国际麻醉学与复苏杂志   2023, Issue (11): 1-1
    
醋酸格拉替雷对小鼠腹部手术围手术期神经认知障碍的影响
关美娇, 张家鑫, 祖剑宇, 郑晶晶, 孙莹杰, 刁玉刚1()
1.中国人民解放军北部战区总医院
Effect of glatiramer acetate on perioperative neurocognitive disorders in mice after abdominal surgery
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摘要:

目的 探讨醋酸格拉替雷(Glatiramer acetate,GA)对小鼠围手术期神经认知障碍(Perioperative neurocognitive disorders,PND)的影响及其机制。方法 54只雄性C57BL/6J小鼠,采用随机数字表法将其分为3组(n=18):假手术组(C组)、手术组(S组)和给药组(GA组)。S组和GA组行腹部手术。GA组小鼠在术前1d至术后2d皮下注射GA 200ug/d,共计4次。每组抽取6只小鼠术前进行5d的水迷宫训练,术后3d测定逃避潜伏期和穿越平台次数。剩余每组小鼠术后3d处死后抽取静脉血,ELISA检测外周血中炎症因子IL-1β及IL-6水平。每组抽取6只取海马组织,免疫组化检测小胶质细胞活化状态,剩余每组6只小鼠取脉络丛实时定量PCR检测趋化因子配体-2(C-C motif chemokine ligand 2,CCL2)的基因表达水平。结果 与C组相比,S组逃避潜伏期延长,穿越平台次数减少(P0.05),GA组无显著变化(P0.05);与S组相比,GA组逃避潜伏期缩短,穿越平台次数增加(P0.05)。与C组相比,S组外周血中IL-1β、IL-6升高(P0.05);与S组相比,GA组IL-1β、IL-6明显降低(P0.05)。与C组相比,S组海马区活化的小胶质细胞明显增多(P0.05),GA组增多不明显(P0.05);与S组相比,GA组活化的小胶质细胞明显减少(P0.05)。脉络丛上CCL2表达与C组相比,S组小鼠脉络丛CCL2表达升高(P0.05),GA组表达升高无统计学意义(P0.05);与S组相比,GA组小鼠脉络丛CCL2表达降低(P0.05)。结论 醋酸格拉替雷可改善小鼠腹部手术后认知障碍,其机制可能与降低全身炎症反应,抑制脉络丛CCL2的表达及降低小胶质细胞活化有关,从而降低神经炎症反应。

关键词: 围手术期神经认知障碍;醋酸格拉替雷;神经炎症
Abstract:

Objective To explore the improvement and mechanism of Glatiramer acetate (GA) on perioperative neurocognitive disorders (PND) in mice. Methods Fifty-four aged male C57BL/6J mice were divided into 3 groups(n=18 each) using a random number table method: control group(C group), operation group(S group), drug group(GA group). S and GA group mice were underwent abdominal surgery. Mice in the GA group received four subcutaneous injections of GA 200ug/d from 1d before to 2d after surgery. Each group of 6 mice were subjected to a 5-day Morris water maze training, the escape latency and the frequency of crossing the platform were recorded 3 days after the operation. Venous blood was drawn from each remaining group of mice after 3d postoperative execution, the serum inflammatory factors IL-1β and IL-6 levels were measured by ELISA. 6 mice in each group were selected and sacrificed, and the hippocampus tissue was collected to detect the activation state of microglia by immunohistochemistry. The gene expression level of CCL2 was detected by real-time quantitative PCR in the remaining mice. Results Compared with C group, the S group had prolonged escape latency and reduced cross-platforming, there was no significant change in group GA (P0.05); Compared with the S group, the GA group had a shorter escape latency, an increased number of cross-platforms(P0.05). Compared with group C, peripheral blood IL-1β and IL-6 were higher in group S(P0.05); Compared with group S, IL-1β and IL-6 were significantly lower in group GA(P0.05). Compared with C group, the number of activated microglia in the hippocampus of S group was significantly increased (P0.05), but the GA group was not(P0.05); Compared with the S group, the activated microglia in the GA group were significantly reduced (P0.05). And compared with the C group, the CCL2 expression on the choroid plexus of the mice in the S group was increased (P0.05), but the expression in the GA group was not statistically significant (P0.05); Compared with the S group, the GA group had a lower CCL2 expression on the choroid plexus (P0.05). Conclusion Glatiramer acetate could improve the cognitive deficits in perioperative neurocognitive disorders in mice after abdominal surgery. The potential mechanism could be reducing the systemic inflammatory response, inhibiting choroid plexus CCL2 expression, and reducing microglia activation, thereby reducing the neuroinflammatory response.

Key words: Perioperative neurocognitive disorders; Glatiramer acetate; Neuroinflammation