国际麻醉学与复苏杂志   2018, Issue (5): 5-5
    
右美托咪定预处理对大鼠肝缺血/再灌注损伤的作用
卜月1()
1.哈尔滨医科大学附属第二医院
Effects of dexmedetomidine pretreatment on hepatic ischemia/reperfusion injury in rats
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摘要:

目的 探究细胞外调节蛋白激酶1/2(extracellular signal regulated kinase 1/2, ERK1/2)在右美托咪定(dexmedetomidine, Dex)预处理减轻大鼠肝缺血/再灌注损伤中的作用。 方法 采用随机数字表法将24只成年健康雄性SD大鼠分为4组(每组6只):对照组(S组)、肝缺血/再灌注损伤(hepatic ischemia/reperfusion injury, HI/RI)组(HI/RI组)、Dex预处理组(D组)、丝裂原活化蛋白激酶(methyl ethyl ketone, MEK)抑制剂U0126组(U组)。再灌注6 h末,测定血清ALT、AST活性,病理学H?蛳E染色,检测Cleaved casepase-3(Western blot法)和ERK1/2(免疫组织化学法)的表达水平,并计算凋亡指数(TUNEL法)。 结果 与HI/RI组比较,D组ALT和AST的活性降低,Cleaved casepase-3的表达明显下调,细胞凋亡指数降低(P<0.05),磷酸化细胞外信号调节蛋白激酶1/2(phosphorylate extracellular signal-regulated kinases 1/2, p-ERK1/2)的表达明显上调(P<0.05)。与D组比较,U组ALT和AST的活性升高,Cleaved casepase-3的表达明显上调,细胞凋亡指数升高(P<0.05),由Dex诱导的p-ERK1/2的表达明显上调被抑制剂U0126显著抑制(P<0.05)。 结论 Dex预处理降低肝脏的casepase-3的表达,减轻HI/RI的炎症反应,Dex通过上调p-ERK1/2的表达发挥保护作用。

关键词: 右美托咪定; 缺血/再灌注损伤; 肝脏; 细胞外调节蛋白激酶1/2; 凋亡
Abstract:

Objective To investigate the role of extracellular signal-regulated kinase 1/2(ERK1/2) in attenuation of hepatic ischemia/reperfusion injury by dexmedetomidine (Dex) preconditioning in rats. Methods Adult male SD rats were randomly allocated into four groups (n=6): Sham group (group S), hepatic ischemia/reperfusion injury(HI/RI) group (group HI/RI), Dex pretreatment in HI/RI group (group D), U0126 (MEK inhibitor) pretreatment followed by same treatments as D group (group U). The results were observed at 6 h of reperfusion. The effects of Dex on phosphorylate(p)-ERK1/2 expression in the ischemic liver were measured by immunohistochemistry. Hepatic injuries were evaluated with the activity of ALT and AST, levels of Cleaved caspase-3, TUNEL assay, and H-E staining. Results Compared with group HI/RI, group D exhibited reduce activity of ALT and AST, lower levels of Cleaved casepase-3, and attenuated apoptosis index(P<0.05), but elevated levels of p-ERK1/2 (P<0.05). Compared with group D, group U showed enhanced activity in ALT and AST, raised expression of Cleaved casepase-3, increased apoptosis index (P<0.05), but reduced, expression of p-ERK1/2(P<0.05). Conclusions Dex treatment reduced expression of casepase-3 and inflammation in HI/RI rats, probably through activationg the ERK1/2 pathway.

Key words: Dexmedetomidine; Ischemia/reperfusion injury; Liver; Extracellular signal-regulated kinase 1/2; Apoptosis