1
|
Okada M, Falcão LFR, Ferez D, Martins JL, Errante PR, Rodrigues FSM, Caricati-Neto A, Marinho M, Fenelon G, Oliveira-Júnior IS. Effect of atenolol pre-treatment in heart damage in a model of intestinal ischemia-reperfusion. Acta Cir Bras 2017; 32:964-972. [PMID: 29236801 DOI: 10.1590/s0102-865020170110000008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2017] [Accepted: 10/22/2017] [Indexed: 01/23/2023] Open
Abstract
PURPOSE To investigate the effects of atenolol in inflammatory mediator and oxidative stress in a myocardial injury by intestinal ischemia/reperfusion in rat model. METHODS Adult Wistar male rats were randomly (n=8), anesthetized and divided in: Sham: submitted to operation only; group SS+IR: intravenous saline infusion following superior mesenteric artery occlusion during 60 minutes (ischemia) and open for 120 minutes (reperfusion); group AT+IR: intravenous atenolol infusion (2 mg/kg) following superior mesenteric artery occlusion during 60 minutes (ischemia) and open for 120 minutes (reperfusion); and group AT+I+AT+R: intravenous atenolol infusion following superior mesenteric artery occlusion during 60 minutes (ischemia) and in the time 45 minutes other atenolol doses were administrated and the artery was open for 120 minutes (reperfusion), all animals were submitted to muscular relaxation for mechanical ventilation. In the end of experiment the animals were euthanized and the hearts tissue were morphology analyzed by histology and malondialdehyde by ELISA, and the plasma were analyzed for tumor necrosis factor-alpha by ELISA. RESULTS The group SS+IR demonstrated the higher malondialdehyde levels when compared with the atenolol treated-groups (p=0.001) in the heart tissue. The tumor necrosis factor-alpha level in plasma decrease in the treated groups when compared with SS+IR group (p=0.001). Histology analyses demonstrate pyknosis, edema, cellular vacuolization, presence of inflammatory infiltrate and band contraction in the heart tissue of the rats. CONCLUSION Atenolol significantly reduce the degree of cardiac damage after intestinal ischemia-reperfusion.
Collapse
Affiliation(s)
- Mieko Okada
- Fellow PhD degree, Postgraduate Program in Translational Medicine, Universidade Federal de São Paulo (UNIFESP), Brazil. Acquisition, analysis and interpretation of data; technical procedures; statistical analysis, manuscript writing
| | - Luiz Fernando Reis Falcão
- PhD, Associate Professor, Division of Anesthesia, Pain and Intensive Medicine, Department of Surgery, UNIFESP, Sao Paulo-SP, Brazil. Interpretation of data, statistical analysis, manuscript writing, critical revision
| | - David Ferez
- PhD, Associate Professor, Division of Anesthesia, Pain and Intensive Medicine, Department of Surgery, UNIFESP, Sao Paulo-SP, Brazil. Interpretation of data, critical revision
| | - José Luiz Martins
- PhD, Full Professor, Division of Anesthesia, Pain and Intensive Medicine, Department of Surgery, UNIFESP, Sao Paulo-SP, Brazil. Interpretation of data, manuscript writing, critical revision
| | - Paolo Ruggero Errante
- Fellow PhD degree, Postgraduate Program in Pharmacology, UNIFESP, Sao Paulo-SP, Brazil. Histopathological examinations, analysis of data
| | - Francisco Sandro Menezes Rodrigues
- Fellow PhD degree, Postgraduate Program in Pharmacology, UNIFESP, Sao Paulo-SP, Brazil. Histopathological examinations, analysis of data
| | - Afonso Caricati-Neto
- PhD, Associate Professor, Department of Pharmacology, UNIFESP, Sao Paulo-SP, Brazil. Manuscript writing, critical revision
| | - Márcia Marinho
- PhD, Full Professor, Veterinary Medicine School, UNESP, Araçatuba-SP, Brazil. Biochemistry data analysis, statistical analysis, critical revision
| | - Guilherme Fenelon
- Associate Professor, Division of Cardiology, Department of Surgery, UNIFESP, Sao Paulo-SP, Brazil. Conception and design of the study, manuscript writing, critical revision
| | - Itamar Souza Oliveira-Júnior
- Full Professor, Division of Anesthesia, Pain and Intensive Medicine, Department of Surgery, and Associate Professor, Postgraduate Program in Translational Medicine, UNIFESP, Sao Paulo-SP, Brazil. Conception and design of the study, critical revision, final approval of the version to be published
| |
Collapse
|
2
|
Serum atrial natriuretic peptide (ANP) as an objective indicator for the diagnosis of neurogenic shock: animal experiment and human case report. Int J Legal Med 2016; 131:473-478. [PMID: 27726028 DOI: 10.1007/s00414-016-1455-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2016] [Accepted: 09/15/2016] [Indexed: 10/20/2022]
Abstract
In forensic medicine, the diagnosis of death due to neurogenic shock is considered to be an aporia, as lacking objective indicators and presenting atypical symptoms in autopsy. Medico-legal disputes and complaints occasionally result from this ambiguity. To explore potential objective indicators of neurogenic shock, we set up a model of neurogenic shock by applying an external mechanical force on the carotid sinus baroreceptor in rabbits. The serum atrial natriuretic peptide (ANP) level was measured by radioimmunoassay in the control group (n = 8), survival group (n = 15) and death group (n = 5) both before and after the insult. The serum ANP level showed a significant increase after the insult in the death group compared with the serum obtained before the insult (P = 0.006), while the serum ANP level after the insult in the survival group and control group was not statistically significant compared with the serum obtained before the insult (P = 0.332 and P = 0.492, respectively). To verify the repeatability of the model and the postmortem behavior of serum ANP, five healthy adult rabbits underwent the same procedure as the experimental group. The mortality rate was consistent with the former experiment (20 %). There were no significant changes in serum ANP level in vitro and in vivo (within 48 and 24 h, respectively). But there was a significant decrease in serum ANP level at 48 h postmortem in vivo (P = 0.001). A female patient who expired due to neurogenic shock during a hysteroscopy was reported. Neither fatal primary disease nor evidence for mechanical injuries or intoxication was found according to the autopsy. The serum ANP level was assayed as a supplementary indicator and was found to be three-fold higher than the normal maximum limit. Combined with the animal experiment, this case highlights that serum ANP has the potential to be an objective indicator for the diagnosis of death due to neurogenic shock.
Collapse
|
3
|
Gierthmuehlen M, Aguirre D, Cota O, Zentner J, Stieglitz T, Plachta DTT. Influence of Clonidine on Antihypertensive Selective Afferent Vagal Nerve Stimulation in Rats. Neuromodulation 2016; 19:597-606. [DOI: 10.1111/ner.12463] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2016] [Revised: 04/22/2016] [Accepted: 05/09/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Mortimer Gierthmuehlen
- Department of Neurosurgery; Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg; Germany
| | - Debora Aguirre
- Laboratory for Biomedical Microtechnology, Department of Microsystems Engineering-IMTEK; University of Freiburg; Freiburg Germany
- Neuroloop GmbH; Freiburg Germany
| | - Oscar Cota
- Laboratory for Biomedical Microtechnology, Department of Microsystems Engineering-IMTEK; University of Freiburg; Freiburg Germany
- Neuroloop GmbH; Freiburg Germany
| | - Josef Zentner
- Department of Neurosurgery; Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg; Germany
| | - Thomas Stieglitz
- Laboratory for Biomedical Microtechnology, Department of Microsystems Engineering-IMTEK; University of Freiburg; Freiburg Germany
| | - Dennis T. T. Plachta
- Department of Neurosurgery; Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg; Germany
- Laboratory for Biomedical Microtechnology, Department of Microsystems Engineering-IMTEK; University of Freiburg; Freiburg Germany
- Neuroloop GmbH; Freiburg Germany
| |
Collapse
|
4
|
Severe intestinal ischemia can trigger cardiovascular collapse and sudden death via a parasympathetic mechanism. Shock 2012; 36:251-62. [PMID: 21617580 DOI: 10.1097/shk.0b013e3182236f0f] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Hemorrhagic shock and splanchnic arterial occlusion (SAO) followed by reperfusion are associated with high mortality. However, rapid cardiovascular failure and death may also occur before reperfusion in hemorrhagic shock and SAO. We show in a rat SAO model that, upon gut ischemia, mean arterial blood pressure transiently elevates and then drops fatally in one of two time courses: (i) gradually over ∼1 to 3 h or (ii) rapidly (often by >80 mmHg) over a period of 1 to 6 min. We hypothesize that fast fatal pressure drops (FFPDs) are due to failure of autonomic nervous system control. To test this, we treated rats with Glucose (10%) in the small intestinal lumen and intramuscularly administered xylazine to activate the parasympathetic nervous system or with a muscarinic anticholinergic (glycopyrrolate) or by total subdiaphragmatic vagotomy to attenuate parasympathetic nervous system activity. We also tested nafamostat mesilate (ANGD [6-amidino-2-naphthyl p-guanidinobenzoate dimethanesulfonate]), a protease inhibitor efficacious in preventing blood pressure loss in SAO with reperfusion, in the intestinal lumen. Fifty percent of animals receiving xylazine and Glucose died by FFPD (vs. 33% with neither, not statistically significant). Total subdiaphragmatic vagotomy or glycopyrrolate treatment significantly reduced the incidence to 0% (P < 0.008), although slow fatal pressure drops still occurred. ANGD did not prevent FFPDs, but delayed onset of slow fatal pressure drops (P < 0.013). These results suggest that gut ischemia can cause sudden death via an autonomic nervous system mechanism and that SAO with Glucose and xylazine may serve as a useful model for the study of neurogenic shock or autonomic dysregulation associated with sudden death.
Collapse
|
5
|
Toader E, Cividjian A, Quintin L. Recruitment of cardiac parasympathetic activity: effects of clonidine on cardiac vagal motoneurones, pressure lability, and cardiac baroreflex slope in rats. Br J Anaesth 2009; 102:322-30. [DOI: 10.1093/bja/aen390] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|