Differential Effects of Brain Death on Rat Microcirculation and Intestinal Inflammation: Female Versus Male

Autor(es)

Ferreira, Sueli Gomes ^[1] ; Armstrong-, Jr., Roberto ^[1] ; Kudo, Guilherme Konishi ^[1] ; Correia, Cristiano de Jesus ^[1] ; dos Reis, Sabrina Thalita ^[2] ; Sannomiya, Paulina ^[1] ; Breithaupt-Faloppa, Ana Cristina ^[1] ; Pinho Moreira, Luiz Felipe ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Lab Cirurg Pesquisa Cardiovasc LIM 11, Hosp Clin HCFMUSP, Inst Coracao, Fac Med, Sao Paulo - Brazil

^[2] Univ Sao Paulo, Lab Invest Med LIM55, Hosp Clin HCFMUSP, Dept Urol, Fac Med, Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: Inflammation; v. 41, n. 4, p. 1488-1497, AUG 2018.
• Citações Web of Science: 0

Resumo

Brain death (BD) affects organs by multiple mechanisms related to hemodynamic effects, hormonal changes, and the systemic inflammatory response, which reduce organ function and viability. BD reduces microcirculatory perfusion in rat mesentery; this disturbance is also observed in the pancreas and lungs. Sex hormones can affect microcirculatory function, altering tissue perfusion and influencing the inflammatory process. Here, we present differences between sexes in the microcirculatory alterations generated by BD and in inflammatory infiltrate. Male, female, and ovariectomized-female Wistar rats were submitted to BD by intracranial balloon catheter sudden inflation. BD was confirmed by maximally dilated and fixed pupils, apnea, absence of reflexes, and a drop in mean arterial pressure. Perfusion and flow of the mesenteric microcirculation were analyzed. Intestinal myeloperoxidase activity and leukocyte infiltration were quantified. ELISA quantified serum estradiol, corticosterone, and inflammatory mediators, whereas expression of eNOS, endothelin, and endothelial adhesion molecule was measured by immunohistochemistry. Male rats presented lower percentages of mesenteric perfused microvessels and reduced blood flow compared to females. The female group presented higher eNOS and endothelin expression. Leukocyte infiltration into intestinal walls was higher in females in comparison to that in males. Moreover, the female group showed higher mesenteric vessel ICAM-1 expression than males, whereas serum TNF-alpha, IL-1 beta, and IL-10 levels did not differ between sexes. The high estradiol concentration before BD and high eNOS expression apparently favored the maintenance of microvascular perfusion/flow; however, BD caused an acute reduction of female sex hormone concentration and higher ICAM-1 level; thus, the proinflammatory organ status after BD is favored. (AU)

• Processo FAPESP: 13/20282-0 - Influência do gênero nas alterações microcirculatórias e no processo inflamatório em diferentes órgãos em modelo de morte encefálica em ratos
• Beneficiário: Ana Cristina Breithaupt Faloppa
• Modalidade de apoio: Auxílio à Pesquisa - Regular