国际麻醉学与复苏杂志   2017, Issue (5): 0-0
    
前脑啡肽原基因转染对大鼠心肌缺血/再灌注损伤的影响
姜静1()
1.第四军医大学唐都医院
Preproenkephalin-minimalistic immunological defined gene expression-nuclear localization sequence gene transfection reduced myocardial ischemia/reperfusion injury in rats
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摘要:

目的 观察采用非病毒、非质粒微量免疫原定义的基因表达(minimalistic immunological defined gene expression, MIDGE)方法构建前脑啡肽原(preproenkephalin, PPENK)-MIDGE-核定位序列(nuclear localization sequence, NLS)基因载体在缺血心肌的表达及对心肌的保护作用。 方法 48只雄性SD大鼠采用随机数字表法分为4组(每组12只):假手术组(C组)、缺血/再灌注(ischemia/reperfusion, I/R)组(I/R组)、载体组(P组)、拮抗剂组(D组)。C组仅进行开胸手术,冠状动脉左前降支(left anterior descending, LAD)挂线不结扎;I/R组开胸结扎LAD 30 min再灌注24 h;P组尾静脉注射PPENK-MIDGE-NLS基因载体24 h后建立心肌I/R模型;D组实验前24 h尾静脉注射PPENK-MIDGE-NLS基因载体,实验前30 min给予纳曲吲哚(1 g/kg)。记录缺血前(T0)和缺血30 min(T1)、再灌注30 min时(T2)的MAP、HR;按Lambeth会议标准记录T1和T2心律失常情况并评分;于I/R后24 h用ELISA检测大鼠血清肌钙蛋白I(carciac troponin I, cTnI)、氯化三苯四氮唑(2,3,5-triphenyltetrazolium chloride, TTC)染色测量心肌梗死面积、H-E染色观察心肌形态学改变、Western blot检测心肌组织内前脑啡肽(proenkephalin, PENK)的表达。 结果 PPENK-MIDGE-NLS基因载体静脉注射后可减轻心肌I/R诱导的MAP、HR下降程度,P组的cTnI低于I/R组和D组(P<0.05),P组大鼠心律失常评分[(2.0±0.9)分]分别低于I/R组[(4.1±0.6)分]和D组[(4.0±1.0)分](P<0.05),P组的心肌梗死面积较I/R组明显减少(P<0.05),H-E染色示P组大鼠心肌损伤程度明显减轻,心肌PENK蛋白表达量明显高于其他组(P<0.05)。 结论 PPENK-MIDGE-NLS提高心肌缺血区PENK含量,具有心肌保护作用。

关键词: 心肌; 缺血/再灌注损伤; 内源性脑啡肽; 基因载体
Abstract:

Objective Investigating the protective effects and expression level of the preproenkephalin(PPENK) by using Non-virus and Non-plasmids PPENK-minimalistic immunological defined gene expression(MIDGE)-nuclear localization sequence(NLS) construct on myocardial ischemia/reperfusion(I/R) injury in rats. Methods  Forty eight SD rats were divided into four groups randomly as(n=12): sham operation group (group C), I/R group (group I/R), gene vector group (group P), and antagonist group (group D). Group C was treated identically as other groups except left anterior descending was not tied. Group I/R was treated with 30 min of occlusion and 24 h reperfusion. Group P was given PPENK-MIDGE-NLS gene vector by tail vein injection 24 h later and then established the rat model of myocardial I/R. Group D was injected with PPENK-MIDGE-NLS gene vector from tail vein 24 h before and was injected naltrindole(1g/kg) 30 min before the rat model of myocardial ischemia reperfusion was established. Hemodynamic indexes including MAP and HR were recorded at T1(before ischemia), T2(30 min after ischemia) and T3(30 min after reperfusion).According to the Lambeth conference standard, arrhythmia situation were recorded and scored within 30 min ischemia and 30 min reperfusion. At the end of reperfusion, the level of cardiac troponin I(cTnI) in plasma was measured by ELISA Kit. Myocardial infarction size was measured by Triphenyltetrazolium Chloride. The morphology change of cardiomyocyte was observed with lens microscope, and the protein expression level of proenkephalin(PENK) in the myocardial tissue was measured by western blotting. Results PPENK-MIDGE-NLS gene vector could reduce the drop extents of MAP and HR that induced by myocardial I/R in rats. The expression level of cTnI in group P was reduced compared with I/R proup and group D(P<0.05). The cardiac arrhythmia score in group P (2.0±0.9) was reduced compared with group I/R(4.1±0.6) and group D(4.0±1.0)(P<0.05). The myocardial infarction size in group P was decreased significantly compared with group I/R(P<0.05). The morphology change of myocardial injury was reduced obviously in group P. The expression of PENK protein was increased compared with other groups(P<0.05). Conclusions PPENK-MIDGE-NLS gene vector transfection enhanced the expression level of proenkephalin and had a protective effect on myocardial I/R injury in rats.

Key words: Myocardial; Ischemia/reperfusion injury; Endogenous enkephalin; Gene vector