Does hyperbaric oxygen pretreatment with 100% oxygen attenuate tourniquet‐induced acute ischemia‐reperfusion injury in mouse hindlimb?

Abstract

Tourniquet-induced ischemia-reperfusion (IR) leads to an increase in reactive oxygen species (ROS) production and tissue necrosis and apoptosis during reperfusion, which disrupts the recovery of skeletal muscle contraction. Hyperbaric oxygen (HBO) therapy exposes patients to high oxygen levels at an increased pressure, which increases the amount of ROS in tissues. Using HBO therapy as a pretreatment can promote ischemic tolerance by increasing antioxidant effects in these tissues before the IR injury. In this study, we observed the effects of HBO pretreatment with 100% oxygen at 2.5 ATA on tourniquet-induced IR injury in mice. C57/BL6 mice were treated with 100% oxygen for 60 minutes at 2.5 ATA in a HBO chamber. A rubber band was placed at the hip joint of the unilateral hindlimb of the mice to induce ischemia for 3 hours, which was followed by rubber band release and subsequent reperfusion for 48 hours. All staining and measurements were performed after the 48 hours of reperfusion. TTC staining of the gastrocnemius muscle showed no significant change in IR-induced infarct size after HBO pretreatment. ROS level was decreased in the gastrocnemius muscle of HBO-pretreated IR mice compared to non-HBO-pretreated IR mice. IR mice pretreated with HBO showed a decrease in ATP level in the gastrocnemius muscle compared to mice without HBO treatment. The data suggest that one hour HBO pretreatment with 100% oxygen at 2.5 ATA increases oxidative metabolism but does not decrease tissue necrosis in mice with tourniquet-induced IR injury.