国际麻醉学与复苏杂志   2011, Issue (4): 5-5
    
α7nAChR激动剂后处理减轻大鼠在体心肌缺血-再灌注损伤最佳干预时间的实验研究
熊军, 薛富善, 袁玉静, 王强, 廖旭, 李杉, 王卫利, 张雁鸣, 刘建华1()
1.中国医学科学院整形外科医院
The best interventional time of α7nAChR agonist postconditioning attenuating myocardial ischemia reperfusion injury in rats
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摘要:

目的 观察α7nAChR激动剂后处理减轻大鼠在体心肌缺血-再灌注损伤的最佳干预时间。方法 将60只SD大鼠随机分为六组(每组10只):假手术组 (S组)、缺血-再灌注组(IR组)、再灌注开始时α7nAChR激动剂后处理组(P0组)、再灌注30 min、60 min和90 min时α7nAChR激动剂后处理组(P30组、P60组和P90组)。实验结束测定再灌注180 min时的TNF-α、HMGB1和TnI血清浓度,实验取心脏采用伊文蓝和TTC双重染色法测量心肌梗死面积。 结果 IR组、P0组、P30组、P60组和P90组的心肌梗死面积值(IS%值)值分别是(78.4±16.1)%、(60.4±7.0)%、(48.9±17.1)%、(54.0±11.8)%和(63.8±15.3)%,并且五组的血清TnI浓度分别是1.02±0.12、0.17±0.04、0.16±0.02、0.19±0.04和0.14±0.03ng/ml。与S组相比,IR和P30组的TNF-α血清浓度显著增高,P0组的TNF-α浓度显著降低;IR组的HMGB1血清浓度显著增高,而全部α7nAChR激动剂后处理组的HMGB1血清浓度显著降低。与IR组相比,全部α7nAChR激动剂后处理组的心肌梗死面积显著减小以及TnI、TNF-α和HMGB1血清浓度显著降低。与P0组相比,P30组、P60组和P90组的TNF-α和HMGB1血清浓度显著增高。与P90组相比,P30组心肌梗死面积显著减小,其TNF-α和HMGB1血清浓度显著增高。结论 在大鼠在体心肌缺血-再灌注损伤模型,再灌注后30 min时进行α7nAChR激动剂后处理可获得最佳的心肌保护效应。

关键词: 缺血-再灌注损伤;α7nAChR;炎症;药物后处理
Abstract:

Objective To determine the best interventional time of α7nAChR agonist postconditioning that can attenuate myocardial ischemia reperfusion injury cardioprotection in rat in vivo model. Methods Sixty SD rats were randomly divided into six groups(n=10 in each group): sham group(S group), ischemia reperfusion group(IR group), α7nAChR agonist postconditioning at onset of reperfusion group(P0 group), α7nAChR agonist postconditioning at 30, 60 and 90 min of reperfusion group(P30, P60 and P90 groups). Serum concentrations of TnI, TNF-α and HMGB1 were assayed at 180min after reperfusion. At the end of experiment, infarction sizes were assessed from excised hearts by Evans blue and triphenyltetrazolium chloride(TTC) staining. Results The infarct sizes (IS%) were 78.4±16.1% in IR group, 60.4±7.0% in P0 group, 48.9±17.1% in P30 group, 54.0±11.8% in P60 group and 63.8±15.3% in P90 group, respectively. Serum concentrations of InI were 1.02±0.12, 0.17±0.04, 0.16±0.02, 0.19±0.04 and 0.14±0.03ng/ml in these groups respectively. As compared to the S group, serum concentration of TNF-α in the IR and P30 groups significantly increased, TNF-α in the P group significantly reduced. Serum concentration of HMGB1 was significantly higher in the IR group than in the S group, but that of all α7nAChR agonist postconditioning groups was significantly lower. As compared to the IR group, infarct size and serum concentrations of TnI, TNF-α and HMGB1 in all α7nAChR agonist postconditioning groups significantly reduced. As compared to the P0 group, serum concentrations of TNF-α and HMGB1 in the P30, P60 and P90 groups significantly increased. As compared to the P90 group, in the P30 group, serum concentrations of TNF-α and HMGB1 significantly increased and infarct size significantly decreased. Conclusions In rat in vivo models of myocardial ischemia reperfusion injury, α7nAChR agonist postconditioning exerted at 30 min of reperfusion could produce the strongest cardioprotection.

Key words: Ischemia reperfusion injury; α7nAChR; Inflammation; Pharmacological postconditioning