RESUMO
OBJECTIVE: Serum lipid and electrolyte imbalances are common in critically ill patients undergoing radiation therapy. Although multiple disease states and medication may be responsible for the development of these disorders, the aim of this research is to sequentially document the effect of total body radiation on body function utilizing the sequential changes in the serum lipids, electrolytes and protein in rats. METHODS: Serum protein and lipids contents were assessed using kits while electrolytes were assessed with flame photometry in rats exposed to total body irradiations of 1.27 Gy/min in cumulative doses to the fourth irradiation at five-day intervals. RESULTS: Total cholesterol and triacylglycerols serum levels were significantly reduced by irradiation (p < 0.05). No significant differences between experimental and control groups for HDL-C serum levels were detected. Serum electrolyte concentration remained within the normal range after each total body irradiation. Sodium, bicarbonate and chloride were significantly (p < 0.05) higher than control while potassium and creatinine were significantly reduced after the first irradiation only. Sodium/potassium ratio was significantly (p < 0.05) elevated. Serum protein was significantly (p < 0.05) elevated with increasing radiation. CONCLUSION: There are subtle but significant changes in serum lipids, electrolytes and protein after total body irradiation of normal rats. These variations could be due to non-specific stress reactions; as such, they are important markers in radiation induced injury diagnosis.
Assuntos
Proteínas Sanguíneas/análise , Eletrólitos/sangue , Lipídeos/sangue , Irradiação Corporal Total , Animais , Proteínas Sanguíneas/efeitos da radiação , Eletrólitos/efeitos da radiação , Lipídeos/efeitos da radiação , Masculino , Ratos , Ratos WistarRESUMO
OBJECTIVE: Serum lipid and electrolyte imbalances are common in critically ill patients undergoing radiation therapy. Although multiple disease states and medication may be responsible for the development of these disorders, the aim of this research is to sequentially document the effect of total body radiation on body function utilizing the sequential changes in the serum lipids, electrolytes and protein in rats. METHODS: Serum protein and lipids contents were assessed using kits while electrolytes were assessed with flame photometry in rats exposed to total body irradiations of 1.27 Gy/min in cumulative doses to the fourth irradiation at five-day intervals. RESULTS: Total cholesterol and triacylglycerols serum levels were significantly reduced by irradiation (p < 0.05). No significant differences between experimental and control groups for HDL-C serum levels were detected. Serum electrolyte concentration remained within the normal range after each total body irradiation. Sodium, bicarbonate and chloride were significantly (p < 0.05) higher than control while potassium and creatinine were significantly reduced after the first irradiation only. Sodium/potassium ratio was significantly (p < 0.05) elevated. Serum protein was significantly (p < 0.05) elevated with increasing radiation. CONCLUSION: There are subtle but significant changes in serum lipids, electrolytes and protein after total body irradiation of normal rats. These variations could be due to non-specific stress reactions; as such, they are important markers in radiation induced injury diagnosis.
OBJETIVO: Los desequilibrios de lÃpido y electrolito plasmáticos son comunes en los pacientes crÃticos sometidos a terapia radioactiva. Aunque los múltiples estados de la enfermedad y la medicación pueden ser responsables del surgimiento de estos trastornos, el objetivo de esta investigación es documentar de manera secuencial el efecto de la radiación corporal total sobre la función corporal, utilizando los cambios secuenciales en los lÃpidos, electrolitos y proteÃnas plasmáticos en las ratas. MÃTODOS: Los contenidos de lÃpidos y proteÃnas plasmáticos fueron evaluados utilizando kits, en tanto que los electrolitos fueron evaluados mediante fotometrÃa de llama en ratas expuestas a irradiaciones corporales totales de rayos X de 1.27 Gy/min, en dosis cumulativas hasta la cuarta irradiación en intervalos de cinco dÃas. RESULTADOS: El colesterol total y los niveles plasmáticos de triacilgliceroles fueron reducidos significativamente por la irradiación (p < 0.05). No se detectaron diferencias significativas entre; os grupos experimentales y de control en relación con los niveles plasmáticos de colesterol HDL. La concen-tración de electrolito plasmático se mantuvo dentro de los lÃmites normales luego de cada irradiación corporal total de rayos X. La relación sodio/potasio fue significativamente elevada (p < 0.05). La proteÃna plasmática se elevaba significativamente (p < 0.05) al aumentar la radiación. CONCLUSIÃN: Tras la irradiación corporal total de las ratas normales, seproducen cambios sutiles pero significativos en los lÃpidos, electrolitos y proteÃnas del plasma. Estas variaciones podrÃan ser debidas a reacciones de estrés no especÃficas, y como tal, son marcadores importantes en el diagnóstico de las lesiones inducidas por la radiación.