Alternative TitleHydrogen Sulfide Prevents Renal Ischemia-Reperfusion Injury in CLAWN Miniature Swine
Periodical titleJournal of Surgical Research
Degree Type博士(医学)
Doctor of Philosophy in Medical Science
Note (General)博士論文全文, 最終試験結果の要旨, 論文審査の要旨, 博士論文要旨
Background: Hydrogen sulfide (H2S) has recently been reported to demonstrate both antiinflammatory and cytoprotective effects; however, its efficacy has not been well documented in large animal models. In this study, we examined whether the administration of H2S offers cytoprotective effects on renal ischemia-reperfusion injury (IRI) in a preclinical miniature swine model.Methods: Major histocompatibility complex-inbred, CLAWN miniature swine (n=9) underwent a right nephrectomy, followed by induction of a 120-min period of warm ischemia via placement of clamps on the left renal artery and vein. Group 1 (n=3) underwent renal ischemiawithout H2S administration. Groups 2 (n=3) and 3 (n=3) received Na2S (prodrug of H2S) 10 min before reperfusion of the ischemic kidneys followed by a 30-min of Na2S postreperfusion intravenously (group 2) or selective administration of Na2S via the left renalartery(group 3).IRIwas assessed by kidney biopsies, levels of inflammatory cytokines in sera and kidney tissue.Results: Animals in group 1 had significantly higher serum creatinine levels compared with animals in groups 2 and 3 (P<0.01). Histology showed severe tubular damage with TUNEL-positive cells in group 1 on postoperative day 2 compared with mild damage in group 2 and minimal damage in group 3. Further more, levels of inflammatory cytokines in both serum (interleukin-6 [IL-6], tumor necrosis factor-α, and high-mobility group box 1) and renal tissue (IL-1 and IL-6) in group 3 were markedly lower than in group 2, suggesting beneficial effects of selective Na2S administration.Conclusions: Na2S administration, especially via an organ selective approach, appears to potentially offer cytoprotective and antiinflammatory effects following rena lIRI.
Collection (particular)国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
Date Accepted (W3CDTF)2018-09-03T21:27:21+09:00
Data Provider (Database)国立国会図書館 : 国立国会図書館デジタルコレクション