机构地区:[1]首都医科大学附属北京同仁医院麻醉科,100730 [2]首都医科大学神经生物学系,疼痛生物医学研究所
出 处:《中华医学杂志》2011年第28期2011-2014,共4页National Medical Journal of China
基 金:国家自然科学基金(30672023);北京市教育委员会科技发展计划项目(KM200910025018)
摘 要:目的 探讨吗啡药物后处理诱导海马脑片氧糖剥夺/再灌注损伤耐受的时间窗、经典型蛋白激酶CⅡ/γ亚型(cPKCβⅡ/γ)是否参与吗啡药物后处理诱导脑缺血再灌注损伤耐受.方法 急性离体小鼠海马脑片,随机分组:正常对照组(Con组)、氧糖剥夺组(Ogd组)、氧糖剥夺吗啡后处理组(Mor组).观察氧糖剥夺20 min后予吗啡3 μmol/L孵育5、10、20、30、60 min后复氧复糖3 h各组孵育液中乳酸脱氢酶(LDH)漏出率、脑片细胞存活率并检测脑片cPKCβⅡ/γ膜转位的变化.结果 与Con组(99.9±0.0)%比,Ogd组(184.1±12.9)%和Mor 60min组(144.5±7.9)%LDH漏出率均增加(P〈0.05) ;与Ogd组比,Mor 20 min组(136.8±6.0)%、30 min组(142.3±6.2)%、60 min组(144.2±7.3)%LDH漏出率降低(P〈0.05).与Con组比,Ogd组和Mor组脑片细胞存活率降低(P〈0.05) ;与Ogd组比,Mor 20、30 min组脑片存活率增加 (P〈0.05).与Con组比较,Ogd组和Mor 5~60 min组cPKCγ膜转位水平均增高 (P〈0.05);与Ogd组比较,Mor 20、30、60 min组cPKCγ膜转位水平下降 (P〈0.05).而cPKCβⅡ的膜转位变化差异无统计学意义(P〉0.05).结论 吗啡后处理对氧糖剥夺海马脑片有保护作用,其中cPKCγ膜转位可能与参与吗啡后处理对氧糖剥夺小鼠海马脑片耐受的形成.Objective To determine whether or not morphine postconditioning can induce ischemic/hypoxic tolerance in neurons subjected to reperfusion injury after oxygen-glucose deprivation (OGD). Methods Hippocampal slices of 400 μm thickness were prepared from healthy adult male BALB/c mice. The slices were incubated in oxygen-saturated ACSF without or with calcium, then were subjected to OGD for 20 min. After recovery, the samples were immersed in oxygenated artificial fluid for 2 hours in the presence or absence of morphine postconditioning at 3 μmol/L during the first 5-60 min. The assessment of slices injury was performed by a determination of the intensity of slice stain incubated with TTC (2% 2, 3, 5-triphenyltetrazolium chloride) and the leakage rate of LDH also evaluated. At the designated periods during incubation, some slices were immersed into liquid nitrogen for a later analysis of Western blot. The frozen slices were homogenized, sonicated and centrifuged to separate soluble and particulate proteins. 10% SDS-PAGE Western blot was used to identify the changes of membrane-specific translocation of cPKCβⅡ/γ. Results After reperfusion, the cell survival significantly decreased with the elongation of OGD (51.4%). The release rate of LDH (184.05%) significantly increased simultaneously. In hippocampal slices postconditioned with morphine for 20-60 min, the release rate of LDH (136%, 142%, 144%) significantly decreased as compared with the group OGD. In the hippocampal slices postconditioned with morphine for 10-30 min, the cell survival rate (64.9%, 69.9%, 63.5%) significantly increased as compared with reperfusion alone. cPKCγ of particulate fraction increased versus the control. And there was a corresponding decrease of cytosolic fraction. Morphine postconditioning significantly inhibited the cPKCγ isoform-specific membrane translocation. It declined from 136% in the group OGD to 123%, 118%, 114% in the group morphine 20-60 min. cPKCβⅡmembrane translocation had no change. Conclus
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