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机构地区:[1]210009南京市,东南大学附属中大医院麻醉科
出 处:《中华麻醉学杂志》2012年第5期613-615,共3页Chinese Journal of Anesthesiology
摘 要:目的评价O-GlcNAc修饰在谷氨酰胺减轻脓毒症大鼠脑损伤中的作用。方法健康清洁级4周龄sD雄性大鼠60只,体重180~240g,采用随机数字表法,将其随机分为4组:假手术组(s组,n=12)、脓毒症组(CLP组,n=16)、谷氨酰胺组(G组,n=16)及谷氨酰胺+四氧嘧啶组(G+A组,n=16)。采用盲肠结扎穿孔术(CLP)建立大鼠脓毒症模型,G组术毕静脉注射谷氨酰胺0.75g/kg,G+A组术毕静脉注射谷氨酰胺0.75g/kg及腹腔注射四氧嘧啶90mg/kg,CLP组和s组注射等容量生理盐水。术后24h时记录神经反射评分,断颈处死,测定脑组织含水量,采用Western—blot法测定脑组织O-GlcNAc表达水平,观察脑组织病理学结果。结果与s组比较,CLP组、G组及G+A组大鼠脑组织含水量、神经反射评分升高(P〈0.05);与CLP组比较,G组和G+A组大鼠脑组织含水量、神经反射评分降低,G组大鼠脑组织蛋白质O-GlcNAc表达上调(P〈0.05);与G组比较,G+A组大鼠脑组织含水量、神经反射评分升高,脑组织蛋白质O-GlcNAc表达下调(P〈0.05);S组、CLP组及G+A组大鼠间脑组织蛋白质O-GlcNAc表达差异无统计学意义(P〉0.05)。G组病理学损伤较CLP组及G+A组轻。结论O-GlcNAc修饰参与了谷氨酰胺减轻脓毒症大鼠脑损伤的过程。Objective To evaluate the role of O-GlcNAc protein modification in attenuation of brain damage by glutamine in septic rats. Methods Sixty male SD rats weighing 180-240 g were randomly divided into 4 groups: sham operation group (group S, n = 12), sepsis group (group CLP, n = 16), glutamine group (group G, n = 16), an inhibitor of O-linked-N-acetyl glucosamine transferase Alloxan + glutamine group (group G + A, n = 16) . Rats were submitted to sepsis by cecal ligation and perforation (CLP) . Glutamine (Gln) 0.75 g/kg was injected iv after CLP in group G. Gln 0.75 g/kg was injected iv and Alloxan 90 mg/kg was injected ip after CLP in group G + A. Equal volume of normal saline was given in group S and group CLP. At 24 h after CLP, the neural reflex score was evaluated, then rat was sacrificed. The brain was removed for measurement of brain water content, observation of histopathology and determination of O-GlcNAe-modified protein expression. Results Compared with group S, neural reflex score and brain water content were significantly increased in groups CLP, G and G + A ( P 〈 0.05). Compared with group CLP, neural reflex score and brain water content were significantly decreased in groups G and G + A ( P 〈 0.05), and the expression of O-GlcNAc-modified protein was upregulated in group G ( P 〈 0. 05), Compared with groups G, neural reflex score and brain water content were significantly increased, and the expression of O-GleNAe-modified protein downregulated in group G + A (P 〈 0.05 ). There was no significant difference in O-GlcNAc-modified protein expression among groups S, CLP and G + A. Conclusion Glutamine attenuates brain damage through O-GlcNAc protein modification in septic rats.
关 键 词:谷氨酰胺 脓毒症 O-GlcNac修饰 脑
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