OBJECTIVE: To study the mechanism of protection provided by dexmedetomidine against COPD-induced lung injury. METHODS: COPD rat model was determined by measuring lung function, and comparing HE staining between two different groups. We got the lung tissue and cells from the control and COPD groups. The cells were divided into three groups: control group, and blank and drug groups that were from the COPD rats. Cell apoptosis, relative gene expression and TNF-α and IL-1β from nutrient solution were measured. Chronic obstructive pulmonary disease (COPD) is a kind of main damage located in airways and lung tissue, causing systemic disease progressively affecting other tissues and organs The symptoms are not reversible. Clinical research shows that the incidence of hospitalized patients with chronic pulmonary disease gradually increases (1). In 2040, COPD will become the world's most endangering disease (2, 3). COPD pathogenesis is not yet entirely clear, but the current study showed that the main causes of COPD include protease/anti-protease imbalance, oxidant/antioxidant imbalance stress (4-7), infl ammatory/anti-infl ammatory response imbalance (8), mechanical stretch injury (9), etc. Clinical treatment is often used for the purpose of mechanical ventilation after induction of anesthesia. Dexmedetomidine is a highly selective α2-adrenergic receptor agonist (10); it not only can effectively calm, but also has some anti-infl ammatory effect (11). However, the mechanism of dexmedetomidine protection against COPD is unclear. The objective of the present study is to explain the latter mechanism.
Material and method
Animals and cigarette smoke exposureIn our study, we used 6-week-old SD rats at body weight 110±20 g from the animal center, Nanfang Hospital of Southern Medical University. Before the experiment, the rats were accommodated for seven days. All procedures were in compliance with the institutional and national guidelines for the care and use of laboratory animals. The Study Protocol was approved by The Institutional Animal Care and Use Committee, Hebei Medical University. Rats were randomized into two groups: Control Group (n = 8) and Smoking Group (n = 16). The rats in smoking group were exposed to cigarette smoke in a smoking device manufactured by Shijiazhuang Jinyang Science and Technology Inc. (model: JY-01, Shijiazhuang, Hebei, China). Briefl y, 20 cigarettes were burnt continuously and blown into a box together with oxygen, while the whole bodies of animals were exposed to the cigarette smoke in the box. Animals were exposed to cigarette smoke for one hour each time, twice a day, 5 days a week for 16 weeks. After 16 weeks, the rats were analyzed for relative index of COPD including tidal volume (TV), peak expiratory fl ow (PEF), 50 % exhaled tidal volume during expiratory fl ow rate (EF50), forced expiratory volume in 0.3 seconds (FEV0.3) and FEV0.3/ forced vital capacity (FVC).
Tissues and cellThe rats were sacrifi ced by femoral artery bleeding. Lung tissue was extracted and a proportion was ...