缺血半暗带组织中水通道蛋白4表达的初步研究(英文)  

Expression of aquaporin-4 in ischemic penumbra tissues

作　　者：鲁宏[1] 孙善全[2] 胡惠[3] 罗天友[4] 吕发金[4] 熊仁平[5] 

机构地区：[1]解放军第三军医大学大坪医院野战外科研究所影像诊断科,重庆市400042 [2]重庆医科大学基础医学院解剖学教研室,重庆市400016 [3]重庆市中山医院,重庆市400013 [4]重庆医科大学附属第一临床医学院放射科,重庆市400010 [5]解放军第三军医大学大坪医院野战外科研究所,重庆市400042

出　　处：《中国临床康复》2004年第31期7055-7057,F003,共4页Chinese Journal of Clinical Rehabilitation

基　　金：国家自然科学基金资助项目(30070247)~~

摘　　要：背景:在组织学和细胞学上对半暗带的认识已取得了进展,而关于水通道蛋白(aquaporin-4,AQP4)与半暗带和磁共振成像相结合的报道不多。目的:探讨水通道蛋白-4(aquaporin-4,AQP4)在缺血半暗带(ischemicpenumbra,IP)中的表达规律。设计:随机对照的实验研究。地点和对象:健康Wistar大鼠35只,体质量300～400g,雌雄不拘,随机分为对照组和栓塞组;栓塞组又分为大脑中动脉栓塞(MCAO)后15,30min,1,3,6,24h组,每组各5只大鼠。干预:对照组的大脑中动脉不栓塞,其余操作同栓塞组。在对照组术后30min、各栓塞组于栓塞结束时行脑部T1WI,T2WI和DWI扫描。采用刘梅丽等方法界定影像半暗带,计算影像半暗带和中心梗死区的相对表观扩散系数(ADC1和ADC2),将缺血脑组织进行红四氮唑(TTC)染色,并与DWI图像对比。取最大层面的影像半暗带组织进行病理观察、免疫组织化学及原位杂交实验,用图像分析检测AQP4蛋白、基因的表达量,并进行统计分析。主要观察指标:①影像半暗带组织病理观察结果。②影像半暗带和中心梗死区的相对表现扩散系数。③AQP4蛋白、基因的表达量。结果:对照组的DWI和T2WI未见异常,ADCR为(98.7±0.8)%,AQP4蛋白表达平均值为(7.9±0.5)%,基因表达平均值为0.5±0.06。栓塞后15min即在DWI上出现高信号;平均于栓塞后1.4h?BACKGROUND: The histological and cytological understanding of penumbra has received progresses. However, there are not any reports regarding the combination of aquaporin-4(AQP4) and penumbra and Magnetic Resonance Imaging. OBJECTIVE:To investigate the expressive rule of AQP4 in the graphic ischemic penumbra(IP) tissues. DESIGN: A randomised controlled trial. SETTING and MATERIALS: Thirty-five healthy Wistar rats with a body mass from 300 g to 400 g in either gender were randomly divided into control and occlusion group by computerized random method.The occlusion group was again divided into 15 minutes,30 minutes,1 hour,3 hours,6 hours and 24 hours after middle cerebral artery occlusion(MCAO) sub-groups with 5 rats each. INTERVENTION: The operations performed in rats of control group were as same as that of occlusion group except MCAO.Brain T1WI,T2WI and DWI scanning was performed at 30 minutes after operation in rats of control group,and immediately after occlusion in each occlusion sub-groups.Penumbra was determined with the method reported by Mei-Li Liu et al for the calculation of the relative apparent diffusion coefficient(ADC) of penumbra(ADC1) and central infarct area(ADC2). The ischemic brain tissue was stained by TTC,which was compared with DWI images as well. The brain tissue with the largest penumbral area was used for pathological observation,immunohistochemistry(ΔS) and in situ hybridization (α) tests. The expressions of AQP4 protein and gene were assayed by image analysis,which were also analyzed statistically. MAIN OUTCOME MEASURES:①results of histopathological observation of penumbral tissues.②ADC1 and ADC.③the expressions of AQP4 protein and gene. RESULTS: There were no significant changes on DWI and T2WI and the mean values of ADCR,ΔS and αwere(98.7±0.8) %, (7.9±0.5)%and(0.5±0.06) respectively in rats of control group. Abnormal high-intensity was found on DWI at 15 minutes after MCAO.T2WI detected high-intensity at 1 hour(average time) after MCAO.ADC1 decreased quickly within

关 键 词：缺血半暗带 AQP4 栓塞 表达量 对照组 DWI 影像 表达规律 基因 水通道蛋白 

分 类 号：R743[医药卫生—神经病学与精神病学] R735[医药卫生—临床医学]