개의 신장에 있어서 Ascorbic Acid에 의한 허혈/재관류 손상의 감소에 관한 연구

Attenuation of Renal Ischemia-Reperfusion (I/R) Injury by Ascorbic Acid in the Canine Nephrotomy

  • 김종만 (충남대학교 수의과대학) ;
  • 이재연 (충남대학교 수의과대학) ;
  • 정성목 (충남대학교 수의과대학) ;
  • 박창식 (충남대학교 동물자원학부 형질전환복제돼지연구센터) ;
  • 김명철 (충남대학교 수의과대학)
  • Kim, Jong-Man (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Jae-Yeon (College of Veterinary Medicine, Chungnam National University) ;
  • Jeong, Seong-Mok (College of Veterinary Medicine, Chungnam National University) ;
  • Park, Chang-Sik (Division of Animal Science & Resources, Research Center for Transgenic Cloned Pigs, Chungnam National University) ;
  • Kim, Myung-Cheol (College of Veterinary Medicine, Chungnam National University)
  • 심사 : 2010.09.27
  • 발행 : 2010.10.30

초록

본 연구의 목적은 개의 신장 절개술 모델에서 ascorbic acid를 전처치 하거나 관주 및 흡인시에 있어서, 허혈/재관류 손상의 감소와 신장 기능의 회복에 대한 효과를 평가하는데 있다. 성숙 잡종견 9두에서 신장절개술을 실시하였으며, hepa-saline 관주 및 흡인군와 ascorbic acid로 전처치 한 후 hepa-saline 관주 및 흡인한 군을 각각 실험군 1, 2로 놓았다. 신기능 검사와 항산화 효소 검사를 위해 신장절개술 후 0, 1, 3, 5, 7일에 혈액 샘플을 채취하였다. 그리고 7일 후 TNF-alpha, INF-gamma 검사를 위해 신장을 적출 보관하였다. 신장의 기능 검사에서 처치군 1과 2는 재관류 후 3, 5 그리고 7일째에 대조군과 비교하여 유의성 있게 감소 하였으며(p < 0.05), 처치군 2는 재관류 후 3일째에서 처치군 1과 비교하여 유의성있게 감소하였다(p < 0.05). 혈장에서의 항산화 효소의 활성치는 처치군 1과 2는 재관류 후 3, 5 그리고 7일째에 대조군과 비교하여 유의성 있게 증가 하였으며(p < 0.05), 처치군 2는 재관류 후 3일째에서 처치군 1과 비교하여 유의성있게 증가하였다(p < 0.05). TNF-alpha는 감소하고, INF-gamma는 증가하였다. 본 연구의 결과 신장의 관주 및 흡인의 과정은 신장의 관주 및 흡인의 과정은 신장의 허혈 및 재관류 손상을 감소 시키는 데에 효과가 있음을 시사하며, 또한, 외인성 ascorbic acid의 투여는 개의 신장 절개술에서 허혈 및 재관류의 손상을 감소시키며 신기능의 회복에 효과가 있음을 시사한다.

The purpose of this study was to investigate the effects of premedicated ascorbic acid and hepa-saline irrigation/aspiration on attenuation of ischemia-reperfusion (I/R) injury and recovery of renal function in canine nephrotomy model. In the canine model, nine mixed dogs were subjected to renal nephrotomy with premedicated ascorbic acid and hepa-saline irrigation-aspiration (treatment group 2), and only hepa-saline irrigation-aspiration (treatment group 1). The level of renal function and antioxidant enzymes after nephrotomy were measured. And the expression pattern of TNF-${\alpha}$ and INF-${\gamma}$ was examined in the renal tissue at $7^{th}$ day after nephrotomy. BUN and creatinine levels significantly decreased in the treatment group 1 and 2 compared to that of control group at the $3^{rd}$, 5th and $7^{th}$ day after reperfusion (p < 0.05). And, there was significant difference between treatment group 1 and 2 at the $3^{rd}$ day after reperfusion (p < 0.05). The activities of antioxidant enzymes in plasma was significantly increased in the treatment group 1 and 2 compared to that of control group at the $3^{rd}$, $5^{th}$ and $7^{th}$ day after reperfusion (p < 0.05). And, there was significant difference between treatment group 1 and 2 at the $3^{rd}$ day after reperfusion (p < 0.05). TNF-${\alpha}$ was decreased and INF-${\gamma}$ was increased in treatment groups. The result of this study suggested that irrigation-aspiration has effects on attenuation of renal ischemia-reperfusion injury, and the exogenous ascorbic acid has a role in the attenuation of renal ischemia-reperfusion injury and recovery of renal function in canine nephrotomy model.

키워드

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