Wnt/β-catenin信号通路介导参麦注射液对脑缺血再灌注损伤大鼠的脑保护作用
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(1.苏州大学附属第三医院麻醉科,江苏省常州市 215006;温州医科大学附属第一医院 ;2.麻醉科,;3.消化内科,浙江省温州市 325000;4.上海东方肝胆外科医院麻醉科,上海市 200438)

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耿武军,硕士,副主任医师,副教授,研究方向为器官保护,E-mail为gengwujun@126.com。

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国家自然科学基金项目(81774109、81603685);温州市科技局公益性科技计划项目(Y20170143)


Wnt/β-catenin signaling pathway mediates the protective effect of Shenmai injection on cerebral ischemia-reperfusion injury in rats
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1.Department of Anesthesiology, the Third Affiliated Hospital of Soochow University, Changzhou 215006, Jiangsu, China;2.Department of Anesthesiology, ;3.Department of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China;4.Department of Anesthesiology, Eastern Hepatobiliary Surgery Hospital, Shanghai 200438, China)

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    摘要:

    目的 观察Wnt/β-catenin信号通路是否介导参麦注射液(SM)对脑缺血再灌注损伤(CIRI)大鼠的脑保护作用。 方法 84只SD大鼠按随机区组的方法分成7组:假手术组(Sham)、模型组(MCAO)、参麦注射液+模型组(SM+MCAO)、生理盐水(NS)+模型组(NS+MCAO)、磷酸盐缓冲液(PBS)+参麦注射液+模型组(PBS+SM+MCAO)、Wnt/β-catenin拮抗剂Dickkopf-1(Dkk-1)+参麦注射液+模型组(Dkk-1+SM+MCAO)、Dkk-1+模型组(Dkk-1+MCAO),每组12只。采用线栓大脑中动脉阻塞(MCAO)法建立大鼠CIRI模型。在脑缺血即刻,SM+MCAO组、PBS+SM+MCAO组、Dkk-1+SM+MCAO组大鼠腹腔注射参麦注射液(15 mL/kg),NS+MCAO组大鼠注射等量生理盐水。Dkk-1+SM+MCAO组、Dkk-1+MCAO组大鼠分别在建立模型前30 min脑室注射Dkk-1(1 g/L,1 μL),PBS+SM+MCAO组大鼠脑室注射等量PBS。再灌注24 h,评估各组大鼠神经行为学评分,检测脑梗死体积以及脑梗死半暗带区Bcl-2、Bax和β-catenin蛋白表达量,并计算Bcl-2/Bax比率。 结果 与假手术组相比,MCAO组大鼠神经行为学评分、脑梗死体积、Bcl-2和Bax以及β-catenin蛋白表达量均增加(P<0.05),而Bcl-2/Bax比率减小(P<0.05);与MCAO组相比,SM+MCAO组大鼠神经行为学评分、脑梗死体积以及Bax蛋白表达量明显减少(P<0.05),Bcl-2和β-catenin蛋白表达量以及Bcl-2/Bax比率明显增加(P<0.05);与SM+MCAO组相比,Dkk-1+SM+MCAO组大鼠神经行为学评分、脑梗死体积、Bax蛋白表达量明显增加(P<0.05),而Bcl-2蛋白表达量、Bcl-2/Bax比率明显减小(P<0.05)。 结论 参麦注射液通过上调Wnt/β-catenin信号通路改善CIRI大鼠的脑损伤。

    Abstract:

    Aim To observe whether the Wnt/β-catenin signaling pathway mediates the protective effect of Shenmai injection (SM) on cerebral ischemia-reperfusion injury (CIRI) in rats. Methods According to the randomized block principle, 84 SD rats were divided into 7 groups:sham operation group (sham), model group (MCAO), SM+model group (SM+MCAO), normal saline (NS)+model group (NS+MCAO), phosphate buffered solution (PBS)+SM+model group (PBS+SM+MCAO), Wnt/β-catenin antagonist dickkopf-1 (Dkk-1)+SM+model group (Dkk-1+SM+MCAO), Dkk-1+model group (Dkk-1+MCAO), 12 rats in each group. Rat CIRI model was established by middle cerebral artery occlusion (MCAO) with line embolus. Immediately after cerebral ischemia, SM+MCAO group, PBS+SM+MCAO group and Dkk-1+SM+MCAO group were intraperitoneally injected with SM (15 mL/kg), whereas NS+MCAO group was injected with equal amount of NS. At 30 min before the model was set up, Dkk-1+SM+MCAO group and Dkk-1+MCAO group were injected with Dkk-1 (1 g/L, 1 μL) to the ventricle, whereas PBS+SM+MCAO group was injected with equal amount of PBS. After reperfusion for 24 h, neurobehavioral score was assessed in each group, cerebral infarction volume was measured, expressions of Bcl-2, Bax and β-catenin protein were detected in the semi-dark zone of cerebral infarction, and Bcl-2/Bax ratio was calculated. Results Compared with the sham group, neurobehavioral score, cerebral infarction volume, and the expressions of Bcl-2, Bax, and β-catenin proteins were increased in the MCAO group (P<0.05), and Bcl-2/Bax ratio was reduced (P<0.05). Compared with the MCAO group, neurobehavioral score, cerebral infarction volume and Bax protein expression were significantly reduced in the SM+MCAO group (P<0.05), the expressions of Bcl-2 and βcatenin proteins and Bcl-2/Bax ratio were significantly increased (P<0.05). Compared with the SM+MCAO group, neurobehavioral score, cerebral infarction volume and Bax protein expression were significantly increased in the Dkk-1+SM+MCAO group (P<0.05), while Bcl-2 protein expression and Bcl-2/Bax ratio were significantly decreased (P<0.05). Conclusion Shenmai injection improves brain damage of CIRI rat by up-regulation of Wnt/β-catenin signaling pathway.

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耿武军,陈成宇,莫云长,洪万东,唐红丽,戴勤学,俞卫锋. Wnt/β-catenin信号通路介导参麦注射液对脑缺血再灌注损伤大鼠的脑保护作用[J].中国动脉硬化杂志,2018,26(2):109~114.

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  • 收稿日期:2017-12-15
  • 最后修改日期:2018-01-05
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  • 在线发布日期: 2018-03-07