Rafael Vercelino1, Juliana Tieppo, Luiz Albeto Forgiarini Junior, Alexandre Simões Dias,
Claudio Augusto Marroni, Norma Possa Marroni
J Bras Pneumol.2008;34(7):453-460
Objective: The aim of this study was to identify the best experimental model in which to observe the pulmonary alterations characterizing
hepatopulmonary syndrome (HPS). Methods: Male Wistar rats, with mean weight of 250 g, were used in four experimental models: inhaled
carbon tetrachloride; intraperitoneal carbon tetrachloride; partial portal vein ligation; and bile duct ligation (BDL). The animals in all groups were
divided into control and experimental subgroups. The following variables were measured: transaminase levels; blood gases; lipoperoxidation,
using thiobarbituric acid reactive substances (TBARS) and chemiluminescence; and levels of superoxide dismutase (SOD) anti-oxidant activity.
Anatomopathological examination of the lung was also performed. Results: There were statistically significant differences between the BDL
control and BDL experimental groups: aspartate aminotransferase (105.3 ± 43 vs. 500.5 ± 90.3 IU/L); alanine aminotransferase (78.75 ± 37.7 vs.
162.75 ± 35.4 IU/L); alkaline phosphatase (160 ± 20.45 vs. 373.25 ± 45.44 IU/L); arterial oxygen tension (85.25 ± 8.1 vs. 49.9 ± 22.5 mmHg);
and oxygen saturation (95 ± 0.7 vs. 73.3 ± 12.07%). Lipoperoxidation and antioxidant activity also differed significantly between the two
BDL groups (control vs. experimental): TBARS (0.87 ± 0.3 vs. 2.01 ± 0.9 nmol/mg protein); chemiluminescence (16008.41 ± 1171.45 vs.
20250.36 ± 827.82 cps/mg protein); and SOD (6.66 ± 1.34 vs. 16.06 ± 2.67 IU/mg protein). The anatomopathological examination confirmed
pulmonary vasodilatation in the BDL model. In the other models, there were no alterations that were characteristic of HPS. Conclusions: The
data obtained suggest that the BDL model can be used in future studies involving hepatic alterations related to oxidative stress and HPS.
Keywords: Hepatopulmonary syndrome; Lung; Oxidative stress; Rats.