国际麻醉学与复苏杂志   2017, Issue (8): 0-0
    
α7烟碱型胆碱能受体激动剂对体外循环致大鼠 脑损伤及核转录因子-p65蛋白表达的影响
计流, 孙莹杰, 张铁铮1()
1.沈阳军区总医院
The protective effects of α7 nicotinic acetylcholine receptors agonists on brain injury and the expression of nuclear factor-p65 induced by cardiopulmonary bypass in rats
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摘要:

目的 观察α7烟碱型胆碱能受体激动剂(α7 nicotinic acetylcholine receptors agonist, α7nAChR)对CPB致大鼠脑损伤及NF-κB?蛳p65蛋白表达的影响。 方法 清洁级成年雄性SD大鼠24只,体重350~400 g,采用随机数字法分为4组(每组6只):假手术组(S组)、CPB组(C组)、α7nAChR激动剂组(P组)、α7nAChR拮抗剂组(M组)。采用右颈静脉腔房引流,尾动脉灌注建立大鼠CPB模型。S组仅在各部位插管不转流,穿刺后进行机械通气60 min,其余3组进行CPB 60 min。于CPB术后2 h(T2)脊椎脱臼法将大鼠处死,取颈静脉血和海马组织样本。采用ELISA法检测血清IL-6、TNF-α及S100β浓度的变化,采用H-E染色观察大鼠海马损伤情况,Western blot法检测脑组织中NF-κB-p65蛋白含量的表达。 结果 与S组比较,C组、P组和M组血清IL-6、TNF-α和S100β浓度均明显增高(P<0.05),脑组织NF?蛳κB-p65蛋白水平显著增高(S组0.214±0.031、C组0.563±0.093、P组0.674±0.097、M组0.414±0.074,P<0.05)。与C组比较,P组血清上述指标浓度明显降低(P<0.05),脑组织NF-κB-p65蛋白水平均明显下降(P<0.05);M组血清上述指标浓度差异无统计学意义(P>0.05)。病理学结果显示S组海马锥体细胞形态正常,C组和M组锥体细胞排列疏松,基线消失,核固缩,大量锥体细胞死亡;P组受损情况较C组明显减轻。 结论 α7nAChR激动剂可在一定程度上减少CPB诱发的大鼠脑损伤,其机制可能与抑制NF-κB信号通路的表达、减轻炎症反应有关。

关键词: α7烟碱型胆碱能受体激动剂;体外循环;脑损伤;炎症反应;核转录因子-κB
Abstract:

Objective To investigate the effect of α7 nicotinic acetylcholine receptors agonist(α7nAChR) on brain injury and the expression of NF-κB-p65 induced by CPB, then to clarify its possible mechanism of the protective effects. Methods Twenty-four clean male SD rats, weighting of 350-400 g, were randomly divided into four groups (n=6) using a random number table: sham group(group S), CPB group (group C), α7nAChR agonist+CPB group (group P), α7nAChR inhibitor+CPB group (group M). CPB was maintained for 60 min in group C, P and M. Blood and brain sample were collected 2 h after CPB. ELISA was used to detect the changes of serum IL-6, TNF-α, brain injury markers S100β. NF-κB-p65 were detected by Western blot and the morphological changes of hippocampus were observed by hematoxylin and eosin staining. Results Compared with group S, the levels of serum S100β, IL-6 and TNF-α in group C, M and P were significantly increased(P<0.05), the expression of NF-κB-p65 were also statistically increased (group S: 0.214±0.031, group C: 0.563±0.093, group P: 0.674±0.097, group M: 0.414±0.074, P<0.05). Compared with group C, the levels of serum above index in group P and M were significantly decrease(P<0.05) and the expression of NF-κB-p65 protein were also statistically decreased(P<0.05). But there was no statistically difference between group M and group C(P>0.05). The morphology of the hippocampus tissues was normal in group S. Clear cellular degeneration and abnormal cell arrangements were observed in group C and M. Compared with group C, the pathological changes of hippocampus were attenuated in group P. Conclusions α7nAChR agonists, to some extent, can effectively reduce the brain injury induced by CPB in rats. It may be related to decreased NF-κB-p65 expression, inhibition the inflammatory response triggered by CPB.

Key words: α7 nicotinic acetylcholine receptors agonist; Cardiopulmonary bypass; Brain injury; Inflammatory response; Nuclear factor-κB