国际麻醉学与复苏杂志   2016, Issue (1): 9-9
    
异氟醚麻醉诱导大鼠脑海马神经炎症并激活Toll样受体2通路
张旭东, 任鹏程, 高昌俊, 何印斌, 郭争社1()
1.第四军医大学唐都医院
Neuroinflammation induction and toll-like receptor 2 pathway activation in rat hippocampus by isoflurane
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摘要:

目的 观察异氟醚麻醉与神经炎症的关系并探究其中的反应机制。 方法 将15只雌性SD大鼠用完全随机分组法分为3组(每组5只):对照组行热板实验,麻醉组行异氟醚麻醉、热板实验,空白组不做上述处理。热板实验后取大鼠大脑进行切片制作,免疫荧光双标检测观察Toll样受体2(toll like receptor 2, TLR2)在大脑海马区的表达,Western blot检测海马区TNF-α、IL-1β、IL-6、单核细胞趋化蛋白-1(monocyte chemoattractant protein-1, MCP-1)以及TLR2表达水平。 结果 与对照组比较,麻醉组大鼠热缩足反射潜伏期(paw withdrawal latency, PWL)在异氟醚麻醉2 h[(31±4) s比(19±3) s]和24 h[(25±4) s比(19±4) s]后显著增高(P<0.05),而48 h时与对照组PWL比较,差异无统计学意义(P>0.05)。与对照组比较,麻醉组大鼠海马区TNF-α、IL-1β、IL-6、MCP-1以及TLR2表达水平均升高(P<0.01)。 结论 异氟醚麻醉促进海马区炎症因子表达,并激活TLR2信号通路。

关键词: 异氟醚; 麻醉; 海马; Toll样受体2; 神经炎症; 大鼠
Abstract:

Objective To explore the correlation between isoflurane anesthesia and neuroinflammation. Methods Fifteen female SD rats were randomly divided into 3 groups(n=5): control group for hot plate tests, anesthesia group for isoflurane anesthesia and hot plate tests, blank group were not conducted with isoflurane anesthesia and hot plate tests. After the hot plate tests, rats of the three groups were sacrificed humanely for brain slice. The toll-like receptor 2(TLR2) expressed in the brain hippocampus was observed by using immunofluorescent double staining. Then, the levels of TNF-α, IL-1β, IL-6, monocyte chemoattractant protein-1(MCP-1) and TLR2 in hippocampus were detected by Western blot. Results Compared with control group, the paw withdrawal latency(PWL) of anesthesia group rats was significantly delayed at 2 h [(31±4) s vs (19±3) s] and 24 h [(25±4) s vs (19±4) s] after the treatment, while the PWL was not different from the control at 48 h after the treatment (P>0.05). Moreover, the levels of TNF-α, IL-1β, IL-6, MCP-1 and TLR2 in hippocampus of anaesthetic rats were higher when compared with the control group(P<0.01). Conclusions Isoflurane anesthesia induces neuroinflammation and activates TLR2 signaling pathway in rat hippocampus.

Key words: Isoflurane; Anesthesia; Hippocampus; Toll-like receptor 2; Neuroinflammation; Rats