Abstract

Introduction. Recently, there has been a significant rise in the attention of researchers and clinicians towards the issue of complex hypoxic trauma affecting various organs and body systems. This is particularly important when considering the cells that are most vulnerable to oxygen deprivation, including brain tissue, lungs, certain organs of the gastrointestinal tract, systemic immunity. The significance of this problem becomes even more relevant when examining the impact of hypoxia on the cells of sexually immature mammals and humans, as well as exploring potential treatments for acute hypoxic conditions including laryngomalacia and stridor observed in children under the age of one year. Moreover, there are a number of associated complex and unresolved issues in experimental clinical practice. The aim of the study is to investigate changes in the enzyme activity of the pro-oxidant-antioxidant system of the lung tissue cells and the central nervous system (cerebrocortex) during the experimental modelling of respiratory pathology (by ligating the upper trachea of rats), the features of their recovery and the dynamics of this process after the surgical removal of the tracheal ligature.
 Materials and methods. The studies were performed on 37 sexually immature male Wistar rats, aged 2528 days. The test animals were divided into four groups: the first group served as the control (intact) rats, the second group consisted of rats with experimentally induced tracheal stenosis, which were removed from the experiment in 7 days after the operation, the third group consisted of rats with experimentally induced tracheal stenosis who were removed from the experiment in 21 days after the operation, and the fourth group consisted of rats whose tracheal ligature was removed on the 7th day after the operation and then they were removed from the experiment on the 21st day. The following biochemical parameters were studied: malondialdehyde content, activity of catalase, glutathione peroxidase, glutathione reductase, and superoxide dismutase.
 Results. The findings obtained demonstrate an increase in malondialdehyde content and antioxidant enzyme activity in the lung and brain tissues of rats on the 7th and 21st days following partial tracheal stenosis. Restoring airway ventilation did not fully normalize these indicators to the control values.
 In conclusion, the findings indicate that the impaired pro-oxidant-antioxidant balance in lung and central nervous system cells did not completely restore even two weeks after relieving the compressive effect on the trachea and resolving the hypoxic respiratory system disorders partially. This suggests the necessity to continue therapy with pharmacological antioxidant agents following surgical intervention. However, further research is required to explore this aspect of the problem in depth.

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