Hj. Appell et al., ADMINISTRATION OF TOURNIQUET .2. PREVENTION OF POSTISCHEMIC OXIDATIVESTRESS CAN REDUCE MUSCLE EDEMA, Archives of orthopaedic and trauma surgery, 116(1-2), 1997, pp. 101-105
An experimental group of mice were subjected to a hindlimb tourniquet
for 90 min followed by 60 min postischemic reperfusion (ischemia/reper
fusion, I/R). Two further groups with the same experimental procedure
received allopurinol to inhibit endothelial xanthine oxidase to produc
e oxygen free radicals (I/R-allo) or vitamin E as a radical scavenger
(I/R-vitE). The soleus muscle was examined, and the contralateral musc
le served as control. Glutathione (both reduced and oxidized forms, GS
H and GSSG) concentrations and the relative protein content were measu
red. Additionally, the muscles were examined under the electron micros
cope for pathological alterations. The results showed: (i) the existen
ce of much oxidative stress in the I/R group, but not in the I/R-allo
and I/R-vitE groups; (ii) an increased protein content indicative for
high capillary permeability in the I/R group, but not in the I/R-allo
and I/R-vitE groups; (iii) considerably fewer capillary endothelial di
sturbances in the I/R-allo and I/R-vitE groups than in the I/R group.
We conclude that allopurinol and vitamin E diminished the occurrence o
f oxidative stress and of edema in postischemic skeletal muscle.