Abstract

To evaluate the effects of intraluminal injection of glutamine on the serum trolox equivalent antioxidant capacity in an experimental model of ischemia-reperfusion of the liver observing the applicability of modifications on the original assay method. Thirty Wistar rats underwent laparotomy to perform a 20 cm blind sac of small bowel and occlusion of the hepatic hilo for 30 minutes and reperfusion for 5 minutes. Into the gut sac it was injected glutamine (glutamine group, n=10) or distilled water (control group, n=10). Ten other animals (sham group) underwent laparotomy without artery occlusion. Blood samples were collected for trolox equivalent antioxidant capacity assays in different temperature conditions, reagent quantities and time for spectrophotometer readings. Total antioxidant capacity was significantly greater in glutamine group than in both control group (1.60[1.55-1.77] vs 1.44[1.27-1.53]) and sham group (1.60[1.55-1.77] vs 1.48[1.45-1.59]). Glutamine enhanced serum antioxidant capacity. The assay technique consistently reflected the changes in the antioxidant defenses in this experimental model.

Highlights

  • In various clinical and surgical conditions an ischemic event may play a crucial role in the pathophysiology of cell damage

  • Purpose: To evaluate the effects of intraluminal injection of glutamine on the serum trolox equivalent antioxidant capacity in an experimental model of ischemia-reperfusion of the liver observing the applicability of modifications on the original assay method

  • Blood samples were collected for trolox equivalent antioxidant capacity assays in different temperature conditions, reagent quantities and time for spectrophotometer readings

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Summary

Introduction

In various clinical and surgical conditions an ischemic event may play a crucial role in the pathophysiology of cell damage. Reperfusion to reestablish the blood flow to the tissues after ischemia is fundamental in the management of this condition. Reperfusion may be responsible for injuries for the whole organism that are most serious than the ischemic damage per se. The conjunction of the pathophysiologic events and the severe clinical condition that follows is called ischemia and reperfusion injury (IRI). Pringle in 1908 described the classical operative procedure to clamp the portal triad to control intra-operative hemorrhage. This procedure is currently used in trauma surgery and during resection of the liver.

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