Effects of etomidate in the adrenal and cytokine responses to hemorrhagic shock in rats

Detalhes bibliográficos
Autor(a) principal: Félix, Nuno M.
Data de Publicação: 2016
Outros Autores: Goy-Thollot, Isabelle, Walton, Ronald S., Gil, Solange A., Mateus, Luísa M., Matos, Ana S., Niza, Maria M. R. E.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.1177/1721727X16677604
Resumo: This work was supported by Fundacao para a Ciencia e a Tecnologia-FCT (Project PEst-OE/AGR/U10276/2014).
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spelling Effects of etomidate in the adrenal and cytokine responses to hemorrhagic shock in ratsadrenocorticotropic hormone (ACTH)corticosteroneetomidatehemorrhagic shockIL-10IL-6injurylungrattumor necrosis factor (TNF)-αImmunology and AllergyImmunologyThis work was supported by Fundacao para a Ciencia e a Tecnologia-FCT (Project PEst-OE/AGR/U10276/2014).Hemorrhagic shock (HS) induces a compensatory endocrine and cytokine response which aims to restore homeostasis. This response can be modulated by general anesthetics. To our knowledge, no studies have evaluated if etomidate modulates this response in experimental HS. After being premedicated with buprenorphine (0.05 mg/kg subcutaneously), male Wistar rats were anaesthetized with 5% isoflurane and divided into three groups: G1 (control, n = 16), G2 (n = 13), and G3 (n = 14). G2 and G3 were subjected to HS by collecting 30% of their blood volume and resuscitated 90 min later with the collected blood and normal saline, in a 1:3 ratio, respectively. G3 received etomidate (1 mg/kg IV) before HS. Blood gas analysis, adrenocorticotropic hormone (ACTH), corticosterone, and plasma levels of tumor necrosis factor (TNF)-α, interleukin (IL)-6, IL-10 and of TNF-α, IL-6, and IL-10 mRNA obtained through real-time polymerase chain reaction (RT-PCR) were measured at 0, 90, 150, and 240 min after HS induction. Compared with G2, etomidate-treated animals had significantly lower corticosterone, PO2, PO2/FiO2, base excess and HCO3, and higher TNF-α, IL-6, IL-10, and TNF-α mRNA levels (P <0.05). Etomidate-treated rats showed impaired adrenal and increased cytokine response to HS and evidence of worse tissue oxygenation and lung dysfunction. Based on these results, and until further studies are performed to confirm if these findings occur in clinical patients, we suggest that etomidate should be used cautiously in HS.UNIDEMI - Unidade de Investigação e Desenvolvimento em Engenharia Mecânica e IndustrialDEMI - Departamento de Engenharia Mecânica e IndustrialRUNFélix, Nuno M.Goy-Thollot, IsabelleWalton, Ronald S.Gil, Solange A.Mateus, Luísa M.Matos, Ana S.Niza, Maria M. R. E.2018-05-10T22:21:56Z2016-12-012016-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article15application/pdfhttps://doi.org/10.1177/1721727X16677604eng1721-727XPURE: 3830873http://www.scopus.com/inward/record.url?scp=85000384161&partnerID=8YFLogxKhttps://doi.org/10.1177/1721727X16677604info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:19:57Zoai:run.unl.pt:10362/36517Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:30:32.308167Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Effects of etomidate in the adrenal and cytokine responses to hemorrhagic shock in rats
title Effects of etomidate in the adrenal and cytokine responses to hemorrhagic shock in rats
spellingShingle Effects of etomidate in the adrenal and cytokine responses to hemorrhagic shock in rats
Félix, Nuno M.
adrenocorticotropic hormone (ACTH)
corticosterone
etomidate
hemorrhagic shock
IL-10
IL-6
injury
lung
rat
tumor necrosis factor (TNF)-α
Immunology and Allergy
Immunology
title_short Effects of etomidate in the adrenal and cytokine responses to hemorrhagic shock in rats
title_full Effects of etomidate in the adrenal and cytokine responses to hemorrhagic shock in rats
title_fullStr Effects of etomidate in the adrenal and cytokine responses to hemorrhagic shock in rats
title_full_unstemmed Effects of etomidate in the adrenal and cytokine responses to hemorrhagic shock in rats
title_sort Effects of etomidate in the adrenal and cytokine responses to hemorrhagic shock in rats
author Félix, Nuno M.
author_facet Félix, Nuno M.
Goy-Thollot, Isabelle
Walton, Ronald S.
Gil, Solange A.
Mateus, Luísa M.
Matos, Ana S.
Niza, Maria M. R. E.
author_role author
author2 Goy-Thollot, Isabelle
Walton, Ronald S.
Gil, Solange A.
Mateus, Luísa M.
Matos, Ana S.
Niza, Maria M. R. E.
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv UNIDEMI - Unidade de Investigação e Desenvolvimento em Engenharia Mecânica e Industrial
DEMI - Departamento de Engenharia Mecânica e Industrial
RUN
dc.contributor.author.fl_str_mv Félix, Nuno M.
Goy-Thollot, Isabelle
Walton, Ronald S.
Gil, Solange A.
Mateus, Luísa M.
Matos, Ana S.
Niza, Maria M. R. E.
dc.subject.por.fl_str_mv adrenocorticotropic hormone (ACTH)
corticosterone
etomidate
hemorrhagic shock
IL-10
IL-6
injury
lung
rat
tumor necrosis factor (TNF)-α
Immunology and Allergy
Immunology
topic adrenocorticotropic hormone (ACTH)
corticosterone
etomidate
hemorrhagic shock
IL-10
IL-6
injury
lung
rat
tumor necrosis factor (TNF)-α
Immunology and Allergy
Immunology
description This work was supported by Fundacao para a Ciencia e a Tecnologia-FCT (Project PEst-OE/AGR/U10276/2014).
publishDate 2016
dc.date.none.fl_str_mv 2016-12-01
2016-12-01T00:00:00Z
2018-05-10T22:21:56Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.1177/1721727X16677604
url https://doi.org/10.1177/1721727X16677604
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1721-727X
PURE: 3830873
http://www.scopus.com/inward/record.url?scp=85000384161&partnerID=8YFLogxK
https://doi.org/10.1177/1721727X16677604
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