国际麻醉学与复苏杂志   2013, Issue (9): 3-3
    
PKC和mKATP通道在七氟醚预处理抗缺血再灌注肠损伤中的作用
程志芳, 方洁, 李玉娟, 李志鹏, 李向宇, 柳垂亮1()
1.河南中医学院一附院
The role of PKC and mKATP in Sevoflurane preconditioning against intestinal ischemia-reperfusion injury in rats
 全文:
摘要:

【摘要】 目的 探讨蛋白激酶C(Protein kinase C,PKC)和线粒体ATP敏感性钾通道(mito ATP-sensetive potassium channel ,mKATP)在0.5MAC七氟醚(1.15%)预处理减轻大鼠肠缺血再灌注损伤中的作用。方法 45只大鼠按随机数字表法分成5组(n=9):①假手术对照组(Sham组);②肠缺血再灌注组(II/R组);③0.5MAC七氟醚预理组(APC组);④PKC非特异性阻滞剂Chelerythrine组(CHE组):在0.5MAC七氟醚预处理前15min腹腔注射CHE 5mg/kg;⑤ mKATP通道阻滞剂5-Hydroxydecanoic组(5HD组):在0.5MAC七氟醚预处理前15min腹腔注射5-HD 10mg/kg。再灌注120min时剪取小肠组织三份,分别行组织切片HE染色,在光镜下观察其结构病理变化程度及改良Chiu’s评分,免疫组织化学法检测Caspase-3活化表达,并用Western blot方法检测肠组织Bcl-2和Caspase-3活化蛋白表达的变化。结果 APC组的Chiu’s病理评分值4.04±1.31,显著性低于II/R组6.71±1.06、CHE组6.84±1.07及5HD组5.78±1.16(P<0.01),而后三组差异无统计学意义(P>0.05)。与Sham组比较,其它各组的Bcl-2及Caspase-3表达量显著升高(P<0.01, 0.05);与CHE组、5HD组及II/R组相比,APC组的Bcl-2增加而Caspase-3减少(P<0.01);CHE组和5HD组与II/R组比较差异无统计学意义(P>0.05)。结论 0.5MAC七氟醚预处理减轻II/R后肠组织的病理损害,提高Bcl-2和降低Caspase-3蛋白的表达,而阻滞剂CHE和5-HD能消除此效应。0.5MAC七氟醚预处理的保护机制与PKC和mKATP通道的激活有关。

关键词: 【关键词】再灌注损伤;肠;七氟醚;预处理;蛋白激酶C;ATP敏感钾离子通道
Abstract:

【Abstract】 Objective To investigate the role of protein kinase C (Protein kinase C,PKC) and mitochondrial KATP (mito ATP-sensetive potassium channel ,mKATP) channels in 0.5MAC sevoflurane (1.15%) pretreatment preventing intestinal ischemia-reperfusion injury in rats. Materials and Methods 45 rats were randomly divided into five groups (n = 9): ① sham-operated group (Sham group); ② The intestinal ischemia-reperfusion group (II/R group); ③ 0.5MAC sevoflurane preconditioning group (APC group); ④ PKC nonspecific blocker Chelerythrine group (CHE group): Intraperitoneally inject CHE 5mg/kg 15min before 0.5MAC sevoflurane pretreatment; ⑤ mKATP channel blocker 5-Hydroxydecanoic group (5HD group): Intraperitoneally inject 5-HD 10mg/kg 15min before 0.5MAC sevoflurane pretreatment. Clip three pieces of intestinal tissue when reperfusion happened 120min to make HE staining tissue sections, observed the degree of pathological changes of its structure by improved Chiu's scale in the microscope, the expression of Caspase-3 activation was observed in the light microscope, and expression changes of Bcl-2 and Caspase-3 activation protein in intestinal tissues was detected by Western blot method. Results Chiu's pathological score of APC group(4.04±1.31) was significantly lower than that of II/R group(6.71±1.06), CHE(6.84±1.07) and 5HD group (5.78±1.16)(P<0.01), the latter three groups showed no significant difference (P>0.05). Compared with Sham group, Bcl-2 and Caspase-3 expression levels of the other four groups were significantly increased (P<0.01). Compared with APC group, Bcl-2 expression levels of the CHE Group, 5HD group and II/R group were significantly decreased (P<0.05). Compared with Sham group, Caspase-3 expression levels of the other four groups significantly increased (P<0.01), the increased range of APC group is significantly less than CHE group, the 5HD group II/R group (P<0.01), the latter three groups showed no significant difference (P>0.05). Conclusion 0.5MAC sevoflurane pretreatment can protect agaist the intestinal IRI through the activeation of PKC and mKATP channel.

Key words: 【Key words】 Reperfusion injury; intestines; Sevoflurane; Preconditioning; PKC; KATP