• Qi-yi Zeng, Chun-min Zhang, and Xin-hua Qian.
• Department of Neonate, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
• Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi. 2009 Jun 1;25(6):525-8.

AimTo investigate the protective effects of continue insulin infusion on liver mitochondrion and its mechanism in the early stage of lipopolysaccharide-induced septic rats.Methods24 SD rats were randomly divided into 3 groups (An external jugular vein catheterization was performed in every rat a day before intraperitoneal injection): Saline control group (n = 8), LPS group (n = 8) and insulin therapy group (n = 8). Saline control group animals received 9 g/L saline only. LPS group animals were treated with lipopolysaccharide(LPS, 10 mg/kg, i.p.), and then received an infusion of 9 g/L saline at the rate of 1 mL/h. Insulin therapy group animals received an infusion of insulin at the rate of 0.25 U/(kg x h) after being intraperitoneal injected with 10 mg/kg LPS. Blood glucose level was monitored. Blood samples were taken 2 h and 6 h later and the levels of serum TNF-alpha and IL-6 were detected by enzyme-linked immunoadsorbent assay(ELISA). The membrane potential of isolated liver mitochondrion was tested by flow cytometry. The SOD and MDA levels of isolated liver mitochondrion were tested by kit. The morphologic change of mitochondrion in liver was observed by electronic microscopy.ResultsIn LPS group, the levels of blood glucose, TNF-alpha, IL-6 and SOD all increased significantly and liver mitochondrial membrane potential decreased significantly compared with control group(P<0.05). In insulin therapy group, the levels of blood glucose, TNF-alpha, IL-6 and SOD all decreased significantly and liver mitochondrial membrane potential increased significantly compared with LPS group(P<0.05). The MDA levels did not differ significantly in the three groups. The mitochondrial ultrastructural changes in every group were not obviously.ConclusionIn the early stage of septic rats, reversible liver mitochondrion injury can be observed. Continue insulin infusion can protect liver mitochondrion through attenuating inflammatory reaction and reducing the blood glucose level in septic rats.

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