Xenon and the inflammatory response to cardiopulmonary bypass in the rat.

作者: Jeffrey A. Clark , Daqing Ma , H. Mayumi Homi , Mervyn Maze , Hilary P. Grocott

DOI: 10.1053/J.JVCA.2005.05.007

关键词: Inflammatory responseOxygenatorAnesthesiaXenonMedicineSurgical preparationCardiopulmonary bypass

摘要: Objective: The purpose of this study was to investigate the effect xenon on inflammatory response cardiopulmonary bypass. Design: Prospective, randomized experimental study. Setting: University research laboratory. Participants: Sprague-Dawley rats. Interventions: After surgical preparation, rats were randomly divided into 4 groups: (1) SHAM cannulated but did not undergo bypass; (2) bypass subjected 60 minutes using an oxygenator receiving a 30% O 2 , 65% N and 5% CO gas mixture; (3) MK801 received (0.15 mg/kg intravenous) 15 before with same (4) underwent 60% xenon, mixture. Measurements Main Results: All groups showed elevations in both cytokines compared SHAM-operated group. However, group no different from other groups. Conclusions: Xenon appears have bypass, making its previously described neuroprotective during likely independent any inflammation modulation.

参考文章(34)
Stavros Karakozis, Haydee Provido, John Kirkpatrick, Timothy Fitzgerald, Donald Kim, Hasan Alam, Visceral ischemia after cardiopulmonary bypass. American Surgeon. ,vol. 66, pp. 623- 626 ,(2000)
N. P. Franks, R. Dickinson, S. L. M. de Sousa, A. C. Hall, W. R. Lieb, How does xenon produce anaesthesia Nature. ,vol. 396, pp. 324- 324 ,(1998) , 10.1038/24525
Rita Sattler, Zhigang Xiong, Wei-Yang Lu, John F. MacDonald, Michael Tymianski, Distinct roles of synaptic and extrasynaptic NMDA receptors in excitotoxicity. The Journal of Neuroscience. ,vol. 20, pp. 22- 33 ,(2000) , 10.1523/JNEUROSCI.20-01-00022.2000
Sebastian Jander, Michael Schroeter, Guido Stoll, Role of NMDA receptor signaling in the regulation of inflammatory gene expression after focal brain ischemia. Journal of Neuroimmunology. ,vol. 109, pp. 181- 187 ,(2000) , 10.1016/S0165-5728(00)00317-9
Tatjana Pintar, Charles D Collard, The systemic inflammatory response to cardiopulmonary bypass Anesthesiology Clinics of North America. ,vol. 21, pp. 453- 464 ,(2003) , 10.1016/S0889-8537(03)00039-7
P Sheeran, G M Hall, Cytokine balance and immunosuppressive changes at cardiac surgery. BJA: British Journal of Anaesthesia. ,vol. 77, pp. 129- 130 ,(1996) , 10.1093/BJA/77.1.129
Calvin S.H. Ng, Song Wan, Anthony P.C. Yim, Ahmed A. Arifi, Pulmonary Dysfunction After Cardiac Surgery Chest. ,vol. 121, pp. 1269- 1277 ,(2002) , 10.1378/CHEST.121.4.1269
Gregory Zoppo, Irene Ginis, John M. Hallenbeck, Constantino Iadecola, Xinkang Wang, Giora Z. Feuerstein, Inflammation and stroke: putative role for cytokines, adhesion molecules and iNOS in brain response to ischemia. Brain Pathology. ,vol. 10, pp. 95- 112 ,(2006) , 10.1111/J.1750-3639.2000.TB00247.X
G. Burkhard Mackensen, Yukie Sato, Bengt Nellgård, Jose Pineda, Mark F. Newman, David S. Warner, Hilary P. Grocott, Cardiopulmonary bypass induces neurologic and neurocognitive dysfunction in the rat. Anesthesiology. ,vol. 95, pp. 1485- 1491 ,(2001) , 10.1097/00000542-200112000-00031
Song Wan, Arnaud Marchant, Jean-Marie DeSmet, Martine Antoine, Haibo Zhang, Jean-Luc Vachiery, Michel Goldman, Jean-Louis Vincent, Jean-Louis LeClerc, Human cytokine responses to cardiac transplantation and coronary artery bypass grafting The Journal of Thoracic and Cardiovascular Surgery. ,vol. 111, pp. 469- 477 ,(1996) , 10.1016/S0022-5223(96)70458-0