机构地区:[1]深圳大学总医院急诊科,广东深圳518055 [2]青岛大学医学部中西医结合中心,山东青岛266071 [3]山东中医药大学第一临床医院,山东济南250399
出 处:《中国中西医结合急救杂志》2024年第6期714-719,共6页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基 金:国家自然科学基金(82071465);广东省深圳市医疗卫生三名工程项目(SZSM201911007);山东省自然科学基金(ZR2020MH154);医学救援关键技术装备应急管理部重点实验室项目(YJBKFKT202416)。
摘 要:目的观察莱菔硫烷(SFN)对急性一氧化碳中毒(ACOP)大鼠脑组织凋亡相关蛋白天冬氨酸特异性半胱氨酸蛋白酶(caspase-3,caspase-9)表达的影响,探讨其干预治疗ACOP脑损伤的分子机制。方法按随机数字表法将健康雄性SD大鼠分为正常对照组(NC组)、ACOP组、SFN组,每组36只。使用高压氧舱暴露大鼠于一氧化碳(CO)以建立ACOP动物模型;NC组则自由呼吸新鲜空气。SFN组于中毒后2 h内腹腔注射SFN 20 mg/kg进行干预,每日1次,直到处死;NC组和ACOP组注射等量生理盐水。各组干预1、3、7 d处死大鼠取脑组织,苏木素-伊红(HE)染色检测脑组织病理学损伤情况;尼氏染色检测脑组织神经元病理学改变;采用免疫组化法检测脑组织皮质区caspase-3、caspase-9的阳性表达;采用蛋白质免疫印迹试验(Western blotting)和荧光定量反转录-聚合酶链反应(qRT-PCR)分别检测脑组织中caspase-3、caspase-9的蛋白及mRNA表达。结果CO染毒后,ACOP组脑组织损伤逐渐加重,尼氏小体数量逐渐减少,脑组织皮质区caspase-3、caspase-9阳性细胞数量逐渐增多,脑组织中caspase-3、caspase-9的蛋白及mRNA表达逐渐升高,与同一时间点NC组比较,差异均有统计学意义〔尼氏小体(个):69.33±0.94比91.33±1.25,caspase-3阳性表达(A值):0.149±0.003比0.113±0.004,caspase-9阳性表达(A值):0.178±0.002比0.111±0.010,caspase-3蛋白表达(caspase-3/GAPDH):1.634±0.045比0.844±0.021,caspase-9蛋白表达(caspase-9/GAPDH):1.754±0.024比0.811±0.053,caspase-3 mRNA(2-ΔΔCt):1.718±0.052比1,caspase-3 mRNA(2-ΔΔCt):1.722±0.066比1,均P<0.05〕。与同时间点ACOP组相比,SFN组大鼠脑组织损伤程度得到改善,尼氏小体数量明显增加(个:84.67±1.53比69.33±0.94,P<0.05);脑组织皮质区caspase-3、caspase-9阳性细胞数量明显减少(A值:0.126±0.002比0.149±0.003,0.127±0.002比0.178±0.002,均P<0.05),脑组织中caspase-3、caspase-9的蛋白及mRNA表达明显降低〔caspase-3蛋白表达(caspasObjective To investigate the effect of sulforaphane(SFN)on the expression of apoptosis-related proteins(caspase-3 and caspase-9),in brain tissue of rats with acute carbon monoxide poisoning(ACOP),and to explore the molecular mechanism underlying its intervention in ACOP-induced brain injury.Methods The healthy male Sprague-Dawley(SD)rats were randomly assigned to three groups:normal control(NC)group,ACOP group,and SFN group,with 36 rats in each group.An ACOP animal model was established by exposing the rats to carbon monoxide(CO)in a hyperbaric oxygen chamber,while the rats in the NC group were allowed to breathe fresh air.The SFN group received an intraperitoneal injection of SFN 20 mg/kg within 2 hours after poisoning,once daily,until euthanasia.The NC and ACOP groups were injected with an equivalent volume of saline.Rats from each group were sacrificed on days 1,3,and 7 of the intervention to collect brain tissue,hematoxylin-eosin(HE)staining was performed to assess pathological damage in the brain tissue;Nissl staining was used to examine neuronal pathological changes;Immunohistochemistry was employed to detect the positive expression of caspase-3 and caspase-9 in the cortical region of the brain.Western blotting and quantitative reverse transcription-polymerase chain reaction(qRT-PCR)were conducted to measure the protein and mRNA expression of caspase-3 and caspase-9 in the brain tissue.Results After CO poisoning,brain tissue damage in the ACOP group progressively worsened,with a gradual decrease in the number of Nissl bodies and a gradual increase in the number of positive cells for caspase-3 and caspase-9 in the cortical region of the brain.The protein and mRNA expression of caspase-3 and caspase-9 in the brain tissue also gradually increased.Compared with the NC group at the same time point,the differences were statistically significant[Nissl bodies:69.33±0.94 vs.91.33±1.25;caspase-3 positive expression(A value):0.149±0.003 vs.0.113±0.004;caspase-9 positive expression(A value):0.178±0.002 vs.0.111±0
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