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作 者:张润峰[1] 李霞[2] 胡大一[3] 高文根[3] 魏毅东[4] 邢燕[4]
机构地区:[1]四川省绵阳市第三人民医院心血管内科,绵阳621000 [2]复旦大学附属华山医院神经内科 [3]北京大学人民医院心脏中心 [4]同济大学心肺血管中心
出 处:《山西医科大学学报》2011年第8期613-616,共4页Journal of Shanxi Medical University
基 金:国家自然科学基金资助项目(30571780);中国博士后基金资助项目(20100471798);绵阳市科技局资助科研项目(10S1-1)
摘 要:目的通过研究小脑顶核电刺激(FNS)对心肌梗死(MI)大鼠脑组织神经递质5-羟色胺(5-HT)的影响,探讨5-HT在FNS干预心脏性猝死(SCD)中的作用。方法 SD大鼠90只,随机分为3组,每组30只:MI组,仅结扎左冠状动脉前降支(LAD);FNS组,预先FNS 1 h再予以LAD结扎;小脑顶核毁损组,毁损小脑顶核5 d后FNS 1 h,再行LAD结扎;各组又分MI后1,7,21 d三个亚组。另取8只设为假手术组。LAD结扎1,7,21 d后,应用荧光分光光度法测定大鼠脑组织内5-羟色胺含量。结果①LAD结扎1,7 d后,与假手术组比较,MI组和小脑顶核毁损组大鼠脑组织5-HT均明显降低(P<0.05);与MI组比较,FNS组大鼠脑组织5-HT明显增加(P<0.05);小脑顶核毁损组与MI组脑组织5-HT含量比较差异无统计学意义(P>0.05)。②LAD结扎21 d后,各实验组间大鼠脑组织5-HT含量比较无统计学差异。结论 FNS可增加心肌梗死大鼠早期脑组织5-HT含量,并可能通过增加5-HT含量来控制心脏性猝死的发生。Objective To investigate the effects of fastigial nucleus electrical stimulation(FNS)on the serotonin(5-hydroxytryptamine,5-HT) contents in brain tissues of rats after myocardial infarction(MI),and to explore the role of 5-HT in the prevention of sudden cardiac death(SCD) after FNS.Methods Ninety SD rats were randomized into 3 groups with 30 rats in each group:MI group,FNS group and fastigial nucleus lesion group.In MI group,left anterior descending artery of rats was ligated.In FNS group,rats were pretreated with fastigial nucleus electro-stimulation for 1 h,and then left anterior descending artery was ligated.In fastigial nucleus lesion group,rats were treated with fastigial nucleus electro-stimulation for 1 h after fastigial nucleus was damaged for 5 d,and then left anterior descending artery was ligated.Each group was subdivided into 3 subgroups according to the three time points of 1,7,21 d after ligation of left anterior descending artery.Eight SD rats were chosen as the sham operation group.At days 1,7,21 after ligation of left anterior descending artery,the contents of 5-HT were determined in brain tissues with fluorospectrophotometry.Results ①The levels of 5-HT in MI group and fastigial nucleus lesion group were significantly lower than that in sham operation group at days 1,7 after myocardial infarction(P0.05),but 5-HT in FNS group was significantly higher than in MI group(P0.05).There was no significant difference in 5-HT between MI group and fastigial nucleus lesion group(P0.05).② At day 21 after myocardial infarction,there was no significant difference in 5-HT levels among 4 groups.Conclusion FNS can increase the levels of 5-HT in brain tissues at an early stage after myocardial infarction,which may be one of mechanism in the prevention of SCD.
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