依托咪酯后处理对大鼠脑缺血再灌注损伤MDA和SOD的影响
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摘要
缺血组织在一定时间后血流恢复可能致进一步的组织损伤和功能障碍,这种恢复血流灌注后引起的进一步损害称为再灌注损伤(reperfusion injury)[1]。
     目的
     建立大鼠脑缺血再灌注损伤模型,观察不同剂量的依托咪酯后处理对大鼠脑缺血再灌注损伤(Ischemia-reperfusion,I/R)丙二醛(malondialdehyde,MDA)和超氧化物歧化酶(superoxide dismutase,SOD)的影响,探讨依托咪酯对大鼠脑缺血再灌注损伤的脑保护机制及依托咪酯脑保护的适宜剂量。
     方法
     脑缺血再灌注模型的建立:动物称重→麻醉→固定→暴露大鼠的股静脉,用温盐水纱布覆盖备用→颈正中切口→暴露双侧颈总动脉→夹闭双侧颈总动脉→缺血20min→再灌注前1min的药物后处理→恢复血流。
     实验动物:Wistar大鼠40只随机分为5组(每组8只),Sham组(假手术组),I/R组(缺血再灌注组),Eto1,2,3组(依托咪酯后处理1,2,3组,分别给予依托咪酯0.3mg/kg,0.9mg/kg,2.7mg/kg)。Sham组不结扎颈总动脉,其余同缺血再灌注组。其余四组均夹闭双侧颈总动脉20min,于再灌注前1min,Eto1,2,3组股静脉注射0.3mg/kg,0.9mg/kg,2.7mg/kg依托咪酯注射液,Sham组与I/R组股静脉注射等量生理盐水。
     大鼠再灌注24h时处死动物,断头取脑,由视交叉平面冠状切取约4mm组织块,以10%多聚甲醛固定48h。行常规石蜡包埋,作连续冠状切片(厚5μ m),进行HE染色,光镜下观察组织学变化。
     另取0.5g大脑组织在pH值7.4的PBS缓冲液中制成10%组织匀浆,5000转/min离心20min,取上清液根据试剂盒说明,进行生化指标检测。采用硫代巴比妥酸(TBA)法测定MDA含量,羟胺氧化法测定SOD活性。
     结果
     与sham组比较,I/R组MDA含量显著增高,SOD活性明显降低(P均<0.05);
     与I/R组比较,Eto1,2,3组可降低MDA含量,提高SOD活性(P均<0.05);
     Eto3组与Eto1,2组比较,MDA含量增高、SOD活性降低(P均<0.05)。
     Eto1组与Eto2组比较,其MDA含量与SOD活性无显著差异。
     结论
     1、通过对MDA含量以及SOD活性的测量,发现大鼠脑缺血再灌注后脑组织MDA含量较假手术组有所升高,SOD活性较后者降低。
     2、依托咪酯后处理对大鼠脑缺血再灌注损伤有保护作用,其机制可能与抑制氧自由基有关。3、Eto1,2剂量组的脑保护作用优于Eto3剂量组。
The restoration of blood flow after ischemia can also cause further tissue demage anddysfunction in some cases which we called it reperfusion injury.
     Objective
     To establish the cerebral ischemia reperfusion injury model of rats. To observe the effects ofEtomidate postconditioning on the brain tissue malondialdehyde(MDA)concentration andsuperoxide dismutase(SOD)activity in rats induced by cerebral ischemia-reperfusion(CIR) so asto investigate cerebral protection mechanism of Etomidate.and the dose of Etomidate whosecerebral protection is better.
     Methods
     The establishment of the cerebral ischemia reperfusion model: Animalweighing→Anesthesia→Fixation of animal→Exposed rats’ femoral vein to standby coveredwith warm saline gauze→Neck incision to exposed the bilateral common carotid artery andligate them→After20mins’ ischemia, give them the drug treatment for1min→Restoration ofblood flow.
     Experimental animal:A total of40adult Wistar rats were randomly divided into5groups(n=8each):Sham operation group (Sham),cerebral ischemia reperfusion group (I/R),Etomidatepostconditioning group1,2,3(Eto1,2,3group respectively be given0.3mg/kg,0.9mg/kg,2.7mg/kgdoses of Etomidate).Then,make the cerebral ischemia model by ligating two-sides commoncarotid arteries except the Sham group.After20min, we will give Eto1,2,3group respectively0.3mg/kg,0.9mg/kg,2.7mg/kg doses of Etomidate, in the same time sham group and I/R groupwill be injected an equal volume of saline solution from femoral vein. Restoration of blood flowafter1min’ ischemic postconditioning.
     Sacrificed all rats after24hours’ reperfusion. Seperated the Rat’s head to get its brain. To fixthe brain tissue48hours with10%paraformaldehycle after coronary cutting from the opticchiasm plane for about4mm wide. Paraffin embedding conventionally. Then observe the coronalslices (thickness5μm) whichare alreadybe stained by HE under light microscope, and find theirhistological changed.
     Put another0.5g brain tissue into PH7.4PBC buffer to make up the10%tissue homogenate.After20minutes’ centrifugal5000/min, take supernatant to test the biochemical indexesaccording to kit. Using thiobarbituric acid (TBA) method to test the content of MDA. Using hydroxylamine oxidation method to test the SOD activity.
     Results
     Compared with the Sham group, the MDA content in the rat brain tissue significantlyincreased in I/R group(P <0.05), SOD activity significantly decreased (P <0.05);
     Compared with the I/R group, the MDA content in the rat brain tissue in Eto1,2,3groupsdecreased (all P <0.05), while the SOD activity increased (all P <0.05).
     Meanwhile, the Eto3groups have the higher MDA content and lower SOD activity than Eto1、2group (P<0.05).
     And Eto1group compared with Eto2group, the MDA content and SOD activity had nosignificant difference.
     Conclusion
     1Though the testing of MDA content, SOD activity and the observation under the lightmicroscope from the HE staining, we found that the rat brain tissue under the ischemiareperfusion was really damaged than a sham operation group does.
     2Etomidate postconditioning shows an effect against ischemia reperfusion brain injury, themechanism of the protection may be related to inhibiting of the oxygen free radicals.
     3Eto1,2group have better cerebral protection than Eto3group.
引文
[1] Xu Z, Xu RX, Liu BS, Jiang XD, Huang T, Ding LS, Yuan J. Time window characteristics ofcultured rat hippocampal neurons subjected to ischemia and-reperfusion. Chin JTraumatol.2005;8:179-182.
    [2] Murry CE, Jennings RB, Reimer KA. Preconditioning with ischemia: a delay of lethal ce llinjury in ischemic myocardium[J]. Circulation,1986,74(5):1124-1136.
    [3] Zhao ZQ, Corvera JS, Halkos ME, et al. Inhibition of myocardial injury by ischemicpostconditioning during reperfusion:comparison with ischemic preconditioning[J]. Am J PhysiolHeart Circ Physiol,2003,285(2):579-588.
    [4] Tissier R, Waintraub X, Couvreur N, et al. Pharmacological postconditioning with thephytoestrogen genistein[J]. J Mol Cell Cardiol,2007,42(1):79-87.
    [5]Longa EZ,Weinstein PR,Carlson S, et al. Reversible middle cerebral artery occlusion withoutcraniectomy in rat. Stroke1989;20:84-91.
    [6]Murakami K, Kondo T, Kawase M, et al. The development of a new mouse model of globalischemia:focus on the relationships between ischemia duration, anesthesia, cerebral vasculature,and neuronal injury following global ischemia in mice. Brain Res1998;780:304-10.
    [7] Carswell HV, Macrae IM, Gallagher L, et al. Neuroprotection by a selective estrogen receptorbeta agonist in a mouse model of global ischemia. Am J Physiol Heart Circ Physiol2004;287:H1501-4.
    [8] Ohtaki H, Mori S, Nakamachi T, et al.Evaluation of neuronal cell death after a new globalischemia model in infant mice. Acta Neurochir Suppl2003;86:97-100.
    [9]Calle PA, Paridaens K, De Ridder LI, et al.Failure of nimodipine to prevent brain damage in aglobal brain ischemia model in the rat.Resuscitation1993;25:59-71.Comment in:Resuscitation1993;25:73-4;discussion75-6.
    [10] Capdeville C, Pruneau D, Allix M, et al.Model of global forebrain ischemia in theunanesthetized rat. J Pharmacol1986;17:553-60.
    [11]Pulsinelli WA, Brierley JB.A new model of bilateral hemispheric ischemia in theunanesthetized rat. Stroke1979;10:267-9.
    [12] Ordy JM, Wengenack TM, Bialobok P, et al.Selective vulnerability and early progression o f'hippocampal CAI pyramidal cell degeneration and GFAP-positive astrocyte reactivity in the ratfour-vessel occlusion model of transient glohal ischemia. Exp Neurol1993;119:128-39.
    [13]马志健,罗刚,易西南.脑缺血再灌注动物模型的制备及评价.海南医学院学报,2009,15(6):556-559.
    [14De la Torre JC, Fortin T. Partial or global rat brain ischemia:the SCOT model. Brain Res Bull1991;26:365-72.
    [15] Petullo D, Masonic K, Lincoln C, et al.Model development and behavioral assessment offocal cerebral ischemia in rats. Life Sci1999;64:1099-108.
    [16]Kontos HA. Oxygen radicals in cerebral ischemia: the2001willis lecture[J].Stroke,2001,32(11):2712-2716.
    [17]惠宁宁,蒋秀红,朱敬明,沈健藩.不同剂量依托咪酯对家兔心内传导系统的影响.实用临床医药杂志,2003,7(3):273-274.
    [18]王新程,王进全.大鼠全脑缺血再灌注时依托咪酯对BcL-2和相关因子的关系.黑龙江医药科学,2010,33(3):28-29.
    [19]余俐,徐如祥,谢培增,郭再玉,彭苹,朱红胜,王松青,梁鹿章.高温高湿环境下颅脑损伤犬的血液流变学变化及依托咪酯的神经保护作用.中国临床康复,2005,9(21):52-54.
    [20]徐召溪,武明媚,焦西英,钱新宏,游思维.依托咪酯对成年大鼠视神经切断后视网膜神经节细胞的保护作用. International JournalofOphthalmology,2007,7(4):941-944.
    [21]高洁,邹俊.依托咪酯剂量来研究依托咪酯对大鼠肝缺血再灌注损伤时内皮素-1的影响.中国误诊学杂志,2010,10(6):1290-1291.
    [22]丁海雷,段世明,曾因明,王钧,张志龙.依托咪酯对大鼠脑cAMP信号转导系统的影响.中国药理学通报,2001,17(6):718-719.
    [23]丁海雷,曾因明,段世明,王钧,张志龙.依托咪酯对大鼠皮质、海马cAMP含量的影响.徐州医学院学报,2000,20(1):1-3.
    [24]余奇劲,周青山,黄海波.依托咪酯对兔主动脉阻断脊髓缺血性损伤的保护作用.医药导报,2009,28(2):185-188.
    [25]贾丽玲,曹定睿,张维智,李岩.瑞芬太尼预处理对大鼠脑缺血再灌注后神经细胞凋亡及Bcl-2Bax表达的影响.中国药物与临床,2010,10(2):171-173.
    [26]郝宇华,郭永清,吕国义,高春霖.缺血后处理对大鼠脑缺血再灌注损伤的影响.中国药物与临床,2010,10(3):277-279.
    [27]范议方,韩如泉.依托咪酯预处理对大鼠局灶性脑缺血-再灌注损伤的保护作用.中国卒中杂志,2009,4(11):879-882.
    [28]熊利泽,杨静徐,宁朱,萧玲,朱妙章.缺血后处理对大鼠局灶性脑缺血再灌注损伤的影响.中华麻醉学杂志,2005,25(7):508-510.
    [29]邢变枝,陈晖,张苏明.缺血后处理对大鼠局灶性脑缺血再灌注损伤热休克蛋白70影响.卒中与神经疾病,2010,17(2):97-100.
    [30]于航,贾庆波,王璐.缺血后处理对局灶性脑缺血再灌注损伤大鼠caspase-3的影响.Chin J Appl Physiol,2007,25(1):6-8.
    [31]韩敏,刘艳凯,薛茜.脑缺血再灌注损伤的研究进展.河北北方学院学报(医学版).2006,23(5):75-78.
    [32]赵明霞,李晓红.脑缺血后线粒体功能的变化机制及银杏叶制剂和氟桂嗪药物保护作用的研究进展.中风与神经疾病杂志,2003,20(8):377-379.
    [33]兰希发,郭阳.脑缺血再灌注后神经细胞凋亡的机制.中国临床康复,2003,7(19):2726-2727.
    [34]李燕.肢体缺血后处理对糖尿病大鼠局灶性脑缺血再灌注损失的影响[D].山东.山东大学.2009.
    [35]郝宇华.缺血后处理对大鼠脑缺血再灌注损失的保护作用[D].天津.天津医科大学研究生院.2008.
    [36]Bates B, Hirt L, Thomas SS, et al. Neurotrophin-3promotes cell death induced in cerebralischemia, oxygen-glucose deprivation, and oxidative stress:possible involvement of oxygen freeradicals[J]. Neurobiol Dis.2002,9(1):24-37.
    [37]Sims NR, Anderson MF. Mitochondrial contributions to tissue damage in stroke. NeurochemInt,2002,40(6):511-526.
    [38]Jarasch ED,Bruder G,Hei HV,et al. Signifi cance of Xanthine oxidase in capillaryendothelial cell[J].Acta Pysiol Scand Suppl,1986,548:39-46.
    [39]Landmesser U, Spieke rmann S, Dikalov S. et al. Vascular oxidative stress and endothelia Idysfunction in patients with chronic heart failure:role of xanthi reoxidase and extracellularsuperoxide dismutase [J]. Circulation,2002,106(24):3073-3078.
    [40]马明玉,刘春兰:麻醉临床药理学[M].北京:中国医药科技出版社,2003:63.
    [1] Xu Z, Xu RX, Liu BS, Jiang XD, Huang T, Ding LS, Yuan J. Time window characterist ics ofcultured rat hippocampal neurons subjected to ischemia and-reperfusion. Chin JTraumatol.2005;8:179-182.
    [2] Bolli R, Patel BS, Jeroudi MO, Lai EK, McCay PB. Demonstration of free radical generationin "stunned" myocardium of intact dogs with the use of the spin trap alpha-phenyl N-tert-butylnitrone. J Clin Invest.1988;82:476-485.
    [3]Shimamatsu K, Wanless IR.Role of ischemia in causing apoptosis, atrophy, and nodularhyperplasa in human liver[J].Hepatology,1997,6(2):343-350.
    [4]Frantseva MV,Carlen PL,Perez Velazquez JL. Dynamics of intracellular calcium and freeradical production during ischemia in pyramidal neurons. Free Radic BiolMed.2001;31:1216-1227.
    [5]Halestrap AP Calcium, mitochondria and reperfusion injury: a pore way to die. Biocbem SocTrans.2006;34:232-237.
    [6]Dohmen C, Kumura E, Rosner G, Heiss WD, Graf R. Extracellular correlates of glutamatetoxicity in short-term cerebral ischemia and reperfusion: a direct in vivo comparison betweenwhite and gray matter. Brain Res.2005;1037:43-51.
    [7]Ruehl ML, Orozco JA, Stoker MB, McDonagh PF, Coull BM, Ritter LS. Protective effects ofinhibiting both blood and vascular selectins after stroke and reperfusion. NeurolRes.2002;24:226-232.
    [8] Ding HL, Zhu HF, Dong JW, Zhu WZ, Yang WW, Yang HT, Zhou ZN. Inducible nitric oxidesynthase contributes to intermittent hypoxia against ischemia/reperfusion injury. Acta PharmacolSin.2005;26:315-322.
    [9] Murry CE, Jennings RB, Reimer KA. Preconditioning with ischemia: a delay of lethal cellinjury in ischemic myocardium[J]. Circulation,1986,74(5):1124-1136.
    [10]Zhao ZQ, Corvera JS, Halkos ME, et al. Inhibition of myocardial injury by ischemicpostconditioning during reperfusion:comparison with ischemic preconditioning[J]. Am J PhysiolHeart Circ Physiol,2003,285(2):579-588.
    [11] Zhao H, Sapolsky RM, Steinberg GK. Interrupting reperfusion as a stroke therapy: ischemicpostconditioning reduces infarct size after focal ischemia in rats[J]. J Cereb Blood Flow Metab,2006,26(9):1114-1121.
    [12]方芳,王婉灵,余术宜,等.后处理对大鼠实验性局灶性脑缺血再灌注损伤的保护作用[J].中国药理学通报,2007,23(4):476-479.
    [13]DanielisovaV, Ndmet hovaM, Gottlieb M, et al. The Changes in Endogenous AntioxidantEnzyme Activity After Postconditioning[J].Cell Mol Neurobio,2006,26(7):1181一1191.
    [14]Xing B, Chen H, Zhang M, et al. Ischemic post-conditioning protects brain and reducesinflammation in a rat model of focal cerebral ischemia/reperfusion[J].J Neurochem,2008,105(5):1737-1745.
    [15]Burda J, DanielisovaV, Ndmet hovaM, et al. Delayed postconditionig initiates addit ivemechanism necessary for survival of selectively vulnerable neurons after transient ischemia inrat brain[J]. Cell Mol Neurobiol,2006,26(7):1141一1151.
    [16]Choi S,Park KA,Lee HJ,et al.Expression of Cu/Zn SOD protein is suppressed in hsp70.1knockout mice.[J]Biochem Mol Biol,2005,38:111-114.
    [17]Chen H, Liu Z,Zhou Z,et al.The regulatory effect of memantine on expression and synthesisof heat shock protein70gene in neonatal rat models with cerebral hypoxic ischemia.Chin medJ(Engl)2003,116:558-564.
    [18]Xing B,Chen H,Zhang M,et al.Ischemic postconditioning inhibits apoptosis after focalcerebral ischemial reperfusion injury in the rat.Stroke,2008,39:2362-2369.
    [19]卢娜,李晓娟,李成长,等.低氧预适应对大鼠缺血再灌注性脑损伤中HSP-70,survivin蛋白和学习记忆能力的影响.南方医科大学学报,2007,27:1856-1859.
    [20] Argaud L, Gateau RO, Raisky O, et al. Postconditioning inhibits mitochondrial permeabilitytransition[J].Circulation,2005,111(2):194-197.
    [21]刘惠卿,李文斌,冯荣芳,等.一氧化氮合酶抑制剂L-NAME对大鼠脑缺血耐受诱导的影响.生理学报,2003,55:219-224.
    [22] Lee JJ, Li L, Jung HH, et al. Postconditioning with isoflurane reduced ischemia-inducedbrain injury in rats[J]. Anesthesiology,2008,108(6):1055-1062.
    [23] Bright R.Mochiy-RosenD.The role of protein kinase C in cerebral ischemic andreperfusion injury.Stroke.2005.36:278l-2790.
    [24]Tsang A, Hausenloy DJ, Mocanu MM, et al. Postconditioning: a form of "modifiedreperfusion" protects the myocardium by activating the phosphatidylinositol3-kinase-Aktpathway[J]. Circ Res,2004,95(3):230-232.
    [25]Wang JY, Shen J, Gao Q, et al. Ischemic postconditioning protects against global cerebralischemia/reperfusion-induced injury in rats[J]. Stroke,2008,39(3):983-990.
    [26]余奇劲,周青山,黄海波.依托咪酯对兔主动脉阻断脊髓缺血性损伤的保护作用.医药导报,2009,28(2):185-188.
    [27] Cheng MA, Theard MA, Tempelhof R. Intravenous agents and intraoperativeneuroprotection. Beyond barbiturates[J]. Crit Care Clin,1997,13:185-199.
    [28]Robertson SC, Brown P3rd, Loftus CM. Effects of etomidate administration on cerebralcollateral flow[J]. Neurosurgery,1998,43:317-323.
    [29]Patel PM, Goskowicz RL, Drummond JC, et a1.Etomidate reduces ischemia-inducedglutamate release in the hippocampus in rats subjected to incomplete forebrain ischemia[J].Anesth Analg,1995,80:933-939.
    [30]Sano T, Patel PM, Drummond JC, et a1. A comparison of the cerebral protective effects ofetomidate, thiopental and isof lurane in a mode1of forebrain ischemia in the rat[J]. AnesthAnalg,1993,76:990-997.
    [31]王新程,王进全.大鼠全脑缺血再灌注时依托咪酯对BcL-2和相关因子的关系.黑龙江医药科学,2010,33(3):28-29.
    [32] Basagan—Mogol E,Buyukuysal RL,Korfali G.Effects of ketamine and thiopental onischemia reoxygenation—induced LDH leakage and amino acid release from rat striatalslices[J].J Neurosurg Anesthesia,2005,17:20—26.
    [33] Helmer KS,Suliburk JW,Mercer DW.Ketamine—induced gastroprotection duringendotoxemia:role of heme-oxygenase-1[J].Dig Dis Sci,2006,51(9):1571—1581.
    [34] Chen L,Gong Q,Xiao C.Effects of propofol,midazolam and thiopental sodium onoutcome and amino acids accumulation in focal cerebral ischemia-reperfusion in rats[J].ChinMed J,2003,116(2):292—296.
    [35]Kato R,Foex P.Myocardial protection by anesthetic agents against ischemia-reperfusioninjury:an update for anesthesiologists[J].Can J Anesth,2002,49(8):777—791.
    [36]Murphy PG,MyersDS,DaviesMJ,et a1.The antioxidant potential of propofol(2,6-diisopropylphenol)[J].Br J Anaesth,1992,68(6):613—618.
    [37]曹云飞,俞卫锋.异丙酚的抗氧化作用[J].国外医学:麻醉学与复苏分册,1998,19(4):209—212.
    [38] Shao G,Li J,Zhou Y,et a1.Dose—dependent protective effect of propofol againstmitochondrial dysfunction in ischemia/reperfused rat heart:role of cardiolipin[J].Bri JPharmac,2008,l53:l641一l649.
    [39]王敬宇,曹定睿,毛惠斌,王建刚,杨春艳.丙泊酚、咪唑安定对大鼠肝缺血再灌注损伤期细胞凋亡的影响.山西医科大学学报,2008,39(5):411-413.
    [40]袁苑,曹定睿,殷渊.丙泊酚对大鼠肠缺血再灌注时肝损伤及Bcl-2、Bax蛋白表达的影响.山西医科大学学报,2008,39(9):791-793.
    [41]张维智,曹定睿,贾丽玲,李岩,王佳.亚低温丙泊酚对大鼠肝脏缺血再灌注损伤时Bcl-2与Bax表达的影响.中国药物与临床,2010,10(1):54-56.
    [42] Acquaviva R.Campisi A.Murabito P,et a1.Propofol attenuates peroxynitrite-mediatedDNA damage and apoptosis in cultured astrocytes:an alternative protectivemechanism.Anesthesiology,2004,101(6):1363-1371.
    [43]李治贵,黄海波,王泽华,等.异丙酚对家兔主动脉阻断所致脊髓损害的保护作用[J].中华麻醉学杂志,1999,19(6):352-354.

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