1. Bioelectric, tissue, and molecular characteristics of the gastric mucosa at different times of ischemia
- Author
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Huerta-Yepez Sara, Peña-Mercado Eduardo, Beltran Nohra E, Montecillo-Aguado Mayra, Patiño-Morales Carlos César, and Garcia-Lorenzana Mario
- Subjects
Male ,Pathology ,medicine.medical_specialty ,Time Factors ,Ischemia ,General Biochemistry, Genetics and Molecular Biology ,Electric Impedance ,Gastric mucosa ,medicine ,Animals ,Rats, Wistar ,Barrier function ,Original Research ,business.industry ,Organ dysfunction ,medicine.disease ,medicine.anatomical_structure ,Cyclooxygenase 2 ,Gastric Mucosa ,Apoptosis ,Reperfusion Injury ,Shock (circulatory) ,Tumor necrosis factor alpha ,medicine.symptom ,business ,Complication - Abstract
Gastrointestinal ischemia may be presented as a complication associated with late shock detection in patients in critical condition. Prolonged ischemia can cause mucosal integrity to lose its barrier function, triggering alterations that can induce organ dysfunction and lead to death. Electrical impedance spectroscopy has been proposed to identify early alteration in ischemia-induced gastric mucosa in this type of patients. This work analyzed changes in impedance parameters, and tissue and molecular alterations that allow us to identify the time of ischemia in which the gastric mucosa still maintains its barrier function. The animals were randomly distributed in four groups: Control, Ischemia 60, 90, and 120 min. Impedance parameters were measured and predictive values were determined to categorize the degree of injury using a receiver operating characteristic curve. Markers of inflammatory process and apoptosis (iNOS, TNFα, COX-2, and Caspase-3) were analyzed. The largest increase in impedance parameters occurred in the ischemia 90 and 120 min groups, with resistance at low frequencies (RL) and reactance at high frequencies (XH) being the most related to damage, allowing prediction of the occurrence of reversible and irreversible tissue damage. Histological analysis and apoptosis assay showed progressive mucosal deterioration with irreversible damage ( p
- Published
- 2021