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纸质出版:2009
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双卫兵,王东文,高宏飞,原小斌.自由基在2型糖尿病大鼠膀胱逼尿肌损伤的作用与意义[J].陆军军医大学学报(原第三军医大学学报),2009,31(19):1824-1827.
SHUANG Wei-bing,WANG Dong-wen,GAO Hong-fei,YUAN Xiao-bin.Role of free radicle in bladder detrusor impairment to T2DM rats[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(19):1824-1827.
目的 探讨自由基在糖尿病膀胱功能障碍病理生理学机制中的作用和意义。 方法 分组观测不同时间段T2DM大鼠与正常对照组大鼠膀胱逼尿肌肌条收缩实验,并将剩余膀胱组织制备匀浆,测定其中超氧化物歧化酶(SOD)的活力与丙二醛 (MDA)的含量。 结果 不同时间段T2DM组引起逼尿肌收缩的最小牵张力高于对照组。T2DM组在0~16周的收缩频率较对照组增高,在20周后减低。T2DM组最大收缩力呈现降低趋势。正常对照组膀胱匀浆中SOD第8周达最高峰后,呈现出下降趋势,至24周时有所增高。T2DM组4周时SOD出现增高,在8周和24周组大鼠膀胱中SOD较对照组显著下降。MDA在两组动物中都表现为进行性下降趋势。在第4周,T2DM组大鼠膀胱中MDA含量较对照组显著性降低。第8周出现MDA增高。T2DM组SOD/MDA的值低于正常对照组。在第4周时,T2DM组比正常对照组显著增高,第8周时
出现显著性降低。逼尿肌肌条收缩频率与逼尿肌最大收缩力之间呈负相关,(r=-0.226
P0.05);MDA与逼尿肌最大收缩力之间呈正相关(r=0.234,P0.01)。 结论 糖尿病可导致膀胱逼尿肌功能受损。在发病初期机体清除氧自由基的能力提高,膀胱功能处于代偿状态;随着病情进展,机体氧自由基损伤严重,膀胱逼尿肌功能失代偿。自由基损伤也是糖尿病膀胱逼尿肌损伤的重要机制之一。
Objective To explore the role and significance of free radicle in the pathophsiological mechanisms of diabetic cystopathy (DCP). Methods The detrusor strip contraction experiments were performed and observed in the group of type 2 diabetes mellitus (T2DM) rats at different time stages and the control group. The bladder tissue samples was made into homogenate
and the activities of superoxide dismutase (SOD) and the contents of malondialdehyde (MDA) were determined. Results The minimum stretch forces to induce the detrusor contractions in T2DM group were larger than the control group. Compared with the control group
the detrusor contractive frequency was higher in the period of 0 to 16 weeks
but was lower after the 20th week. The maximum detrusor contractive forces in the T2DM group showed a descended tendency with the elapse of the experiment time. In the bladder homogenate of the control group
the activities of SOD was declined after reaching the peak at the stage of 8th week
and then escalated at the stage of 24th week. As for the T2DM group
the activities of SOD became higher in the 4th week
than descended at the stage of 8th and 24th weeks. The contents of MDA in both groups showed descended tendency. In T2DM group
MDA became even lower than the control group in the 4th week and became higher than the control group in the 8th week. The ratio of SOD/MDA in T2DM group was lower than the control group. In details
the ratio of SOD/MDA in T2DM group rose significantly in the 4th week
while declined in the 8th week. There was a negative correlation between the maximum detrusor contractive force and detrusor contractive frequency
and a positive correlation between the maximum detrusor contractive force and the contents of MDA. Conclusion The destrusor functions are impaired by Diabetes Mellitus. In the initial stage of DCP
the bladder functions are normal
because the detrusor had a high ability to remove the free radicle. In the progression stage of DCP
the bladder functions become decompensation
because the organism is seriously injured by the free radicle. So the impairment by free radicle is one of important mechanisms of destrusor impairment of diabetic cystopathy.
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