国际麻醉学与复苏杂志   2014, Issue (8): 3-3
    
七氟烷后处理通过激活ERK1/2信号通路减轻大鼠局灶性脑缺血再灌注损伤
于颖波, 贾栋1()
1.陕西省西安市户县人民医院神经外科
Sevoflurane postcondionting protects against focal cerebral ischemia and reperfusion injury via ERK1/2 pathway
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摘要:

目的 研究七氟烷后处理对大鼠局部脑缺血/再灌注损伤(ischemia/reperfusion injury, I/RI)的影响,初步探讨细胞外信号调节激酶(extracellular signaling-regulated kinase, ERK)1/2信号通路在其中的作用。 方法 建立大鼠大脑中动脉栓塞(middle cerebral artery occlusion, MCAO)模型。按随机数字表法将70只雄性Sprague-Dawley(SD)大鼠随机分为7组(每组10只):假手术组(Sham组)、I/RI组、七氟烷后处理组(Sevo组)、丝裂原活化蛋白激酶(mitogen-activated protein kinase, MAPK)/ERK1/2特异性阻断剂U0126组/PD98059组(U0126组/PD组)、七氟烷后处理+U0126组/ PD98059组(Sevo+U0126组/Sevo+PD组)。除Sham组外,其余各组大鼠均局部缺血90 min,再灌注24 h。Sevo组局部缺血90 min,再灌注开始即刻吸入2.5%七氟烷30 min行后处理,再灌注至24 h。特异性阻断剂U0126/PD98059分别于缺血前30 min显微镜下脑室内给予注射。再灌注24 h后行神经功能评分,测定脑梗死容积,Western blot法测定Total-ERK1/2及磷酸化ERK1/2(ERK1/2 P42/P44)表达。 结果 与Sham组比较,I/RI组及Sevo组神经功能评分及脑梗死容积均增加(P<0.05); Sevo组神经功能评分及脑梗死容积较I/RI组显著降低[分别为(2.2±0.4) vs (3.2±0.6)和(24.1±2.1)% vs (42.3±2.2)%](P<0.05),磷酸化ERK1/2表达显著增高(P<0.05),U0126组、PD组及Sevo+U0126组、Sevo+PD组各指标组间比较差异无统计学意义(P>0.05)。 结论 七氟烷后处理减轻大鼠局部脑I/RI,其作用机制可能与激活MAPK/ERK1/2信号通路有关。

关键词: 七氟烷; 后处理; 大脑中动脉栓塞; 细胞外信号调节激酶1/2
Abstract:

Objective To investigate the effect of sevoflurane postconditioning on extracellular signaling-regulated kinase(ERK)1/2 after cerebral ischemia/reperfusion injury(I/RI) in rats. Methods Rat middle cerebral artery occlusion(MCAO) model was bulit. Seventy male Sprague-Dawley(SD) rats were randomly assigned to 7 groups (with 10 rats each): Sham group, I/RI group, sevoflurane postconditioning group(Sevo group), U0126/PD98059 [specific inhibitor of mitogen-activated protein kinase(MAPK)/ERK1/2] group, Sevo+U0126 group and Sevo+PD group. All rats except the Sham group were subjected to 90 min of MCAO followed by 24 h reperfusion. Sevoflurane was administrated at the beginning of reperfusion for 30 min. U0126/PD98059 was given by intracerebroventricular injection 30 min before ischemia. The neurological deficit scores and infarct volume were evaluated at the end of reperfusion. Total ERK1/2 and Phosphrylated-ERK1/2(ERK1/2 P42/P44) were measured by Western blot analysis. Results Compared with the Sham group, both of the neurological deficit scores and infarct volume increased in I/RI group and Sevo group(P<0.05). Compared with I/RI group, significantly decreased neurological deficit scores and infarct volume[(3.2±0.6) vs (2.2±0.4) and (42.3±2.2)% vs (24.1±2.1)%, respective](P<0.05), significantly increased ERK1/2 P42/P44 expression were found in the Sevo group(P<0.05). There was no significant difference in all variables among U0126 group, PD group, Sevo+U0126 group and Sevo+PD group(P>0.05). Conclusions Sevoflurane postcondnioning may protect brain I/RI in rat perhaps contribute to activation of the ERK1/2 signaling pathway.

Key words: Sevoflurane; Postconditioning; Middle cerebral artery occlusion; Extracellular signaling-regulated kinase1/2