国际麻醉学与复苏杂志   2020, Issue (12): 0-0
    
MALAT1介导Salvinorin A减轻缺血性脑卒中脑血管内皮损伤的研究
丁俊云, 张依爵, 陈维英, 王震虹, 何振洲1()
1.上海交通大学医学院附属仁济医院南院
MALAT1-mediated Salvinorin A attenuates vascular endothelial damage in ischemic stroke
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摘要:

目的 研究脑卒中后κ阿片受体激动剂Salvinorin A(SA)通过促进脑血管内皮细胞的非编码长链RNA (LcnRNA)MALAT1上调,抑制线粒体分裂蛋白(Drp1)的磷酸化,减轻线粒体损伤,发挥对缺血性脑卒中的保护作用。 方法 动物实验采用雄性SD大鼠60只,体重200~250g,随机分为4组,每组15只。假手术组(S组):大鼠不做任何干预,只分离一侧颈动脉;大鼠大脑中动脉栓塞模型组(MCAO组): 采用线栓阻断一侧颈内动脉90min,拔出线栓进行再灌注;Salvinorin A组(SA组):线栓放入即刻经尾静脉给予SA (2ug/kg);SA拮抗剂组(NB组):注射SA前30min给与κ阿片受体(KOR)拮抗剂Norbinaltorphimine(norBIN 2mg/kg),其余处理同SA组。MCAO后24小时取材,测定缺血区脑梗死面积(TTC),血脑屏障通透性(Evans blue),MCAO后1,2,5天进行神经功能评测(mNSS)。离体实验采用人脑血管内皮细胞(HBMEC)缺糖缺氧(OGD)模型,缺氧6小时后复氧24小时,复氧即刻加入SA(2uM)和norBIN (1uM),并采用沉默RNA(siRNA)技术干扰LcnRNA表达。HBMEC经过糖氧剥夺(OGD)后CCK8测定HBMEC活力,pDrp-1/Drp-1,活性氧(ROS)水平以及电镜下观察线粒体的形态。 结果 经TTC染色发现,SA组大鼠的梗死区明显减小,Envans blue渗出明显减轻,MCAO后的大鼠运动神经功能明显改善。norBIN处理后SA的作用被拮抗,梗死面积加大,血管通透性增加,神经功能减退。SA处理后的HBMEC的细胞活力明显增加,电镜下可见线粒体形态趋于正常,pDrp-1/Dpr-1表达水平明显下调,ROS含量下降。NB组和MALAT1干扰后细胞活力下降,pDrp-1/Dpr-1,ROS增加,线粒体形态破坏。结论 KOR激动剂SA能通过刺激MALAT1的分泌,减轻缺血性脑卒中后脑血管内皮细胞线粒体的损伤,减轻HBMEC的氧化应激,改善脑功能。SA具有良好的缺血脑卒中保护作用。

关键词: 脑卒中,Salvinorin A,κ 阿片受体,线粒体, MALAT1,脑血管内皮细胞
Abstract:

Objective To investigate salvinorin A (SA) as a ischemic stroke protector after the incidence of ischemic stroke by promoting upregulation of LcnRNA MALAT1 in cerebrovascular endothelial cells, inhibiting phosphorylation of mitochondrial division protein (Drp1) and attenuating mitochondrial damage. Methods 60 male SD rats, weighed 200~250g, were randomly divided into 4 groups (15rats each). In the sham surgery group (S group), carotid artery of rats were isolated from one side without any intervention; in MCAO group,the internal carotid artery on one side was blocked with a wire embolus for 60 min and the wire embolus was withdrawn for reperfusion; in the salvinorin A group (SA group), SA (2ug/kg) was given via the tail vein immediately after internal carotid reperfusion; in the SA antagonist group (NB group), norBIN (2mg/kg) was given 30 min before SA injection and pretreated with SA; 24 hours after MCAO, cerebral infarct area (TTC), blood-brain barrier permeability (Evansblue) were measured, and neural assessment was performed 1, 2 and 5 days after MCAO. In vitro experiments were performed using a human cerebrovascular endothelial cell (HBMEC) hypoglycemic hypoxia (OGD) model, in which 6h of hypoxia was followed by 24 h of reoxygenation, SA (2uM) and norBIN (1uM) were added immediately after reoxygenation, and LcnRNA MALAT1 expression was interfered with by siRNA technology. HBMEC was subjected to OGD and CCK8 determined HBMEC viability, pDrp-1/Drp-1, ROS levels, and the morphology of morphology was observed under electron microscope. Results The infarct size of the SA group was significantly reduced, evansblue exudation was significantly reduced, and the motor nerve function of the MCAO rats was significantly improved. After norBIN treatment, the role of SA was antagonized, the infarct size increased, vascular permeability increased, and nerve function decreased. The cell viability of HBMEC after SA treatment was significantly increased. Under electron microscopy mitochondrial morphology tends to be normal , the expression levels of pDrp-1/ Dpr-1 were significantly down-regulated, and the ROS content decreased. After NB group and MALAT1 interference, cell viability decreased, pDrp-1 / Dpr-1 expression increased, ROS increased, and the mitochondrial morphology was destroyed Conclusion The κ opioid receptor agonist SA attenuates mitochondrial damage in cerebrovascular endothelial cells after ischemic stroke by stimulating the secretion of MALAT1, attenuates oxidative stress in HBMEC, and improves brain function.SA plays a protective effect in ischemic stroke.

Key words: Stroke, Salvinorin A, κ opioid receptors, mitochondrial, MALAT1, cerebrovascular endothelial cells