Academic Journal

Potential Mechanisms for Organoprotective Effects of Exogenous Nitric Oxide in an Experimental Study

التفاصيل البيبلوغرافية
العنوان: Potential Mechanisms for Organoprotective Effects of Exogenous Nitric Oxide in an Experimental Study
المؤلفون: Nikolay O. Kamenshchikov, Mariia L. Diakova, Yuri K. Podoksenov, Elena A. Churilina, Tatiana Yu. Rebrova, Shamil D. Akhmedov, Leonid N. Maslov, Alexander V. Mukhomedzyanov, Elena B. Kim, Ekaterina S. Tokareva, Igor V. Kravchenko, Alexander M. Boiko, Maxim S. Kozulin, Boris N. Kozlov
المصدر: Biomedicines, Vol 12, Iss 4, p 719 (2024)
بيانات النشر: MDPI AG, 2024.
سنة النشر: 2024
المجموعة: LCC:Biology (General)
مصطلحات موضوعية: nitric oxide, cardiac surgery, circulatory arrest, organ protection, Biology (General), QH301-705.5
الوصف: Performing cardiac surgery under cardiopulmonary bypass (CPB) and circulatory arrest (CA) provokes the development of complications caused by tissue metabolism, microcirculatory disorders, and endogenous nitric oxide (NO) deficiency. This study aimed to investigate the potential mechanisms for systemic organoprotective effects of exogenous NO during CPB and CA based on the assessment of dynamic changes in glycocalyx degradation markers, deformation properties of erythrocytes, and tissue metabolism in the experiment. A single-center prospective randomized controlled study was conducted on sheep, n = 24, comprising four groups of six in each. In two groups, NO was delivered at a dose of 80 ppm during CPB (“CPB + NO” group) or CPB and CA (“CPB + CA + NO”). In the “CPB” and “CPB + CA” groups, NO supply was not carried out. NO therapy prevented the deterioration of erythrocyte deformability. It was associated with improved tissue metabolism, lower lactate levels, and higher ATP levels in myocardial and lung tissues. The degree of glycocalyx degradation and endothelial dysfunction, assessed by the concentration of heparan sulfate proteoglycan and asymmetric dimethylarginine, did not change when exogenous NO was supplied. Intraoperative delivery of NO provides systemic organoprotection, which results in reducing the damaging effects of CPB on erythrocyte deformability and maintaining normal functioning of tissue metabolism.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2227-9059
Relation: https://www.mdpi.com/2227-9059/12/4/719; https://doaj.org/toc/2227-9059
DOI: 10.3390/biomedicines12040719
URL الوصول: https://doaj.org/article/478e34cf93d04d2592207f0a678ef6ec
رقم الانضمام: edsdoj.478e34cf93d04d2592207f0a678ef6ec
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:22279059
DOI:10.3390/biomedicines12040719