机构地区:[1]山西医科大学第一医院麻醉科,太原市030001
出 处:《临床麻醉学杂志》2020年第1期72-76,共5页Journal of Clinical Anesthesiology
基 金:山西医科大学第一医院青年基金(YQ161705)。
摘 要:目的评价线粒体ATP敏感性钾通道(mitoK ATP通道)在降钙素基因相关肽(CGRP)减轻新生大鼠心肌细胞缺氧复氧损伤中的作用。方法取原代培养的新生1~3 d SD大鼠心肌细胞,在含有10%胎牛血清培养基中培养,细胞接种于6孔细胞培养板,采用随机数字表法分为5组(n=10):正常对照组(C组)、缺氧复氧组(AR组)、CGRP+缺氧复氧组(CGRP组)、CGRP+mitoK ATP通道阻滞剂(5-HD)+缺氧复氧组(5-HD组)、CGRP+CGRP受体阻滞剂CGRP 8-37+缺氧复氧组(CGRP 8-37组)。除C组,其余4组均缺氧3 h,复氧2 h;CGRP组缺氧前2 h加入终浓度为0.1 nmol/L CGRP;5-HD组于缺氧前2.5 h加入终浓度为500μmol/L 5-HD,30 min后加入终浓度为0.1 nmol/L CGRP;CGRP 8-37组于缺氧前2.5 h加入终浓度为1 nmol/L CGRP 8-37,30 min后加入终浓度为0.1 nmol/L CGRP。于缺氧复氧后检测心肌细胞凋亡情况,计算凋亡指数(AI)、乳酸脱氢酶(LDH)活性,JC-1荧光法测定线粒体膜电位(Δψm)的变化,即JC-1多聚体/单聚体的比值。结果AR组AI明显高于C组(P<0.01)LDH活性明显强于C组(P<0.01),JC-1多聚体/单聚体的比值明显低于C组(P<0.01)。CGRP组和5-HD组AI明显低于AR组(P<0.05),LDH活性明显弱于AR组(P<0.01),JC-1多聚体/单聚体的比值明显高于AR组(P<0.01)。5-HD组和CGRP 8-37组AI明显高于CGRP组(P<0.01),LDH活性明显强于CGRP组(P<0.01),JC-1多聚体/单聚体的比值明显低于CGRP组(P<0.01)。结论CGRP可以激活新生大鼠心肌细胞膜CGRP受体,通过激活mitoK ATP通道,减少心肌细胞缺氧复氧损伤。Objective To evaluate the role of mitochondrial K ATP channel(mitoK ATP)in CGRP-induced reduction of cardiomyocyte anoxia-reoxygenation injury in rats.Methods Cardiomyocytes were obtained from 1-3 day old Sprague-Dawley rats and cultured in the culture medium containing 10%bovine calf serum and then seeded onto 6-well plates at a density of 10×105/ml(3 ml/well).The cells were randomly divided into 5 groups(n=10 each):control group(group C),anoxia-reoxygenation group(group AR);CGRP+AR group(group CGRP);CGRP+mitoK ATP channel blocker(5-HD)+AR group(group 5-HD);CGRP+CGRP receptor blocker(CGRP 8-37)+AR group(group CGRP 8-37).Except group C,the other groups were anoxia for 3 hours and reoxygenated for 2 hours.In group CGRP,CGRP(final concentration 0.1 nmol/L)was added to the culture medium before 2 h anoxia.In group 5-HD,5-HD(final concentration 500μmol/L)was added to the culture medium 2.5 h before anoxia,and CGRP(final concentration 0.1 nmol/L)was added after 30 min.In group CGRP 8-37,CGRP 8-37(final concentration 1 nmol/L)was added to the culture medium 2.5 h before anoxia,and CGRP(final concentration 0.1 nmol/L)was added after 30 min.At the end of reoxygenation,the level of lactate dehydrogenase(LDH)in the supernatant was detected,the changes in mitochondrial membrane potential were assessed by JC-1 fluorescence assay,the cell apoptosis was detected by Tunnel.Results Compared with group C,the amount of LDH released and AI were significantly increased,JC-1 monomer/aggregate ratio were significantly decreased in group AR(P<0.01).Compared with group AR,the amount of LDH released and AI were significantly decreased,JC-1 monomer/aggregate ratio were significantly increased in group CGRP(P<0.01).Compared with group CGRP,the amount of LDH released and AI were significantly increased,JC-1 monomer/aggregate ratio were significantly decreased in group 5-HD and CGRP 8-37(P<0.01).Conclusion CGRP can reduce A/R-induced injury to neonatal rat cardiomyocytes through activating mitoK ATP channel via combing with CGRP receptor.
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