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人工寒潮促发2型糖尿病大鼠卒中前状态脑组织ET-1与CGRP含量的变化
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摘要
目的通过观察2型糖尿病大鼠经历人工寒潮卒中发病前脑组织内皮素-1(ET-1)与降钙素基因相关肽(CGRP)含量的变化,初步探讨ET-1和CGRP对易卒中状态的影响,并借以预测中风的发生。
     方法应用链脲左菌素加高糖高脂饮食复制2型糖尿病(DM)模型,将复制成功的DM模型组与对照组大鼠各分为寒潮组与非寒潮组。寒潮组置于人工气候箱中,温度设置以22℃12小时,4℃12小时为1天循环,共3天。非寒潮组置于温度22℃的人工气候箱共3天。在人工气候箱处理前后测量体重、血糖,以寒潮3天为研究终点,在研究终点将大鼠灌注后断头取脑(除死亡鼠)用于免疫组化,每只大鼠随机取5张切片作免疫组化检测大鼠脑组织的ET-1与CGRP蛋白的表达,发生卒中者被剔除卒中前状态分析。
     结果
     1.DM模型的复制:DM组在注射STZ后表现为多饮、多食、多尿及体重下降典型糖尿病症状;并且出现血糖高,胰岛素升高,胰岛素敏感性下降,有统计学意义。
     2.脑组织内ET-1和CGRP的蛋白(免疫组化)表达:DM模型组脑组织内ET-1和CGRP的表达均高于对照组(P=0.000)。经过寒潮干预,DM寒潮组ET-1含量明显高于非寒潮组(P=0.003),CGRP表达却明显下降(P=0.000);对照组两者含量无明显改变。
     结论
     1.经高糖高脂饲料喂养4周后,再经腹腔注射小剂量链脲佐菌素,可以建立2型糖尿病大鼠动物模型。
     2.2型糖尿病大鼠组织内ET-1、CGRP表达升高。2型糖尿病会导致血管内皮功能的改变。
     3. DM寒潮组与DM非寒潮组比较,大鼠脑组织ET-1含量明显增高,CGRP表达显著降低;对照寒潮组与非寒潮组相比,大鼠脑组织ET-1与CGRP含量无明显改变。寒潮做为诱因会进一步加重2型糖尿病大鼠血管内皮功能的损害,导致血管舒缩功能的异常,增加脑卒中的发病风险;而对正常大鼠血管功能无明显影响。
Objective We have observed the rats modes of type 2 diabetes mellitus to study the contents changes of ET-1 and CGRP before the stroke under artificial cold exposure (ACE), to evaluate the influence of the endothelin-1(ET-1) and CGRP on Stroke-prone state and to predict the occurrence of stroke.
     Methods We establish a rats modes of type 2 diabetes mellitus(DM) by feeding high sugar and fat diet and subsequently injecting small dose streptozotocin(STZ). DM model rats and normal control rats were randomly assigned two groups:ACE and non-ACE..The ACE group was designed as 3 cycles of 12h light of 22℃and 12h dark of 4℃.The non-ACE group was kept at 22℃throughout the experiment. Body weight and blood glucose were measured before and after ACE treatment. Set the 3 days cold exposure as the end point, the rat brains were removed quickly and then perfusion (except dead mouse) for immunohistochemistry in the study endpoint. Before stroke occurred, every 5 sections were taken randomly from each rats used for immunohistochemical to detection the protein expression of ET-1 and calcitonin gene-related peptide(CGRP) in rat brain vascular endothelial. The stroke rats were out of the analysis.
     Result
     1.Replication of DM model: DM group showed the typical symptoms of diabetes of human such as more drinking, eating, polyuria and weight loss after injection of STZ; and emerged hyperglycemia, hyperinsulinmia and insulin resistance, which showed the statistical significance.
     2.The protein expression of ET-1 and CGRP(immunohistochemistry) in the brain tissue: In DM model group, the expression of ET-1 and CGRP in the brain tissue were higher (P=0.000) than the control group. After ACE treatment, in DM group, ET-1 were significantly higher than non-ACE group(P=0.003), while CGRP was significantly lower than the non-ACE group (P=0.000); and there were showed no significant changes of ET-1 and CGRP in the control group.
     Conclusion
     1. We successfuly establish the rat model of type 2 diabetes mellitus by fed with high sugar and fat diet for 4 weeks,rats were injected a low dose of STZ intrapenitoneally.
     2.The expression of ET-1 and CGRP could increase in type 2 diabetic rats.Type 2 diabetes could change the vascular endothelial function.
     3. In DM group, ET-1 were significantly higher while CGRP was significantly lower; and there were showed no significant changes of ET-1 and CGRP in the control group.Cold as a incentives will further aggravate the damage of vascular endothelial function, which result the vasomotor function disorder then forming an environment conducive stroke which is closer to pre-stroke state.
引文
[1] Field TS, Hill MD. Weather,Chinook,and stroke occurrence[J]. Stroke, 2002,33(7): 1751.
    [2] Feigin VL, Nikitin YP, Bots ML, et al. A population-based study of the associations of strke occurrence with weather parameters in Siberia[J]. Eur J Neurol,2000,7(2): 171-178.
    [3] Hong YC, Rha JH, Lee JT, Ha EH, Kwon HJ, Kim H. Ischemic stroke associated with decrease in temperature[J]. Epidemiology,2003,14(4): 473-478.
    [4]解龙昌,黄如训,李长新等.人工寒潮促发脑卒中的实验研究[J].中国神经精神疾病杂志,2004,30(3):198-201.
    [5]黄如训.卒中前状态和启动因子[J].中国神经精神疾病杂志,2005,31(1):73-75.
    [6] Bauer KA , Rosenberg RD. The pathophysiology of the prethrombotic state in humans: Insights gained from studies using markers of hemostatic system activation[J]. Blood, 1987 ,70 (2) :343.
    [7] Yanagisawa M, Kurihara H, Kimura S,et al. A novel potent vasoconstrictor peptide produced by vascular endothelial cells[J].Nature,1988,332(6163): 411.
    [8] Kresse A, Tacobowitz DM, Skofitsch G. Detailed mapping of CGRP mRNA expression in the rat central nervous system:comparison with previous immunocytochemical findings[J]. Brain Res Bull,1995,36:261.
    [9] Inoue A, Yanagisawa M, Kimura S, et al. The human endothelin family,three structurely and pharmologically distinct isopeptidespredicted by three separategenes[J]. Proc Natl Acacl Su USA ,1989,86:2863-2868.
    [10] Bian LG, Zhang TX, Zhao WG, et al. Increased endothelin in the rabbit model of middle cerebral artery occlusion[J]. Neurosci Lett,1994,174:47.
    [11] Shichim M. Plasma endothelin levels in hepytention and chronic renal failure[J]. Hypytention,1990,15(5):493-496.
    [12] Amara SG, Jonas V, Rosenfeld MG, Ong ES, Evans RM. Alternative RNA processing in calcitoning gene expression generates mRNAs encoding different poly peptide products[J]. Nature, 1982;298:210-244.
    [13]盛树力,张万江,伍洁等. CGRP对脑血管和脑血流量的影响[J].首都医学院报,1990,11:259.
    [14] Clifton GL, Allen S, Barrodale P, et al. Choi SC. AphaseⅡstudy of moderate hypothermia in severe brain injury[J]. Neurotrauma,1993,10:263.
    [15] Edvinsson L, Ekman R, Jansen I, et al. Reduced levels of calcitonin gene- related-peptide- like immunoreactivity in human brain vessels after subarachnoid hemorrhage[J]. Neurosci lett,1991,121:151-154.
    [16]刘学源,洪震,陈玉娟等.老年急性脑梗死患者血浆神经元特异性烯醇酶内皮素降钙素基因相关肽的变化[J].中华老年医学杂志,2006,25(11):836-838.
    [17]郑吾最,郑声浩,林群力等.高血压脑出血患者血肿中NPY和CGRP对继续出血及脑水肿的影响[J].中风与神经疾病杂志,2001,18:162-163.
    [18] Bulloch K, M ilner TA, Prasad A, et al. Induction of calcitonin gene-related-peptide-like immunoreactivity in hippocampal neurons following ischemia: a putative regional modulator of the CNS injury immune response[j]. Eup Neuro 1998, 150: 195-205.
    [19]刘冰.高血压性脑梗塞实时启动因子及其干预的实验研究[D].中山大学博士学位论文2002.3-4.
    [20] Ming Zhang, Xiao-Yan Lv, Jing Li, Zhi-Gang Xu, and Li Chen. The Characterization of High-Fat Diet and Multiple Low-Dose Streptozotocin Induced Type 2 Diabetes Rat Model [J].Experimental Diabetes Research, 2008,10:1155
    [21]穆松牛,高云,万福生等.链脲佐菌素加高糖高脂饮食复制大鼠2型糖尿病模型[J].中国比较医学杂志,2008,18(2):19-22.
    [22]林健雯,施晓耕,解龙昌等.人工寒潮促发大鼠脑卒中发病前脑血管内皮细胞粘附分子mRNA的变化[J].南方医科大学学报,2008,28(11):1954-1959.
    [23] Abulebdeh HS, Hodge DO, Nguyen TT. Predictors of macrovascular disease in patients with type 2 diabetes mellitus[J]. Mayo Clin Pro,2001,76: 707-712.
    [24] Rackietan N, Rackietan ML, Nadkami MR. Studieson diabetoginc action of streptozotocin (NSC-37917)[J].Cancer chemother Rep,1993,29:91.
    [25]蔡文就,熊曼琪,朱章志等.实验性NIDDM大鼠模型及其胰岛素抵抗的初步研究[J].广州中医药大学学报,1997,14(2):87-91.
    [26] Asano T, et al. Endothelin and the prodaction of cerebral vasospasm in dogs[J].Biochem Biophys Res Commun,1989,159:1345-1348.
    [27] Masaki T, Kimura S, Yanagisawa M, et al. Molecular and cellular mechanism of endothelin regulation.Implications for vascular function[J]. Circulation, 1991,84(4):1457-1468.
    [28] Yanagsawa M, Masaki T. Endotbelin,a novel endothelium-derived peptide[J]. Biochem Pharmaco1,1989,38(2):1877.
    [29] Vane JR, Anggard EE, Botting RM, et al. Regulatory functions of the vascular endothelium [J]. New Engl J Med, 1990,323 (1):27-36.
    [30] Mytra PR, Mimor RL, Guerra R, et al. Vasorelaxant properties of the endothelium-derived relaxing factor more closely resemble S-nitrosocysteine than nitric oxide[J]. Nature,1990, 345 (6271):161-163.
    [31] Nasu F. Analysis of calcitonin gene-related peptide (CGRP)-containing nerve fibers in the rat spinal cord using light and electron microscopy. Electron Microsc(Tokyo),1999,48: 267-275.
    [32] Ghatta S, Nimmagadda D. Calcitonin gene-related paptide: Understandingits role[J]. Indian J Pharmmacol, 2004, 36 (5) : 277-283.
    [33] Morise T, Takeuchi Y, Kawano M,et al. Increasedplasma levels of immunoreactive endothelin and Von Willebrand factor in NIDDM patients [J]. Diabetes Care,1995,18 (1):87-89.
    [34] Redmond EM, Cahill PA, Hodges R,et al. Regulationof endothelin receptors by nitric oxidein cultured rat vascular smooth muscle cell[J]. J Cell Physiol,1996,166(3):469-479.
    [35]韩运梅,张春之,林立,陈磊.低温对小鼠脑组织血管内皮物质和脂质过氧化的影响.中国工业医学杂志[J].2009,22(1):42-43.
    [36] McLaren M,KirkqBolton-Smith C,et al. Seasonal variation in plasma levels of endothelin-1 and nitric oxide[J]. Int Angiol,2000,19(4):351-35.
    [1] Feigin VL, Nikitin YP, Bots ML, et al. A population-based study of the associations of stoke occurrence with weather parameters in Siberia,Russia(1982-92). Eur J Neurol,2000,7(2): 171-178.
    [2] Hong YC, Rha JH, Lee JT, Ha EH, Kwon HJ, Kim H. Ischemic stroke associated with decrease in temperature. Epidemiology,2003,14(4): 473-478.
    [3] Ellis FP, Nelson F. Mortality in the elderly in a heat wave in new york city,august 1975. Environ Res,1978,15(3): 504-512.
    [4] Keatinge WR, Coleshaw SR, Easton JC, Cotter F, Mattock MB, Chelliah R. Increased platelet and red cell counts,blood viscosity,and plasma cholesterol levels during heat stress,and mortality from coronary and cerebral thrombosis. Am J Med,1986,81(5): 795-800.
    [5] Oechsli FW, Buechley RW. Excess mortality associated with three Los Angeles September hot spells. Environ Res,1970,3(4): 277-284.
    [6] Olivares L,Castaneda E,Grife A,Alter M. Risk factors in stroke: a clinical study in mexicanpatients. Stroke.,1973,4(5): 773-778.
    [7] Christie D. Stroke in melboume,australia:an epidemiological study. Stroke.,1981, 12(4): 467-446.
    [8] Lejeune JP, Vinchon M, Amouyel P, et al. Association of occurrence of aneurysmal bleeding with meteorologic variations in the north of France. Sroke,1994,25(2): 338-341.
    [9]陆晨.脑卒中与气象因素关系的探讨.气象科技. 2003,31(6): 397-399.
    [10]陈辉,田生春,李鸿洲等.天气、气候变化与心脑血管疾病死亡.气候与环境研究. 1999,4(1): 19-23.
    [11]解龙昌,黄如训等.人工寒潮促发脑卒中的试验研究.中国神经精神疾病杂志. 2004,30(3):198-201.
    [12] Huang Ru-xun, Zen Jing-sheng, Su Zhen-pei, et al. The modle of stroke-prone renovascular hypertensive rats[J]. Chin J Nervous Mental Dis,1991,17(5):257-259.
    [13]林健雯,施晓耕,廖松洁,等.人工寒潮时不同血压水平大鼠脑卒中发病的实验研究[J].中国神经精神疾病杂志,2005,31(3): 180-184.
    [14] Libby P, Ridker PM, Maseri A. Inflammation and atherosclerosis. Circulation,2002,105(9): 1135- 1143.
    [15] Matsumoto Y, Kawai Y, Watanabe K, Sakai K,Murata M, Handa M, Nakamura S, Ikeda Y. Fluid shear stress attenuates tumor necrosis factor-alpha-induced tissue factor expression in cultured human endothelial cells. Blood,1998,91(11): 4164-4172.
    [16] Stein CM, Brown N, Vaughan DE, Lang CC, Wood AJ. Regulation of local tissuetype plasminogen activator release by endothelium-dependent and endothelium-independent agan- ists in human vasculature. J Am Coll Cardiol,1998,32(1): 117-122.
    [17] Papadaki M, Ruef J, Nguyen KT, Li F, Patterson C, Eskin SG, Mclntire LV, Runge MS. Differential regulation of protease activated receptor-1 and tissue plasminogen activator expression by shear stress in vascular smooth muscle cells. Circ Res,1998,83(10):1027-1034.
    [18] Turitto VT, Hall CL. Mechanical factors affecting hemostasis and thrombosis. Thromb Res, 1998,92(6 Suppl 2): s25-s31.
    [19] Traub O,Berk BC. Laminar shear stress: mechanisms by which endothelial cells transduce an atheroprotective force. Arterioscler Thromb Vasc Biol,1998,18(5):677-685.
    [20]黄如训,肖小华,李玲等.气象因素促发卒中的试验研究.中华老年医学杂志,2001,20(5): 366-368.
    [21] Sun Z, Wang X, Wood CE, et al. Genetic AT-1A receptor deficiency attenuates cold-induced hypertension[J]. Am J Physiol Regul Integr Comp Physiol, 2005,288(2): 433-439.
    [22]杨贤为,邹旭恺.北京地区脑卒中发病率的气象条件研究.气象,1998,24(9):51-54.
    [23]黄如训,苏镇培主编.脑卒中,人民卫生出版社(北京),2001:第1版: 8.
    [24]黄如训,苏镇培主编.脑卒中,人民卫生出版社(北京),2001:第1版: 19.
    [25] Nesheim M. Thrombin and fibrinolysis[J].Chest,2003,124(3 Suppl): 33S-39S.
    [26] Esmon CT. The protein c pathway. Chest,2003,124(3 Suppl): 26S-32S.
    [27] Esmon CT.The roles of protein c and thrombomodulin in the regulation of biood coagulation. J Biol Chem,1989,264(9): 4743-4746.
    [28] Fukudome K, Ye X, Tsuneyoshi N, Tokunaga O, Sugawara K, Mizokami H, Kimoto M. Acti- vation mechanism of anticoagulant protein c in large blood vessels involving the endothelial cell protein c receptor. J Exp Med,1998,187(7): 1029-1103.
    [29] Esmon CT. Regulation of blood coagulation. Biochim Biophys Acta,2000,1477(1-2): 349-36.
    [30]林健雯,施晓耕,廖松洁,谢龙昌,等.人工寒潮促发大鼠脑卒中发病前的凝血和纤溶系统功能变化[J].血栓与止血学,2008,14(3): 108-112.
    [31] Cines DB, Pollak ES, Buck CA, et al. Endothelial cells in Physiology and in the pathophysio- logy of vasceular disorders [J]. Blood,1998,91(10): 3527-3561.
    [32] Kroll MH, Harris TS, Moake JL, et al. Von Willebrand factor Binding to platelet glycoprotein Ib initiates signals for platelet activation [J]. J Clin Invest,1991,88(5): 1568-1573.
    [33] Ruggeri ZM, Dent JA, Saldivar E.Contribution of distinct adhesive interactions to platelet aggre-gation in flowingblood [J]. Blood,1999,94(1):172-178.
    [34]姜波涛,聂亚雄,霍璀民,王东. vWF与IL-6预测肾性高血压大鼠经历人工寒潮发生卒中的研究.现代生物医学进展,2008,8(2): 239-241.
    [35] Anderson JL, Caripuist JF, Muhlestein JB, et al. Evaluation of c-reaction protein an inflamm- ation marker, and infection serology as risk factor for coronary artery disease and myocardial infarction.J Am Coll cardiol,1998,32(1):35-38.
    [36] Ando H,Zhou J,Macova M,et al. AngiotensinⅡAT1 receptor blockade reverses pathological hypertrophy and inflammation in brain microvessels of spontaneously hypertensive rats [J]. Stroke,2004,35(7):1726-1731.
    [37]施晓耕,梁凤萍,黄如训等.人工寒潮对高血压和正常血压大鼠脑血管收缩反应性的不同影响.第四军医大学学报,2007,28(16): 1468-1470.
    [38]王先梅,严睿,杨丽霞等.复合环境因素诱导大鼠脑卒中集体防御基因表达的改变及意义.中华医学遗传杂志,2003,20(2): 143-146.
    [39] Hamet P. Environmentalstressand genesofh ypertension. Clin Exp Pharmacol Physiol,1995, 22(Suppl):S394-S398.

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