α2 肾上腺素能受体激动剂对缺血再灌注大鼠脑组织 NF-κB 及炎症因子表达的影响
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1.郑州大学附属儿童医院 河南省儿童医院 郑州儿童医院麻醉科 河南省儿童神经发育工程研究中心, 郑州 450018; 2.哈佛大学医学院附属布列根和妇女医院, 美国 马萨诸塞 波士顿 02101


Activation of the α2 adrenoceptor inhibits the expression of NF-κB and inflammatory cytokines in the rat brain after ischemia-reperfusion
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1.Department of Anesthesiology, the Children’s Hospital of Zhengzhou University,Children’s Hospital of Henan Province, Zhengzhou Children’s Hospital, Henan Engineering Research Center of Childhood Neurodevelopment, Zhengzhou 450018, China. 2. Dongdong Yao, Department of Anesthesiology, Brigham and Women’s Hospital, Harvard Medical School, Boston MA02101, USA

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    摘要:

    目的 评价 α2 肾上腺素能受体激动剂右美托咪定对大鼠脑缺血再灌注核因子-κB (NF-κB)、脑组 织肿瘤坏死因子-α (TNF-α)及白细胞介素-1β(IL-1β)的影响。 方法 90 只 SD 雄性大鼠,采用数字表法随机分为 3 组,每组 30 只,分别为假手术组(S 组)、缺血再灌注对照组(C 组)和 α2 肾上腺素能受体激动剂干预组(D 组),每 组再根据大鼠伤后的生存时间,随机平均分为 5 个亚组,每组均为 6 只,即术后 2、6、12、24 和 48 h 5 个亚组。大鼠 脑缺血再灌注模型参照改良 Longa 法制造。 S 组仅做线栓,不做其他处理。 D 组栓塞成功后于缺血后 2 h 拔线,至颈外动脉残端内再灌注,在缺血前 30 min 经腹腔注射 α2 -AR 激动剂右美托咪定 100 μg / kg(4 μg / mL)。 C 组给予等体积的 0.9%生理盐水。各组大鼠分别在伤后相应时间点断头取脑采用免疫印迹分析测定 NF-κB,酶联免疫法测 定脑组织中 TNF-α 及 IL-1β 水平。在模型制备以后 24 h、48 h 时,分别取出 6 只大鼠,将其随机放到一个象限之内, 测定逃避潜伏期,即大鼠都面向池壁,记录它们在 60 s 之内找到平台的时间,如果 90 s 内大鼠未还未找到平台,则 认定逃避潜伏期为 90 s,每只大鼠测定 5 次,并取平均值;在模型制备之后 24 h、48 h 时,分别取 6 只大鼠,测试警觉 性、反应以及协调运动能力。 结果 脑组织 NF-κB、 TNF-α 及 IL-1β 含量 S 组在伤后 2、6、12、24、48 h 差异无统计 学意义。 各时间点组间比较, C 组以上指标比 S 组高(P < 0.05),D 组比 S 组高(P < 0.05),比 C 组低(P < 0.05)。 模型制备后 24 h、48 h,C 组、D 组高于 S 组的神经功能缺陷评分(P <0.05),逃避潜伏期延长 (P <0.05),且 D 组的评 分高于 C 组(P <0.05)。 结论 α2 肾上腺素能受体激动剂能够抑制大鼠脑缺血再灌注时 NF-κB、TNF-α 及 IL-1β 的 表达,具有脑保护作用。

    Abstract:

    Objective To investigate the neuroprotective effect of the α2 adrenergic agonist dexmedetomidine in rat brain tissues after traumatic brain injury by assessing expression of nuclear factor kappa B, tumor necrosis factor α (TNF-α), and interleukiN-1β ( IL-1β). Methods Male Sprague-Dawley rats were randomly divided into one of three groups: the sham operation group ( group S ), the cerebral ischemia-reperfusion group ( group C ), and the dexmedetomidine group (group D). Each of these groups was then subdivided into subgroups of 6 rats each for time points 2, 6, 12, 24, and 48 h. Parietal brain contusions were induced according to a modified Longa method. The rats in group S then underwent a sham operation. For group D, 2 h after successful embolization a wire was pulled into the stump of the external carotid artery to simulate ischemia and reperfusion, and 30 min later the rats received an intraperitoneal injection of the α2 adrenergic receptor(α2 -AR)agonist dexmedetomidine at a dose of 100 μg / kg (4 μg / mL). Group C underwent the same procedure as group S, but 0. 9% NaCl was injected instead of dexmedetomidine. At each time point, nuclear factor kappa B expression was detected using western blotting, and TNF-α and IL-1β expression were detected using ELISA. Six rats were selected for scoring of neurological deficits at 24 and 48 hours after model preparation, including test response, alertness, and coordination. Six rats were selected 24 and 48 hours after model preparation and randomly placed facing the wall in one quadrant of a cage with a central platform, and, the time it took to find the platform within 60 s was recorded. If the platform was not found within 90 s, the escape latency was recorded as 90 s. Five times were recorded and the average value was calculated. Results No significant differences in TNF-α and IL-1β expression in the brain tissue at 6, 12, 24, and 48 h in group S were found. TNF-α and IL-1β expression was higher in group C than in group S (P <0. 05), higher in group D than in group S (P <0. 05), but lower in group D than in group C (P <0. 05). At 24 and 48 hours after model preparation, compared with group S, neurological deficit scores were higher in groups C and D (P <0. 05), and escape latency was prolonged ( P < 0. 05). Neurological deficit scores were higher in group D than in group C ( P < 0. 05). Conclusions The α2 adrenergic agonist dexmedetomidine protects brain tissue by inhibiting the inflammation induced by cerebral ischemia-reperfusion in rats.

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邱永升,魏 巍,宗小川,周 锐,陈夜茜,王 帅,姚东东,贾英萍.α2 肾上腺素能受体激动剂对缺血再灌注大鼠脑组织 NF-κB 及炎症因子表达的影响[J].中国比较医学杂志,2020,30(7):104~109.

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  • 收稿日期:2019-12-25
  • 在线发布日期: 2020-08-25
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