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The survival time post-cecal ligation and puncture in sinoaortic denervated rats.

Abstract
Arterial baroreflex (ABR) function is an important determinant factor in prognosis of many cardiovascular diseases. The present work was designed to study the relationship between ABR function and the survival time of septic shock in a cecal ligation and puncture (CLP) rat model. The dysfunction of ABR was introduced by sinoaortic denervation (SAD). It was found that the survival time after CLP was significantly reduced in SAD rats compared with sham-operated rats (12.7 +/- 2.92 hours versus 15.0 +/- 4.01 hours; P < 0.05). Furthermore, significant differences were also seen when the results were expressed by Kaplan-Meier survival curves. Compared with the baseline values, both noradrenaline and adrenaline significantly increased in both SAD and Sham groups after CLP, but we found the baseline of noradrenaline was significantly elevated in SAD rats. In addition, the TNF-alpha, noradrenaline, and adrenaline levels of the SAD group were significantly higher than those of the Sham group at 5 hours post-CLP. In conclusion, the present work demonstrates that ABR function was related to the survival time in CLP-induced lethal shock model. The loss of inhibition in the sympathetic activity and in the release of some inflammatory cytokines during CLP-induced septic shock related to baroreflex and/or chemoreflex dysfunction may be the mechanisms involved in the poorer prognosis in septic shock.
AuthorsKe-Yong Shi, Fu-Ming Shen, Ai-Jun Liu, Zheng-Xu Chu, Ying-Lin Cao, Ding-Feng Su
JournalJournal of cardiovascular pharmacology (J Cardiovasc Pharmacol) Vol. 50 Issue 2 Pg. 162-7 (Aug 2007) ISSN: 0160-2446 [Print] United States
PMID17703132 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Tumor Necrosis Factor-alpha
  • Norepinephrine
  • Epinephrine
Topics
  • Animals
  • Aorta (innervation)
  • Baroreflex
  • Blood Pressure
  • Carotid Sinus (innervation)
  • Cecum (blood supply)
  • Denervation
  • Disease Models, Animal
  • Epinephrine (blood)
  • Kaplan-Meier Estimate
  • Ligation
  • Male
  • Norepinephrine (blood)
  • Punctures
  • Rats
  • Rats, Sprague-Dawley
  • Shock, Septic (physiopathology)
  • Survival Rate
  • Tumor Necrosis Factor-alpha (blood)

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