p38 MAPK抑制剂在实验性蛛网膜下腔出血后脑血管痉挛中的作用  

Role of p38MAPK inhibitor in the development of cerebral vasospasm after subarachnoid hemorrhage in rabbits

作　　者：陈泽军[1] 蔡宁[1] 徐光明[1] 刘介平[1] 焦磊[1] 庄严[1] 

机构地区：[1]江苏大学附属医院神经外科,212001

出　　处：《江苏医药》2013年第16期1877-1880,F0002,共5页Jiangsu Medical Journal

基　　金：江苏大学人才引进科研启动基金(2006-20)

摘　　要：目的探讨p38MAPK特异性抑制剂SB203580在迟发性脑血管痉挛(CVS)形成中的可能作用机制。方法 24只兔均分为四组:空白对照组枕大池注入生理盐水;其余3组采用枕大池二次注血法建立兔蛛网膜下腔出血(SAH)模型。SAH组为模型对照;二甲基亚砜(DMSO)组枕大池注入载体DMSO;SB组枕大池注入SB203580。采用免疫组化和RT-PCR法检测血管壁IL-6、细胞间黏附分子1(ICAM-1)蛋白和mRNA表达。结果 SAH组和DMSO组基底动脉壁IL-6、ICAM-1蛋白和mRNA表达均较对照组明显上调(P<0.05);SB组在基底动脉痉挛改善的同时,基底动脉壁IL-6、ICAM-1蛋白和mRNA表达较SAH组和DMSO组明显下调(P<0.05)。结论 SB203580明显抑制SAH后脑血管壁IL-6、ICAM-1的表达,提示p38MAPK可能通过SAH后脑血管壁炎症反应参与了SAH后CVS形成的病理过程。Objective To investigate the possible mechanism of p38 mitogen-activated protein kinase（p38 MAPK） in the development of cerebral vasospasm （CVS） in experimental subarachnoid hemorrhage（SAH） of rabbits. Methods Twenty-four rabbits were egually divided into blank control group（C） and three SAH model groups of SAH （model control）, DMSO（cisterna magna-inj ected with vehical dimethyl sulfoxide）,and SB（cisterna magna-injected with SB203580）. The expressions of IL-6 and intercellular adhesion molecule （ICAM）-1 in cerebral vascular wall were detected with immunohistochemical technique and RT-PCR. Results The protein and mRNA expressions of IL-6 and ICAM-1 in arterial wall were higher in groups of SAH and DMSO than those in group C （P〈0. 05）, which were significantly downregulated in group SB （P〈0. 05 ）. Conclusion The expressions of IL-6 and ICAM-1 in arterial wall are significantly suppressed by cisterna magna-injected SB203580 in experimental SAH of rabbits, which indicates that p38 MAPK takes part in the pathogenesis of CVS after SAH through the inflammatory response in arterial wall.

关 键 词：蛛网膜下腔出血 脑血管痉挛 P38丝裂原活化蛋白激酶 

分 类 号：R651[医药卫生—外科学]