Abstract: Objective To investigating the variance of nuclear factorkappa B(NF-κB),inflammatory factor and polymorphonuclear cells(PMNs) in lung, our study infer the role of PMNs infiltration and early activity of NF-κB in empirical study of lung injury in deep hypothermia and circulatory arrest. Our study also guess the possible mechanism of action in order to provide a more excellent program for lung protection. Methods Twelve immature pigs were randomly divided into two groups,there are six pigs in each group,one group was normothermic parallel circulation(control group),the other was deep hypothermia and circulatory arrest(DHCA, experimental group),we obtain lung tissue and venous blood from pigs to measure the variances of NF-κB by immunohistochemistry and inflammatory factor by enzymelinked immunosorbent assay(ELISA) at different time. Results The expression of NF-κB of the lung tissue specimen was negative before parallel circulation in both groups, there was no brown dyed cell nucleus and the variation was no statistically difference in two groups. The expression of NF-κB reached it‘s peak at half an hour of ischemia reperfusion, and most of the brown dyed cell nucleus were PMNs, then the expression of NF-κB decreased in the experimental group. The lung tissue specimens were all weakly negative at the time points after parallel circulation and there was no statistical difference among them. But the content of inflammatory factor increased gradually from half an hour of ischemia reperfusion to two hour of ischemia reperfusion, which reached their peak at two hour of ischemia reperfusion.There was significance variances at the content of tumor necrosis factor-α(TNF-α) at one hour of ischemia reperfusion, while at one and a half hour of ischemia reperfusion. There was significance variance at the content of interleukin-8 and interleukin-6 in the experimental group. While in the control group, there was statistically difference before and after parallel circulation, but there was no statistically difference among the time points after parallel circulation. Conclusion The early activity of NF-κB may have an important role in lung injury of DHCA,treatments aim directly at NF-κB may provide an important strategy for lung injury of DHCA.
Citation: GAO Botao,ZHENG Jinghao,JIANG Zuming,YU Xiaoqing,ZOU Wenyan,XU Zhiwei.. Polymorphonuclear Cells Infiltration and Early Activity of Nuclear Factorkappa B in Empirical Study of Lung Injury in Deep Hypothermia and Circulatory Arrest. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2008, 15(2): 118-121. doi: Copy