Changes of antioxidant system in experimental animals after combined Abdomino-skeletal trauma and ischemia reperfusion of the lower extremities

Authors

  • S. V. Garian Ukrainian Scientific and Practical Center of Emergency and Disaster Medicine, Ministry of Health of Ukraine, Kyiv

DOI:

https://doi.org/10.11603/2414-4533.2019.4.10709

Keywords:

ischemia, reperfusion, tourniquet, experiment, combined trauma, catalase, bleeding

Abstract

The aim of the work: to study the effect of limb reperfusion in a model of combined abdomino-skeletal injury on changes in antioxidant protection in experimental animals.

Materials and Methods. The experiment used 130 adult white male Wistar rats weighing 190–220 g, which were on a standard diet of vivarium.

All animals were divided into groups: control (CG) and three experimental (EG): control group – intact animals (10 animals); first experimental group (EG-1) – simulated hip fracture, massive external bleeding and lower limb ischemia-reperfusion (40 animals); second experimental group (EG-2) – modeled hip fracture, massive external blood loss and closed trauma of abdominal organs (40 animals); the third experimental group (EG-3) – modeled closed abdominal trauma, skeletal trauma, massive external blood loss, and lower extremity ischemia-reperfusion (40 animals).

The animals of the experimental groups were removed from the experiment under conditions of thiopental sodium anesthesia by total blood flow from the heart 3, 7, 14 and 21 days after trauma modeling. Animal blood was collected for the study.

The activity of catalase was determined in the serum, and the antioxidant-prooxidant index was calculated based on previously obtained data on the content of reagents to thiobarbituric acid (TBA-active products).

Results and Discussion. The results suggest that limb reperfusion causes the development of prolonged oxidative stress in response to increasing catalase levels. The most pronounced changes were observed in the group of experimental animals, where ischemia of lower extremity reperfusion was present along with the combined abdominal-skeletal injury. It was it that caused the development of long-lasting systemic changes and, accordingly, an imbalance of adaptation-compensatory mechanisms aimed at eliminating pathological factors.

The combination of abdominal-skeletal trauma and ischemia of lower reperfusion causes prolonged oxidative stress and depletion of antioxidant systems, as evidenced by a decrease in the level of API, which after 21 days was statistically less than the control values ​​(p <0.05) by 13.3 %.

References

Oyeniyi, B.T., Fox, E.E., Scerbo, M., Tomasek, J.S., Wade, C.E., & Holcomb, J.B. (2017). Trends in 1029 trauma deaths at a level 1 trauma center. Injury, 48 (1), 5-12.

Bellamy, R.F. (1984). Causes of death in conventional warfare: implications for combat casualty care research. Mil. Med., 149, 55-62. DOI: https://doi.org/10.1093/milmed/149.2.55

Oyeniyi, B.T., Fox, E.E., Scerbo, M., Tomasek, J.S., Wade, C.E., & Holcomb, J.B. (2017). Trends in 1029 Trauma deaths at a level 1 trauma Ccenter. Injury, 48 (1), 5-12. DOI: https://doi.org/10.1016/j.injury.2016.10.037

Bulger, E.M., Snyder, D., Schoelles, K., Gotschall, C., Dawson, D., Lang, E., …, & McSwain, N.Jr. (2014). An evidence-based prehospital guideline for external hemorrhage control: American College of Surgeons Committee on Trauma. Prehosp. Emerg. Care, 18, 163-173. DOI: https://doi.org/10.3109/10903127.2014.896962

Gruen, R.L., Brohi, K., Schreiber, M., Balogh, Z.J., Pitt, V., Narayan, M., & Maier, R.V. (2012). Haemorrhage control in severely injured patients. Lancet, 380, 1099–1110. DOI: https://doi.org/10.1016/S0140-6736(12)61224-0

Ratnasekera, A., Reilly, P. & Ferrada, P. (2018). Damage control resuscitation in surgical critical care. Damage Control in Trauma Care. Duchesne, J.C., Inaba, K., Khan, M.A. (Eds.). Chapter 15. Springer, AG. DOI: https://doi.org/10.1007/978-3-319-72607-6_15

Maegele, M., Spinella, P., & Schöchl, H. (2012). The acute coagulopathy of trauma: mechanisms and tools for risk stratification. Shock, 38, 450-458. DOI: https://doi.org/10.1097/SHK.0b013e31826dbd23

New effective tourniquets for potential use in the military environment: A serving soldier study / A. Beaven, R. Briard, M. Ballard, P. Parker (2017) // Mil. Med., 182 (7), 1929-1932. DOI: https://doi.org/10.7205/MILMED-D-16-00298

Schenk, E., Wijetunge, G., Mann, N.C., Lerner, E.B., Longthorne, A., & Dawson, D. (2014). Epidemiology of mass casualty incidents in the United States. Prehospital Emergency Care, 18 (3), 408-416. DOI: https://doi.org/10.3109/10903127.2014.882999

King, D.R., Larentzakis, A., & Ramly, E.P. (2015). Tourniquet use at the Boston Marathon bombing: Lost in translation. Journal of Trauma and Acute Care Surgery, 78 (3), 594-599. DOI: https://doi.org/10.1097/TA.0000000000000561

Korolyuk, M.A., Ivanova, L.I., Mayorova, I.G., & Tokarev, V. Ye. (1988). Metod opredeleniya aktivnosti katalazy [Method for determination of catalase activity]. Laboratornoye delo – Laboratory Case, 1, 16-19 [in Russian].

Levytskyi, A.P., Pochtar, V.M., Makarenko, O.A., & Hrydina, L.I. (2006). Antyoksydantno-prooksydantnyi indeks syrovatky krovi shchuriv z eksperymentalnym stomatytom i yoho korektsiia zubnymy eliksyramy [Antioxidant-prooxidant index of serum of rats with experimental stomatitis and its correction with dental elixirs]. Odeskyi med. zhurn. – Odesa Medical Journal, 1, 22-25 [in Ukrainian].

Vainshtein, S.G., Zhulkevich, I.V., Petropavlovskii, G.A., & Kotelnikova, N.E. (1987). Protective properties of microcrystalline cellulose in rats with experimental diabetes. Bulletin of Experimental Biology and Medicine, 103 (2), 186-188. DOI: https://doi.org/10.1007/BF00840327

Volotovska, N.V., Nhokwara, T.C., & Zhulkevych, I.V. (2019). Changes in the glutathione systems activity of internal organs in the first hours of experimental limb ischemia-reperfusion syndrome, combined with blood loss and mechanical injury. Zdobutky klinichnoi i eksperymentalnoi medytsyny – Achievements of Clinical and Experimental Medicine, 1, 23-27. DOI 10.11603/1811-2471.2019.v0.i1.10043

Published

2020-01-10

How to Cite

Garian, S. V. (2020). Changes of antioxidant system in experimental animals after combined Abdomino-skeletal trauma and ischemia reperfusion of the lower extremities. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 42–49. https://doi.org/10.11603/2414-4533.2019.4.10709

Issue

Section

EXPERIMENTAL INVESTIGATIONS