国际麻醉学与复苏杂志   2021, Issue (11): 3-3
    
富马酸二甲酯激动Nrf2调控Drp1相关的线粒体裂变在糖尿病大鼠心肌缺血再灌注损伤中的作用
朱倩倩, 徐桂萍, 王晓丽, 杨振宇1()
1.新疆维吾尔自治区人民医院
Role of dimethyl fumarate stimulating nuclear factor⁃erythroid 2⁃related factor 2 in regulating dynamin⁃related protein1⁃re⁃lated mitochondrial fission on myocardial ischemia/reperfusion injury in diabetic rats
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摘要:

目的 探讨核因子E2相关因子2(nuclear factor‑erythroid 2‑related factor 2, Nrf2)在糖尿病大鼠心肌缺血/再灌注损伤(myocardial ischemia/reperfusion injury, MI/RI)中对线粒体动力相关蛋白1(dynamin‑related protein 1, Drpl)相关线粒体裂变的调控及富马酸二甲酯(dimethylfumarate, DMF)的保护作用。 方法 选择健康雄性SD大鼠制备糖尿病大鼠模型。采用随机数字表法将糖尿病模型制备成功的60只大鼠分为4组(每组15只):假手术组(S组)、心肌缺血/再灌注组(MI/R组)、DMF+心肌缺血/再灌注组(R组)、DMF+ML385+心肌缺血/再灌注组(RE组)。R组、RE组术前7 d进行DMF 25 mg/kg灌胃,1 次/d,连续7 d;S组与MI/R组行等容量生理盐水灌胃。RE组于缺血前30 min腹腔注射ML385 30 mg/kg。MI/R组、R组和RE组采用结扎左冠状动脉前降支30 min,恢复灌注120 min的方法制备糖尿病大鼠MI/RI模型;S组只穿线不结扎。记录4组大鼠心率、左心室收缩压(left ventricular systolic pressure, LVSP)、左心室射血分数(left ventricular ejection fractions, LVEF)和左心室短轴缩短率(fractional shortening,FS);ELISA法检测血清乳酸脱氢酶(lactate dehydrogenase, LDH)、肌酸激酶同工酶(creatine kinase MB, CK‑MB)、心肌肌钙蛋白I(cardiac troponin I, cTnI)含量,检测心肌组织中丙二醛(malondialdehyde, MDA)、活性氧自由基(reactive oxygen species, ROS)含量和超氧化物歧化酶(superoxide dismutase, SOD)活性;H‑E染色光镜下观察心肌病理学结果;2,3,5‑三苯基氯化四氮唑(2,3,5‑triphenyltetrazolium chloride, TTC)染色法测定心肌梗死面积;RT‑PCR法检测心肌Nrf2、Drp1 mRNA水平;Western blot法检测心肌Nrf2、Drp1蛋白水平;电子显微镜评估心肌线粒体形态学改变。 结果 与S组比较,MI/R组、R组、RE组心率、LVSP、LVEF、FS下降(P<0.05),LDH、CK‑MB、cTnI、MDA和ROS含量增加(P<0.05),SOD活性降低(P<0.05),心肌病理学损伤加重,心肌梗死面积增加(P<0.05),Nrf2、Drp1 mRNA及蛋白水平上调(P<0.05),心肌线粒体裂变增加;与MI/R组比较,R组心率、LVSP、LVEF、FS增加(P<0.05),CK‑MB、LDH、cTnI、MDA和ROS含量降低(P<0.05),SOD活性增加(P<0.05),心肌病理学损伤减轻,心肌梗死面积减少(P<0.05),Nrf2 mRNA及蛋白水平上调(P<0.05),Drp1 mRNA及蛋白水平下调(P<0.05),心肌线粒体裂变减少;与R组比较,RE组心率、LVSP、LVEF、FS下降(P<0.05),LDH、CK‑MB、cTnI、MDA和ROS含量增加(P<0.05),SOD活性降低(P<0.05),心肌病理学损伤加重,心肌梗死面积增加(P<0.05),Nrf2 mRNA及蛋白水平下调(P<0.05),Drp1 mRNA及蛋白水平上调(P<0.05),心肌线粒体裂变增加。 结论 在糖尿病大鼠MI/RI中,DMF可激动Nrf2调控Drp1相关的线粒体裂变发挥其心肌保护作用。

关键词: 糖尿病;心肌;缺血/再灌注损伤;核因子E2相关因子2;动力相关蛋白1;线粒体
Abstract:

Objective To explore the protective effects of dynamin‑related protein 1 (Drpl)‑related mitochondrial fission and dimethylfumarate (DMF) by nuclear factor‑erythroid 2‑related factor 2 (Nrf2) on myocardial ischemia/reperfusion injury (MI/RI) in diabetic rats. Methods Healthy male SD rats were selected to prepare a diabetic model of rats. According to the random number table method, 60 diabetic rats were divided into four groups (n=15): a sham operation group (group S), a myocardial ischemia/reperfusion group (group MI/R), a DMF+myocardial ischemia/reperfusion group (group R), and a DMF+ML385+myocardial ischemia/reperfusion group (group RE). Group R and group RE received DMF 25 mg/kg gavage seven days before surgery, once a day, for consecutive seven days.Group S and group MI/R were given by gavage an equal volume of normal saline. Group RE was intraperitoneally injected with ML385 30 mg/kg 30 min before ischemia. The MI/RI model of diabetic rats was prepared by ligating the anterior descending branch of the left coronary artery for 30 min followed by perfusion for 120 min. Group S was only threaded but not ligated. Then, their heart rate, left ventricular systolic pressure (LVSP), left ventricular ejection fractions (LVEF) and left ventricular short axis shortening (FS) rate were recorded. The enzyme‑linked immunosorbent assay (ELISA) was used to measure the content of serum lactate dehydrogenase (LDH), creatine kinase MB isoenzyme (CK‑MB), and cardiac troponin I (cTnI). The activity of malondialdehyde (MDA), reactive oxygen species (ROS) content, and superoxide dismutase (SOD) activity in myocardial tissue were examined. The pathological change of myocardial tissues was detected by hematoxylin‑eosin (H‑E) staining. The size of myocardial infarction was observed by 2, 3, 5‑triphenyltetrazolium chloride (TTC) staining. The expression of myocardial Nrf2 and Drp1 mRNA was detected by reverse transcription polymerase chain reaction (RT‑PCR). The expression of myocardial Nrf2 and Drp1 was detected by Western blot. The morphological changes of myocardial mitochondria were evaluated by electron microscopy. Results Compared with group S, group MI/R, group R, and group RE showed decreases in heart rate, LVSP, LVEF and FS (P<0.05), increases in LDH, CK‑MB, cTnI, MDA and ROS content (P<0.05), decreases in SOD activity (P<0.05), myocardial pathological injury was aggravated,increases in myocardial infarction area (P<0.05), up‑regulation of Nrf2, Drp1 mRNA and protein expression (P<0.05), and increases in myocardial mitochondrial fission. Compared with group MI/R, group R presented increases in heart rate, LVSP, LVEF, and FS (P<0.05), decreases in CK‑MB, LDH, cTnI, MDA and ROS content (P<0.05), increases in SOD activity (P<0.05), myocardial pathological injury was alleviated, decreases in myocardial infarction area (P<0.05), up‑regulation of Nrf2 mRNA and protein expression (P<0.05), down‑regulation of Drp1 mRNA and protein expression (P<0.05), and decreases in myocardial mitochondrial fission. Compared with group R, group RE showed decreases in heart rate, LVSP, LVEF, and FS (P<0.05), increases in LDH, CK‑MB, cTnI, MDA and ROS content (P<0.05), decreases in SOD activity (P<0.05), myocardial pathological injury was aggravated, increases in myocardial infarction area (P<0.05), down‑regulation of Nrf2 mRNA and protein expression (P<0.05), and up‑regulation of Drp1 mRNA and protein expression (P<0.05), and increases in myocardial mitochondrial fission. Conclusion During the MI/RI of diabetic rats, DMF can stimulate Nrf2 to regulate Drp1‑related mitochondrial fission and exert its cardioprotective effect.

Key words: Diabetes; Myocardium; Ischemia/reperfusion injury; Nuclear factor erythroid 2 related factor 2;Dynamin‑related protein 1; Mitochondria