of synthetic colloids on oxidative stress and inflammatory response in hemorrhagic shock: comparison of hydroxyethyl starch 130/0.4, hydroxyethyl starch 200/0.5, and succinylated gelatin

被引：42

作者：

Chen, Gan ^{[1
]}

You, Guoxing ^{[1
]}

Wang, Ying ^{[1
]}

Lu, Mingzi ^{[1
]}

Cheng, Weina ^{[2
]}

Yang, Jing ^{[1
]}

Zhao, Lian ^{[1
]}

Zhou, Hong ^{[1
]}

机构：

[1] Acad Mil Med Sci, Inst Transfus Med, Beijing, Peoples R China

[2] Yanshan Univ, Coll Environm & Chem Engn, Dept Biol Engn, Qinhuangdao, Hebei, Peoples R China

来源：

CRITICAL CARE | 2013年 / 17卷 / 04期

基金：

国家高技术研究发展计划(863计划); 中国国家自然科学基金;

关键词：

Hemorrhagic shock; Fluid resuscitation; Multiple organ failure; Hydroxyethyl starch; Oxidative stress; Inflammatory response; DIFFERENT RESUSCITATION FLUIDS; KAPPA-B ACTIVATION; ACUTE LUNG INJURY; ISCHEMIA-REPERFUSION; BASE DEFICIT; RAT MODEL; NEUTROPHIL ACTIVATION; SYSTEMIC INFLAMMATION; PERITONEAL-LAVAGE; DYSFUNCTION;

D O I：

10.1186/cc12820

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Introduction: This study compared the effects of hydroxyethyl starch 130/0.4, hydroxyethyl starch 200/0.5, and succinylated gelatin on oxidative stress and the inflammatory response in a rodent hemorrhagic shock model. Methods: Sodium pentobarbital-anesthetized adult male Wistar rats (200 g to 220 g) were subjected to a severe volume-controlled hemorrhage using arterial blood withdrawal (30 mL/kg to 33 mL/kg) and resuscitated with a colloid solution at the same volume as blood withdrawal (hydroxyethyl starch 130/0.4, hydroxyethyl starch 200/0.5, or succinylated gelatin). Arterial blood gas parameters were monitored. Malondialdehyde (MDA) content and myeloperoxidase (MPO) activity in the liver, lungs, intestine, and brain were measured two hours after resuscitation. The levels of tumor necrosis factor-alpha (TNF-alpha) and interleukin-6 in the intestine were also measured. Results: Infusions of hydroxyethyl starch 130/0.4, but not hydroxyethyl starch 200/0.5 or succinylated gelatin, significantly reduced MDA levels and MPO activity in the liver, intestine, lungs and brain, and it also inhibited the production of TNF-alpha in the intestine two hours after resuscitation. However, no significant difference between hydroxyethyl starch 200/0.5 and succinylated gelatin was observed. Conclusions: Hydroxyethyl starch 130/0.4, but not hydroxyethyl starch 200/0.5 or succinylated gelatin, treatment after hemorrhagic shock ameliorated oxidative stress and the inflammatory response in this rat model. No significant differences were observed after hydroxyethyl starch 200/0.5 or succinylated gelatin administration at doses of approximately 33 mL/kg.

引用

页数：9

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