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机构地区:[1]山东省泰山慢性病医院,泰安271000 [2]泰山医学院附属医院神经内科
出 处:《中华行为医学与脑科学杂志》2009年第6期532-534,共3页Chinese Journal of Behavioral Medicine and Brain Science
基 金:国家自然科学基金资助项目(30770759);泰安市科技发展计划项目资助(20064019)
摘 要:目的探讨重组人粒细胞集落刺激因子(rhG-CSF)鼻腔给药对脑梗死大鼠的脑保护作用。方法线栓法制备大鼠大脑中动脉阻塞模型,缺血2h再灌注,皮下及鼻腔给予rhG—CSF(60μg/kg)。将动物分为正常组、假手术对照组、脑梗死组、脑梗死+皮下注射rhG—CSF组、脑梗死±经鼻生理盐水组、脑梗死+经鼻rhG-CSF组,每组6只。于术后3d进行神经功能评分及FasL免疫荧光检测。结果除正常组、假手术对照组外,其余各组动物均于术后出现不同程度的神经功能缺损,尤以脑梗死组、脑梗死+经鼻生理盐水组最为严重,神经功能评分最高[(10.20±1.85)分,(10.30±1.76)分],海马FasL阳性细胞数最多[(41.17±3.25)个,(41.00±2.76)个],差异无显著性(P〉0.(15),rhG-CSF皮下给药组大鼠神经功能评分降低[(5.67±1.32)分,P〈0.01],海马FasL表达减少[(32.67±1.97)分,P〈0.01],rhG-CSF经鼻给药组大鼠神经功能评分进一步降低[(4.(30±0.93)分,P〈0.05],海马FasL表达进一步减少[(19.50±1.05)个,P〈0.01]。结论rhG-CSF经鼻给药能预防和修复脑梗死大鼠的神经功能缺损,通过抑制FasL表达发挥脑保护作用。Objective To explore the protective effect of rhG-CSF given intranasally on cerebral infarct rats by observing the neurological dysfunction and the expression of Fas ligand (FasL) in hippocampus of cerebral infarct rats. Methods Middle cerebral artery occlusion ( MCAO ) model rats were established by nylon strand, reperfuse 2 hours later, and give rhG-CSF through subcutaneous and intranasal way. The rats were divided into the nermal group,the sham-operated control group(sham) , MCAO group, MCAO ± NS given intranasally group(NS) , MCAO ± rhG-CSF given subcutaneously group, and MCAO ± rhG-CSF given intranasally group each group had 6 rats. At the time of 3d after reperfusion,neurological severity scores (NSS) test was performed and the expression of FasL was detected via immunohistochemical staining in collateral hippocampus. Results Neurological dysfunc- tion appeared in all groups except for the normal and the sham group. The dysfunction of the MCAO and the NS group was the most serious,the NSS was the highest ( 10.20 ± 1.85,10.30 ± 1.76) , the number of FasL positive cells was the most(41.17 ± 3.25,41. 00 ± 2.76) , and there was no obvious difference between the two groups (P 〉 0.05 ) ; the NSS and FasL positive cells decreased in the subcutaneous group ( 5.67 ± 1.32, P 〈 0. 01 ; 32.67 ± 1.97, P 〈 0.01 ) and decreased further more in the intranasal group(4.00 ± 0.93, P 〈 0.05 ; 19.50 ± 1.05, P 〈 0. 01 ). Conclusions rhG-CSF given intranasally can relieve the neurological dysfunction of cerebral infarct rats, and brain cells are thereby protected by resisting the expression of FasL.
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