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Effects of different modes of anesthesia on maternal and neonatal outcomes in puerperas with placenta previa and accreta undergoing cesarean section for second birth 不同麻醉方式对前置胎盘和增生胎盘产妇剖宫产二胎母婴结局的影响
Q4 Medicine Pub Date : 2019-11-20 DOI: 10.3760/CMA.J.ISSN.0254-1416.2019.11.024
Tuvshin Bao, Lingxia Niu, Bing-qing Nie, P. Gui, Qiang Xu, Leiming Xia, Yun Lin, S. Yao
Objective To evaluate the effects of different modes of anesthesia on maternal and neonatal outcomes in puerperas with placenta previa and accreta undergoing cesarean section for second birth. Methods The trials involving puerperas with a singleton fetus, aged ≥20 yr, at ≥28 weeks of gestation, with placenta previa and accreta, undergoing caesarean section for second birth, retrospectively reviewed from January 2015 to May 2017 in our hospital, were selected.Puerperas were divided into epidural anesthesia group (group E) and general anesthesia group (group G) according to the mode of anesthesia.Maternal outcomes included incision-delivery time, operating time, postpartum hemorrhage and intraoperative hypotension, intraoperative blood loss, volume of blood transfused, volume of crystalloid solution and colloid solution infused, uterine contractions used≥2 types, implementation of surgical hemostatic measures, hysterectomy, postpartum Hb, transfer to intensive care unit after operation, and length of hospital stay.Neonatal outcomes included premature, Apgar score at 1 and 5 min after birth, transfer to pediatrics unit and perinatal death. Results A total of 269 pueroeras were enrolled in the study, and among the 269 pueroeras, there were 219 cases of elective repeat cesarean section (ERCS) and 50 cases of cesarean section after vaginal birth (CAVB). Pueroeras of ERCS: Compared with G group, the emergency rate was significantly decreased, the prenatal Hb concentration was increased, the operating time and length of hospital stay were shortened, and the intraoperative blood loss, volume of blood transfused, volume of crystalloid solution and colloid solution infused, incidence of postpartum hemorrhage, implementing rate of surgical hemostatic measures, incidence of hysterectomy, postpartum Hb, and rate of transfer to intensive care unit after operation were decreased in E group (P<0.05). Pueroeras of CAVB: Compared with G group, the incidence of postpartum hemorrhage and implementing rate of surgical hemostatic measures were significantly decreased, and the rate of Apgar score≤7 at 1 and 5 min after birth and rate of transfer to pediatrics unit were decreased in E group (P<0.05). Conclusion Compared with general anesthesia, epidural anesthesia has less effect on maternal and infant outcomes and should be preferred for this type of puerperas with placenta praevia and accreta undergoing cesarean section for second birth. Key words: Cesarean section; Anesthesia, general; Anesthesia, epidural; Placenta previa
目的探讨不同麻醉方式对前置胎盘和植入胎盘剖宫产术后产妇及新生儿结局的影响。方法回顾性分析2015年1月至2017年5月在我院进行的单胎、年龄≥20岁、妊娠≥28周、前置胎盘和植入胎盘、剖宫产第二胎产妇的临床资料。根据麻醉方式将产妇分为硬膜外麻醉组(E组)和全麻组(G组)。产妇结局包括切口分娩时间、手术时间、产后出血和术中低血压、术中失血、输血量、输注晶体溶液和胶体溶液的量、使用≥2种类型的宫缩、实施手术止血措施、子宫切除术、产后Hb、术后转入重症监护室,以及住院时间。新生儿结局包括早产、出生后1分钟和5分钟的Apgar评分、转入儿科和围产期死亡。结果本研究共纳入269例产妇,其中择期重复剖宫产219例,阴道分娩后剖宫产50例。ERCS患者:与G组相比,急诊率显著降低,产前Hb浓度升高,手术时间和住院时间缩短,术中出血量、输血量、晶体溶液和胶体溶液输注量、产后出血发生率、,E组手术止血措施的实施率、子宫切除术的发生率、产后Hb、术后转入重症监护室的比率均有所降低(P<0.05),结论与全麻相比,硬膜外麻醉对母婴结局的影响较小,对这类前置胎盘及植入物剖宫产术后第二胎的产妇应首选硬膜外麻醉。关键词:剖宫产;全身麻醉;麻醉,硬膜外;前置胎盘
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引用次数: 0
Effect of coenzyme CoQ10 on expression of apolipoprotein E in brain damage induced by multiple exposure to sevoflurane in mice 辅酶CoQ10对七氟醚致小鼠脑损伤中载脂蛋白E表达的影响
Q4 Medicine Pub Date : 2019-11-20 DOI: 10.3760/CMA.J.ISSN.0254-1416.2019.11.007
Ge Xu, Man Yang, Yang Yu, Yonghao Yu
Objective To evaluate the effect of coenzyme Q10 on the expression of apolipoprotein E (ApoE) in brain damage induced by multiple exposure to sevoflurane in mice. Methods Seventy-two SPF female C57BL/6J mice, aged 6 days, weighing 3-5 g, were divided into 4 groups (n=18 each) according to a random number table method: corn oil group (CO), sevoflurane plus corn oil group (SO group), coenzyme Q10 group (CQ group), and sevoflurane plus coenzyme Q10 group (SQ group). Mice were placed in a closed resin box with an inlet and outlet, 3% sevoflurane plus 60% oxygen plus 37% air was continuously delivered to the box at 2 h/d for 3 consecutive days in SO group and SQ group.The mice were placed in the same resin box, and 60% oxygen plus 40% air was delivered in CO group and CQ group.Corn oil 100 μl was intraperitoneally injected, and 30 min later oxygen and sevoflurane were inhaled in CO group and SO group, respectively.CoQ10 (dissolved in corn oil, concentration 1.5 μg/μl) 50 μg/g was intraperitoneally injected, and 30 min later oxygen and sevoflurane were inhaled in CQ group and SQ group, respectively.Eight mice were sacrificed after emerging from anesthesia, and hippocampi were removed for determination of the expression of ApoE, Tau protein, AT8 and PHF1 (by Western blot). The rest 10 mice were used for Morris Water Maze test to evaluate the cognitive function on 22 days after establishing the model. Results Compared with CO group, the expression of ApoE, AT8 and PHF1 was significantly up-regulated, the escape latency was prolonged, and the number of crossing the platform was decreased in SO group (P 0.05). Conclusion The mechanism by which coenzyme Q10 reduces brain damage induced by multiple exposure to sevoflurane is related to inhibiting the up-regulation of ApoE expression in hippocampus of mice. Key words: Coenzyme Q10; Anesthetics, Inhalation; Cognitive impairment; Apolipoprotein E
目的探讨辅酶Q10对七氟醚脑损伤小鼠载脂蛋白E (ApoE)表达的影响。方法选用SPF级雌性C57BL/6J小鼠72只,6日龄,体重3 ~ 5 g,按随机数字表法分为玉米油组(CO)、七氟烷加玉米油组(SO组)、辅酶Q10组(CQ组)、七氟烷加辅酶Q10组(SQ组),每组18只。将小鼠置于有进出口的封闭树脂箱中,SO组和SQ组连续3天,以2 h/d的速度连续向箱内输送3%七氟醚+ 60%氧气+ 37%空气。将小鼠置于同一树脂盒中,CO组和CQ组分别给予60%的氧气和40%的空气。CO组和SO组腹腔注射玉米油100 μl, 30 min后分别吸入氧气和七氟醚。CQ组和SQ组小鼠腹腔注射辅酶q10(溶于玉米油中,浓度1.5 μg/μl) 50 μg/g, 30 min后分别吸氧和吸入七氟醚。麻醉后处死8只小鼠,取海马,测定ApoE、Tau蛋白、AT8和PHF1的表达(Western blot)。其余10只小鼠于造模后第22天进行Morris水迷宫测试,评估其认知功能。结果与CO组比较,SO组大鼠ApoE、AT8、PHF1表达显著上调,逃逸潜伏期延长,穿越平台次数减少(P < 0.05)。结论辅酶Q10减轻七氟醚致小鼠脑损伤的机制与抑制小鼠海马组织ApoE表达上调有关。关键词:辅酶Q10;吸入麻醉药;认知障碍;载脂蛋白E
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引用次数: 0
Role of hippocampal CD200R1 in perioperative neurocognitive disorders in mice 海马CD200R1在小鼠围手术期神经认知障碍中的作用
Q4 Medicine Pub Date : 2019-10-20 DOI: 10.3760/CMA.J.ISSN.0254-1416.2019.10.009
D. Ma, Jinhui Liu, Wenzhen Shen, Changwei Wei, Chao Xiong, Dandan Lin, Zi-Yi Xue, Anshi Wu
Objective To evaluate the role of hippocampal CD200 receptor 1 (CD200R1) in perioperative neurocognitive disorders (PND) in mice. Methods Sixty clean-grade male C57BL/6 mice, aged 9-10 months, weighing 32-38 g, were used in the study.The experiment was performed in two parts.Experiment Ⅰ Thirty-six mice were divided into 2 groups (n=18 each) using a random number table method: control group (group C) and PND group.Group C only received isoflurane anesthesia.Partial left lobectomy of the liver was performed under isoflurane anesthesia in group PND.Contextual fear conditioning test was performed at 1, 3 and 7 days after surgery, and the freezing time was recorded.The mice were then sacrificed, and the hippocampus was isolated for determination of interleukin-1β (IL-1β) and tumor necrosis factor-α (TNF-α) contents (by enzyme-linked immunosorbent assay) and CD200 and CD200R1 expression (by Western blot). Experiment Ⅱ Twenty-four mice were divided into 2 groups (n=12 each) using a random number table method: CD200-Fc group and IgG1-Fc group.Recombinant proteins CD200-Fc and human IgG1-Fc were injected into the lateral cerebral ventricle in CD200-Fc group and IgG1-Fc group, respectively.Partial left lobectomy of the liver was performed after the end of injection.Contextual fear conditioning test was performed at 1 and 3 days after surgery, and the freezing time was recorded. Results Experiment Ⅰ Compared with group C, the freezing time in the contextual fear conditioning test was significantly shortened, and the contents of IL-1β were increased at 1 and 3 days after surgery, the contents of TNF-α were increased at 3 and 7 days after surgery, and the expression of CD200 and CD200R1 was up-regulated at 1 day after surgery in group PND (P<0.05). Experiment Ⅱ Compared with IgG1-Fc group, the freezing time in the contextual fear conditioning test was significantly prolonged at 1 day after surgery in CD200-Fc group (P<0.05). Conclusion Up-regulated expression of hippocampal CD200R1 is the endogenous protective mechanism of PND in mice. Key words: Neurocognitive disorders; CD200R1
目的探讨海马CD200受体1 (CD200R1)在小鼠围手术期神经认知障碍(PND)中的作用。方法选用洁净级雄性C57BL/6小鼠60只,年龄9 ~ 10月龄,体重32 ~ 38 g。实验分两部分进行。实验Ⅰ36只小鼠采用随机数字表法分为2组,每组18只:对照组(C组)和PND组。C组仅异氟醚麻醉。PND组在异氟醚麻醉下行左肝部分肺叶切除术。分别于术后1、3、7天进行情境恐惧条件反射测试,记录冷冻时间。然后处死小鼠,分离海马,测定白细胞介素-1β (IL-1β)和肿瘤坏死因子-α (TNF-α)含量(酶联免疫吸附法)和CD200、CD200R1表达(Western blot法)。实验Ⅱ采用随机数字表法将24只小鼠分为2组,每组12只:CD200-Fc组和IgG1-Fc组。CD200-Fc组和IgG1-Fc组小鼠侧脑室分别注射重组蛋白CD200-Fc和人IgG1-Fc。注射结束后行左侧部分肝切除。分别于术后第1天和第3天进行情境恐惧条件反射测试,记录冷冻时间。结果实验Ⅰ与C组比较,PND组情境恐惧条件反射试验冻结时间显著缩短,术后1、3 d IL-1β含量升高,术后3、7 d TNF-α含量升高,术后1 d CD200、CD200R1表达上调(P<0.05)。实验Ⅱ与IgG1-Fc组比较,CD200-Fc组术后第1天情境恐惧条件反射测试冻结时间显著延长(P<0.05)。结论海马CD200R1表达上调是小鼠PND的内源性保护机制。关键词:神经认知障碍;CD200R1
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引用次数: 0
Effect of ticagrelor on plasma P-selectin concentration during acute kidney injury in septic rats 替卡格雷对脓毒症大鼠急性肾损伤时血浆P-选择素浓度的影响
Q4 Medicine Pub Date : 2019-10-20 DOI: 10.3760/CMA.J.ISSN.0254-1416.2019.10.023
Cheng Yu, N. Xie, Cui-Min Gao
Objective To evaluate the effect of ticagrelor on plasma P-selectin (CD62P) concentration during acute kidney injury in septic rats. Methods Thirty SPF healthy male Sprague-Dawley rats, aged 6-8 weeks, weighing 180-220 g, were divided into 3 groups(n=10 each)using a random number table method: sham operation group (group S), sepsis group (group Sep) and ticagrelor group (group T). Sepsis was induced by cecal ligation and puncture in anesthetized rats.The abdomen was opened after anesthesia induction and then closed after turning the intestines in group S. Ticagrelor 8.6 mg/kg was given through a gastric tube into stomach at 12 h after establishing the model in group T, while the equal volume of distilled water was given instead in S and Sep groups.Blood samples were collected from hearts at 24 h after establishing the model for determination of the concentrations of Scr and plasma CD62P.The rats were then sacrificed, and bilateral renal tissues were taken for examination of pathological changes and for determination of cell apoptosis by fluorescence microscopy after Annexin/V-FITC double staining was performed. Results Compared with group S, the concentrations of Scr and plasma CD62P, renal Paller score and apoptosis rate of renal cells were significantly increased in Sep and T groups (P<0.05). Compared with group Sep, the concentrations of Scr and plasma CD62P, renal Paller score and apoptosis rate of renal cells were significantly decreased in group T (P<0.05). Conclusion The mechanism by which ticagrelor reduces acute kidney injury is related to decreasing plasma CD62P concentrations and inhibiting cell apoptosis in septic rats. Key words: Platelet aggregation inhibitors; Sepsis; Acute kidney injury; P-selectin
目的探讨替卡格雷对脓毒症大鼠急性肾损伤时血浆P-选择素(CD62P)浓度的影响。方法30只SPF健康雄性Sprague-Dawley大鼠,年龄6-8周,体重180-220g,采用随机数表法分为3组(每组10只):假手术组(S组)、败血症组(Sep组)和替卡格雷组(T组)。在麻醉大鼠中通过盲肠结扎和穿刺诱导败血症。S组在麻醉诱导后打开腹部,转肠后关闭。T组在建立模型后12h通过胃导管给予替卡格雷8.6mg/kg,而S组和Sep组则给予等量的蒸馏水。在建立模型后24小时从心脏采集血样以测定Scr和血浆CD62P的浓度。然后处死大鼠,在进行Annexin/V-FITC双染色后,通过荧光显微镜检查双侧肾组织的病理变化和细胞凋亡。结果与S组相比,Sep组和T组的Scr和血浆CD62P浓度、肾Paller评分和肾细胞凋亡率均显著升高(P<0.05),结论替卡格雷减轻急性肾损伤的机制与降低脓毒症大鼠血浆CD62P浓度和抑制细胞凋亡有关。关键词:血小板聚集抑制剂;脓毒症;急性肾损伤;P-选择素
{"title":"Effect of ticagrelor on plasma P-selectin concentration during acute kidney injury in septic rats","authors":"Cheng Yu, N. Xie, Cui-Min Gao","doi":"10.3760/CMA.J.ISSN.0254-1416.2019.10.023","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1416.2019.10.023","url":null,"abstract":"Objective \u0000To evaluate the effect of ticagrelor on plasma P-selectin (CD62P) concentration during acute kidney injury in septic rats. \u0000 \u0000 \u0000Methods \u0000Thirty SPF healthy male Sprague-Dawley rats, aged 6-8 weeks, weighing 180-220 g, were divided into 3 groups(n=10 each)using a random number table method: sham operation group (group S), sepsis group (group Sep) and ticagrelor group (group T). Sepsis was induced by cecal ligation and puncture in anesthetized rats.The abdomen was opened after anesthesia induction and then closed after turning the intestines in group S. Ticagrelor 8.6 mg/kg was given through a gastric tube into stomach at 12 h after establishing the model in group T, while the equal volume of distilled water was given instead in S and Sep groups.Blood samples were collected from hearts at 24 h after establishing the model for determination of the concentrations of Scr and plasma CD62P.The rats were then sacrificed, and bilateral renal tissues were taken for examination of pathological changes and for determination of cell apoptosis by fluorescence microscopy after Annexin/V-FITC double staining was performed. \u0000 \u0000 \u0000Results \u0000Compared with group S, the concentrations of Scr and plasma CD62P, renal Paller score and apoptosis rate of renal cells were significantly increased in Sep and T groups (P<0.05). Compared with group Sep, the concentrations of Scr and plasma CD62P, renal Paller score and apoptosis rate of renal cells were significantly decreased in group T (P<0.05). \u0000 \u0000 \u0000Conclusion \u0000The mechanism by which ticagrelor reduces acute kidney injury is related to decreasing plasma CD62P concentrations and inhibiting cell apoptosis in septic rats. \u0000 \u0000 \u0000Key words: \u0000Platelet aggregation inhibitors; Sepsis; Acute kidney injury; P-selectin","PeriodicalId":10053,"journal":{"name":"中华麻醉学杂志","volume":"39 1","pages":"1240-1242"},"PeriodicalIF":0.0,"publicationDate":"2019-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49556785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of PI3K/Akt/Nrf2 signaling pathway in resveratrol preconditioning-induced cardioprotection in diabetic rats PI3K/Akt/Nrf2信号通路在白藜芦醇预处理诱导的糖尿病大鼠心脏保护中的作用
Q4 Medicine Pub Date : 2019-10-20 DOI: 10.3760/CMA.J.ISSN.0254-1416.2019.10.011
Guiping Xu, Juan-juan Fu, Xuan Zhao, Xiaoli Wang
Objective To evaluate the role of phosphatidylinositol-3-kinase/protein kinase B/nuclear factor erythroid 2-related factor 2 (PI3K/Akt/Nrf2) signaling pathway in resveratrol preconditioning-induced cardioprotection in diabetic rats. Methods Clean-grade healthy male Sprague-Dawley rats, aged 2-3 months, weighing 240-280 g, were used in the study.The diabetes model was established by intraperitoneal injection of streptozotocin 30 mg/kg once a day for 7 consecutive days.Forty diabetic rats were selected and divided into 4 groups (n=10 each) according to the random number table method: sham operation group (S group), myocardial ischemia-reperfusion (I/R) group (I/R group), resveratrol plus myocardial I/R group (Res+ I/R group), and PI3K inhibitor LY294002 plus resveratrol plus myocardial I/R group (LY+ Res+ I/R group). The myocardial I/R injury model was established by ligating the left anterior descending coronary artery for 30 min followed by 120-min reperfusion in anesthetized rats.Resveratrol 20 mg/kg was intraperitoneally injected once a day for 7 consecutive days at one week before surgery in Res+ I/R and LY+ Res+ I/R groups.LY294002 1.5 mg/kg was intraperitoneally injected at 30 min before operation in LY+ Res+ I/R group.After 120 min of reperfusion, blood samples were taken for determination of serum creatine kinase-MB (CK-MB) and lactic dehydrogenase (LDH) concentrations (by enzyme-linked immunosorbent assay), and myocardial tissues at the ischemic area were obtained for determination of superoxide dismutase (SOD), glutathione (GSH) and malondialdehyde (MDA)levels (by enzyme-linked immunosorbent assay) and expression of Akt, phosphorylated Akt (p-Akt), glycogen synthase kinase 3β (GSK3β), phosphorylated GSK3β (p-GSK3β) and Nrf2 (by Western blot). Results Compared with group S, serum CK-MB and LDH concentrations were significantly increased, the SOD and GSH levels were decreased, the MDA level was increased, and the expression of p-Akt and p-GSK3β was down-regulated in I/R group (P<0.05). Compared with I/R group, serum CK-MB and LDH concentrations were significantly decreased, the SOD and GSH levels were increased, the MDA level was decreased, and the expression of p-Akt, p-GSK3β and Nrf2 was up-regulated in Res+ I/R group (P<0.05). Compared with Res+ I/R group, serum CK-MB and LDH concentrations were significantly increased, the SOD and GSH levels were decreased, the MDA level was increased, and the expression of p-Akt, p-GSK3β and Nrf2 was down-regulated in LY+ Res+ I/R group (P<0.05). Conclusion The mechanism of resveratrol preconditioning-induced cardioprotection is related to activating PI3K/Akt/Nrf2 signaling pathway and inhibiting oxidative stress responses in diabetic rats. Key words: Myocardial reperfusion injury; Diabetes mellitus; Phenols; 1-phosphatidylinositol 3-kinase; Protein-serine-threonine kinases; NF-E2-related factor 2
目的探讨磷脂酰肌醇-3激酶/蛋白激酶B/核因子-红细胞2相关因子2 (PI3K/Akt/Nrf2)信号通路在白藜芦醇预处理诱导的糖尿病大鼠心脏保护中的作用。方法选用2 ~ 3月龄健康雄性Sprague-Dawley大鼠,体重240 ~ 280 g。通过腹腔注射链脲佐菌素30 mg/kg,每天1次,连续7 d建立糖尿病模型。选择40只糖尿病大鼠,按随机数字表法分为4组,每组10只:假手术组(S组)、心肌缺血再灌注组(I/R组)、白藜芦醇加心肌I/R组(Res+ I/R组)、PI3K抑制剂LY294002加白藜芦醇加心肌I/R组(LY+ Res+ I/R组)。麻醉大鼠结扎左冠状动脉前降支30 min,再灌注120 min,建立心肌I/R损伤模型。Res+ I/R组和LY+ Res+ I/R组于术前1周腹腔注射白藜芦醇20 mg/kg,每天1次,连续7天。LY+ Res+ I/R组于术前30 min腹腔注射LY294002 1.5 mg/kg。再灌注120 min后,取血测定血清肌酸激酶- mb (CK-MB)和乳酸脱氢酶(LDH)浓度(酶联免疫吸附法),取缺血区心肌组织测定超氧化物歧化酶(SOD)、谷胱甘肽(GSH)和丙二醛(MDA)水平(酶联免疫吸附法),测定Akt、磷酸化Akt (p-Akt)、糖原合成酶激酶3β (GSK3β)的表达。磷酸化GSK3β (p-GSK3β)和Nrf2 (Western blot)。结果与S组比较,I/R组大鼠血清CK-MB、LDH浓度显著升高,SOD、GSH水平降低,MDA水平升高,P - akt、P - gsk3 β表达下调(P<0.05)。与I/R组比较,Res+ I/R组大鼠血清CK-MB、LDH浓度显著降低,SOD、GSH水平升高,MDA水平降低,P - akt、P - gsk3 β、Nrf2表达上调(P<0.05)。与Res+ I/R组比较,LY+ Res+ I/R组大鼠血清CK-MB、LDH浓度显著升高,SOD、GSH水平降低,MDA水平升高,P - akt、P - gsk3 β、Nrf2表达下调(P<0.05)。结论白藜芦醇预处理对糖尿病大鼠心脏保护作用的机制与激活PI3K/Akt/Nrf2信号通路,抑制氧化应激反应有关。关键词:心肌再灌注损伤;糖尿病;酚类;1-phosphatidylinositol 3-kinase;Protein-serine-threonine激酶;nf - e2相关因子2
{"title":"Role of PI3K/Akt/Nrf2 signaling pathway in resveratrol preconditioning-induced cardioprotection in diabetic rats","authors":"Guiping Xu, Juan-juan Fu, Xuan Zhao, Xiaoli Wang","doi":"10.3760/CMA.J.ISSN.0254-1416.2019.10.011","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1416.2019.10.011","url":null,"abstract":"Objective \u0000To evaluate the role of phosphatidylinositol-3-kinase/protein kinase B/nuclear factor erythroid 2-related factor 2 (PI3K/Akt/Nrf2) signaling pathway in resveratrol preconditioning-induced cardioprotection in diabetic rats. \u0000 \u0000 \u0000Methods \u0000Clean-grade healthy male Sprague-Dawley rats, aged 2-3 months, weighing 240-280 g, were used in the study.The diabetes model was established by intraperitoneal injection of streptozotocin 30 mg/kg once a day for 7 consecutive days.Forty diabetic rats were selected and divided into 4 groups (n=10 each) according to the random number table method: sham operation group (S group), myocardial ischemia-reperfusion (I/R) group (I/R group), resveratrol plus myocardial I/R group (Res+ I/R group), and PI3K inhibitor LY294002 plus resveratrol plus myocardial I/R group (LY+ Res+ I/R group). The myocardial I/R injury model was established by ligating the left anterior descending coronary artery for 30 min followed by 120-min reperfusion in anesthetized rats.Resveratrol 20 mg/kg was intraperitoneally injected once a day for 7 consecutive days at one week before surgery in Res+ I/R and LY+ Res+ I/R groups.LY294002 1.5 mg/kg was intraperitoneally injected at 30 min before operation in LY+ Res+ I/R group.After 120 min of reperfusion, blood samples were taken for determination of serum creatine kinase-MB (CK-MB) and lactic dehydrogenase (LDH) concentrations (by enzyme-linked immunosorbent assay), and myocardial tissues at the ischemic area were obtained for determination of superoxide dismutase (SOD), glutathione (GSH) and malondialdehyde (MDA)levels (by enzyme-linked immunosorbent assay) and expression of Akt, phosphorylated Akt (p-Akt), glycogen synthase kinase 3β (GSK3β), phosphorylated GSK3β (p-GSK3β) and Nrf2 (by Western blot). \u0000 \u0000 \u0000Results \u0000Compared with group S, serum CK-MB and LDH concentrations were significantly increased, the SOD and GSH levels were decreased, the MDA level was increased, and the expression of p-Akt and p-GSK3β was down-regulated in I/R group (P<0.05). Compared with I/R group, serum CK-MB and LDH concentrations were significantly decreased, the SOD and GSH levels were increased, the MDA level was decreased, and the expression of p-Akt, p-GSK3β and Nrf2 was up-regulated in Res+ I/R group (P<0.05). Compared with Res+ I/R group, serum CK-MB and LDH concentrations were significantly increased, the SOD and GSH levels were decreased, the MDA level was increased, and the expression of p-Akt, p-GSK3β and Nrf2 was down-regulated in LY+ Res+ I/R group (P<0.05). \u0000 \u0000 \u0000Conclusion \u0000The mechanism of resveratrol preconditioning-induced cardioprotection is related to activating PI3K/Akt/Nrf2 signaling pathway and inhibiting oxidative stress responses in diabetic rats. \u0000 \u0000 \u0000Key words: \u0000Myocardial reperfusion injury; Diabetes mellitus; Phenols; 1-phosphatidylinositol 3-kinase; Protein-serine-threonine kinases; NF-E2-related factor 2","PeriodicalId":10053,"journal":{"name":"中华麻醉学杂志","volume":"39 1","pages":"1189-1193"},"PeriodicalIF":0.0,"publicationDate":"2019-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43946681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of ketamine anesthesia on proteome in hippocampus of aged rats 氯胺酮麻醉对老龄大鼠海马蛋白质组的影响
Q4 Medicine Pub Date : 2019-10-20 DOI: 10.3760/CMA.J.ISSN.0254-1416.2019.10.012
Shouyuan Tian, Wenjie Zhang, Lixia Nie, Lili Wang, Zhijia Guo, Xiang Yu, Zhifang Fan
Objective To evaluate the effects of ketamine anesthesia on proteome in hippocampus in aged rats. Methods Thirty healthy male Wistar rats, aged 20 months, weighing 560-610 g, were divided into 2 groups (n=15 each) using a random number table method: control group (group C) and ketamine group (group K). In group K, ketamine 80 mg/kg was intraperitoneally injected, additional 1/2 initial dose was given when the righting reflex was recovered, and anesthesia was maintained for 3 h. Morris water maze test was performed starting from 1st day after the end of anesthesia.Five rats were selected at days 1 and 7 after the end of anesthesia and sacrificed, and hippocampal tissues were obtained to extract proteins.Proteins extracted from rat hippocampi were identified by 2-dimensional electrophoresis (2-DE). The differentially expressed proteins were analyzed by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF-MS) and biological information system. Results Compared with group C, the escape latency and total swimming distance to find the submerged platform in Morris water maze at the 1st day after anesthesia were significantly prolonged in group K (P<0.05 or 0.01). The MALDI-TOF-MS analysis showed that there were 21 differentially expressed proteins at 1st day after ketamine anesthesia, of which 6 proteins (involving maintenance of intracellular protein homeostasis, energy metabolism, etc.) presented with up-regulated expression and 15 proteins (involving synaptic vesicle transport efficiency, synaptic structural and functional plasticity, maintenance of intracellular protein homeostasis, NMDA-mediated Ca2+ signal transport, energy metabolism, etc.) presented with down-regulated expression.There were 8 differentially expressed proteins at 7th day, including 3 proteins with up-regulated expression and 5 proteins with down-regulated expression (P<0.05). Conclusion Ketamine anesthesia can induce 21 differentially expressed proteins in hippocampi of aged rats, involving synaptic vesicle transport efficiency, synaptic structural and functional plasticity, intracellular protein homeostasis, NMDA-mediated Ca2+ signal transport, energy metabolism, and etc.which may be involved in the mechanism of ketamine-induced temporary cognitive dysfunction. Key words: Ketamine; Cognitive function; Hippocampus; Proteome; Aged
目的探讨氯胺酮麻醉对老年大鼠海马蛋白质组的影响。方法30只健康雄性Wistar大鼠,年龄20个月,体重560~610g,采用随机数表法分为2组(每组15只):对照组(C组)和氯胺酮组(K组)。K组腹膜内注射氯胺酮80mg/kg,当翻正反射恢复时再加1/2初始剂量,维持麻醉3h。从麻醉结束后第1天开始进行Morris水迷宫试验。在麻醉结束后第1天和第7天选择5只大鼠并处死,获得海马组织以提取蛋白质。从大鼠海马中提取的蛋白质通过二维电泳(2-DE)进行鉴定。通过基质辅助激光解吸/电离飞行时间质谱(MALDI-TOF-MS)和生物信息系统对差异表达的蛋白质进行分析。结果与C组相比,K组麻醉后第1天在Morris水迷宫中寻找水下平台的逃生潜伏期和总游泳距离显著延长(P<0.05或0.01),其中6种蛋白(涉及维持细胞内蛋白稳态、能量代谢等)表达上调,15种蛋白(包括突触小泡转运效率、突触结构和功能可塑性、维持细胞内蛋白质稳态、NMDA介导的Ca2+信号转运、能量代谢等等)表达上调表达下调。结论氯胺酮麻醉可诱导衰老大鼠海马21种差异表达蛋白,涉及突触小泡转运效率、突触结构和功能可塑性,细胞内蛋白质稳态、NMDA介导的Ca2+信号转导、能量代谢等,可能参与氯胺酮诱导的暂时性认知功能障碍的机制。关键词:氯胺酮;认知功能;海马;蛋白质组;老化
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引用次数: 1
Role of NR2B in sevoflurane anesthesia-induced cognitive dysfunction in aged rats NR2B在七氟醚麻醉致老年大鼠认知功能障碍中的作用
Q4 Medicine Pub Date : 2019-10-20 DOI: 10.3760/CMA.J.ISSN.0254-1416.2019.10.014
Jingjing Jiang, Heng Li, Baojun Fu, Weihua Liu, Zonghang Lin
Objective To evaluate the role of 2B-containing NMDA receptors (NR2B) in sevoflurane anesthesia-induced cognitive dysfunction in aged rats. Methods Thirty-two healthy male Sprague-Dawley rats, aged 18 months, weighing 570-630 g, were divided into 4 groups (n=8 each) using a random number table method: control group (group C), sevoflurane anesthesia group (group S), sevoflurane anesthesia plus NR2B specific inhibitor Ro 25-6981 group (group S+ RO) and Ro 25-6981 group (group RO). S and S+ RO groups inhaled 3% sevoflurane for 4 h. Ro 25-6981 1 mg/kg was intraperitoneally injected at 15 min before inhaling sevoflurane in group S+ RO.Morris water maze test was performed at 2 days after the end of anesthesia to assess cognitive function.The rats were then sacrificed, and hippocampal tissues were obtained for determination of the expression and phosphorylation of ERK1/2 by Western blot. Results Compared with group C, the escape latency was significantly prolonged, the frequency of crossing the original platform was reduced, the time of staying at the original platform quadrant was shortened, and the phosphorylation of ERK1/2 was decreased in group S (P 0.05). Compared with group S, the escape latency was significantly shortened, the frequency of crossing the original platform was increased, the time of staying at the original platform quadrant was prolonged, and the phosphorylation of ERK1/2 was increased in group S+ RO(P 0.05). Conclusion The mechanism by which sevoflurane anesthesia induces cognitive dysfunction is related to up-regulating the expression of NR2B and inhibiting the activity of ERK1/2 in aged rats. Key words: Receptors, N-methyl-D-aspartate; Anesthetics, inhalation; Cognition disorders; Aged
目的探讨含2B NMDA受体(NR2B)在七氟醚麻醉诱导老年大鼠认知功能障碍中的作用。方法32只健康雄性Sprague-Dawley大鼠,18个月龄,体重570-630g,采用随机数表法分为4组(每组8只):对照组(C组)、七氟醚麻醉组(S组)、七氟烷麻醉加NR2B特异性抑制剂Ro 25-6981组(S+Ro组)和Ro 25-691组(Ro组)。S和S+RO组吸入3%七氟醚4h。S+RO在吸入七氟醚前15min腹膜内注射RO 25-6981 1mg/kg。麻醉结束后2天进行Morris水迷宫试验以评估认知功能。然后处死大鼠,获得海马组织,通过蛋白质印迹测定ERK1/2的表达和磷酸化。结果与C组相比,S组的逃逸潜伏期显著延长,穿越原平台的频率降低,停留在原平台象限的时间缩短,ERK1/2磷酸化水平降低(P<0.05),结论七氟醚麻醉诱导老年大鼠认知功能障碍的机制与上调NR2B表达和抑制ERK1/2活性有关。关键词:受体,N-甲基-D-天冬氨酸;麻醉剂、吸入;认知障碍;老化
{"title":"Role of NR2B in sevoflurane anesthesia-induced cognitive dysfunction in aged rats","authors":"Jingjing Jiang, Heng Li, Baojun Fu, Weihua Liu, Zonghang Lin","doi":"10.3760/CMA.J.ISSN.0254-1416.2019.10.014","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1416.2019.10.014","url":null,"abstract":"Objective \u0000To evaluate the role of 2B-containing NMDA receptors (NR2B) in sevoflurane anesthesia-induced cognitive dysfunction in aged rats. \u0000 \u0000 \u0000Methods \u0000Thirty-two healthy male Sprague-Dawley rats, aged 18 months, weighing 570-630 g, were divided into 4 groups (n=8 each) using a random number table method: control group (group C), sevoflurane anesthesia group (group S), sevoflurane anesthesia plus NR2B specific inhibitor Ro 25-6981 group (group S+ RO) and Ro 25-6981 group (group RO). S and S+ RO groups inhaled 3% sevoflurane for 4 h. Ro 25-6981 1 mg/kg was intraperitoneally injected at 15 min before inhaling sevoflurane in group S+ RO.Morris water maze test was performed at 2 days after the end of anesthesia to assess cognitive function.The rats were then sacrificed, and hippocampal tissues were obtained for determination of the expression and phosphorylation of ERK1/2 by Western blot. \u0000 \u0000 \u0000Results \u0000Compared with group C, the escape latency was significantly prolonged, the frequency of crossing the original platform was reduced, the time of staying at the original platform quadrant was shortened, and the phosphorylation of ERK1/2 was decreased in group S (P 0.05). Compared with group S, the escape latency was significantly shortened, the frequency of crossing the original platform was increased, the time of staying at the original platform quadrant was prolonged, and the phosphorylation of ERK1/2 was increased in group S+ RO(P 0.05). \u0000 \u0000 \u0000Conclusion \u0000The mechanism by which sevoflurane anesthesia induces cognitive dysfunction is related to up-regulating the expression of NR2B and inhibiting the activity of ERK1/2 in aged rats. \u0000 \u0000 \u0000Key words: \u0000Receptors, N-methyl-D-aspartate; Anesthetics, inhalation; Cognition disorders; Aged","PeriodicalId":10053,"journal":{"name":"中华麻醉学杂志","volume":"39 1","pages":"1203-1206"},"PeriodicalIF":0.0,"publicationDate":"2019-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42701771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of ixeris sonchifolia pretreatment on expression of hypoxia-inducible factor-1α following myocardial injury induced by exhausting exercise in rats 水芹预处理对运动性心肌损伤大鼠缺氧诱导因子-1α表达的影响
Q4 Medicine Pub Date : 2019-10-20 DOI: 10.3760/CMA.J.ISSN.0254-1416.2019.10.027
Shuang Han, Kun He, Junfang Rong
Objective To evaluate the effect of ixeris sonchifolia pretreatment on the expression of hypoxia-inducible factor-1α (HIF-1α) following myocardial injury induced by exhausting exercise in rats. Methods Fifty-six healthy clean-grade male Wistar rats, weighing 200-220 g, were divided into 3 groups using a random number table method: control group (group C, n=8), exhausting exercise group (group E, n=24) and ixeris sonchifolia pretreatment group (group IS, n=24). In E and IS groups, the model of myocardial injury was established by exhausting swimming.In group IS, the rats were subjected to exhausting swimming after intraperitoneal ixeris sonehifolia 20 ml/kg.In E and IS groups, blood samples were taken from the inferior vena cava at 0, 6 and 24 h after exhaustion (T1-3) for determination of serum cardiac troponin I (cTnI) concentrations by enzyme-linked immunosorbent assay.The animals were sacrificed after anesthesia, and myocardial specimens were obtained for determination of the cell apoptosis index (by TUNEL) and expression of HIF-1α, Bax and Bcl-2 (by immunohistochemistry), and Bax/Bcl-2 ratio was calculated.The area of myocardial injury was observed using HBFP assay. Results Compared with group C, the area of myocardial injury, concentration of serum cTnl, Bax/Bcl-2 ratio and apoptosis index were significantly increased, and the expression of HIF-1α in myocardial tissues was up-regulated at each time point in E and IS groups (P<0.05). Compared with group E, the area of myocardial injury, concentration of serum cTnl, Bax/Bcl-2 ratio and apoptosis index were significantly decreased, and the expression of HIF-1α in myocardial tissues was down-regulated at each time point in group IS(P<0.05). Conclusion The mechanism by which ixeris sonchifolia pretreatment mitigates myocardial injury induced by exhausting exercise is related to inhibiting up-regulated expression of HIF-1α in myocardial tissues and reducing cell apoptosis in rats. Key words: Asteraceae; Hyperkinesis; Cardiomyopathies; Hypoxia-inducible factor 1, alpha subunit
目的探讨苦艾预处理对大鼠运动性心肌损伤后缺氧诱导因子-1α(HIF-1α)表达的影响。方法健康清洁级雄性Wistar大鼠56只,体重200~220g,采用随机数表法分为3组:对照组(C组,n=8)、运动力竭组(E组,n=24)和桑叶预处理组(IS组,n=2 4)。在E组和IS组中,通过用力游泳建立心肌损伤模型。IS组大鼠腹腔注射艾氏菌20ml/kg后进行强迫性游泳。在E组和IS组中,在衰竭后0、6和24小时(T1-3)从下腔静脉采集血样,通过酶联免疫吸附测定法测定血清肌钙蛋白I(cTnI)浓度。麻醉后处死动物,取心肌标本,用TUNEL法测定细胞凋亡指数,免疫组织化学法测定HIF-1α、Bax和Bcl-2的表达,计算Bax/Bcl-2比值。用HBFP法观察心肌损伤面积。结果与C组相比,E组和IS组心肌损伤面积、血清cTnl浓度、Bax/Bcl-2比值和细胞凋亡指数均显著增加,心肌组织HIF-1α表达在各时间点均上调(P<0.05),Bax/Bcl-2比值和细胞凋亡指数明显下降,IS组心肌组织中HIF-1α的表达在各时间点均有下调(P<0.05)。关键词:菊科;运动过度;心肌病;缺氧诱导因子1,α亚基
{"title":"Effect of ixeris sonchifolia pretreatment on expression of hypoxia-inducible factor-1α following myocardial injury induced by exhausting exercise in rats","authors":"Shuang Han, Kun He, Junfang Rong","doi":"10.3760/CMA.J.ISSN.0254-1416.2019.10.027","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1416.2019.10.027","url":null,"abstract":"Objective \u0000To evaluate the effect of ixeris sonchifolia pretreatment on the expression of hypoxia-inducible factor-1α (HIF-1α) following myocardial injury induced by exhausting exercise in rats. \u0000 \u0000 \u0000Methods \u0000Fifty-six healthy clean-grade male Wistar rats, weighing 200-220 g, were divided into 3 groups using a random number table method: control group (group C, n=8), exhausting exercise group (group E, n=24) and ixeris sonchifolia pretreatment group (group IS, n=24). In E and IS groups, the model of myocardial injury was established by exhausting swimming.In group IS, the rats were subjected to exhausting swimming after intraperitoneal ixeris sonehifolia 20 ml/kg.In E and IS groups, blood samples were taken from the inferior vena cava at 0, 6 and 24 h after exhaustion (T1-3) for determination of serum cardiac troponin I (cTnI) concentrations by enzyme-linked immunosorbent assay.The animals were sacrificed after anesthesia, and myocardial specimens were obtained for determination of the cell apoptosis index (by TUNEL) and expression of HIF-1α, Bax and Bcl-2 (by immunohistochemistry), and Bax/Bcl-2 ratio was calculated.The area of myocardial injury was observed using HBFP assay. \u0000 \u0000 \u0000Results \u0000Compared with group C, the area of myocardial injury, concentration of serum cTnl, Bax/Bcl-2 ratio and apoptosis index were significantly increased, and the expression of HIF-1α in myocardial tissues was up-regulated at each time point in E and IS groups (P<0.05). Compared with group E, the area of myocardial injury, concentration of serum cTnl, Bax/Bcl-2 ratio and apoptosis index were significantly decreased, and the expression of HIF-1α in myocardial tissues was down-regulated at each time point in group IS(P<0.05). \u0000 \u0000 \u0000Conclusion \u0000The mechanism by which ixeris sonchifolia pretreatment mitigates myocardial injury induced by exhausting exercise is related to inhibiting up-regulated expression of HIF-1α in myocardial tissues and reducing cell apoptosis in rats. \u0000 \u0000 \u0000Key words: \u0000Asteraceae; Hyperkinesis; Cardiomyopathies; Hypoxia-inducible factor 1, alpha subunit","PeriodicalId":10053,"journal":{"name":"中华麻醉学杂志","volume":"39 1","pages":"1258-1260"},"PeriodicalIF":0.0,"publicationDate":"2019-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46965866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of dexmedetomidine on perioperative systemic inflammatory responses of elderly patients undergoing radical operation for intestinal cancer 右美托咪定对老年肠癌根治术患者围手术期全身炎症反应的影响
Q4 Medicine Pub Date : 2019-10-20 DOI: 10.3760/CMA.J.ISSN.0254-1416.2019.10.028
L. Ding
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引用次数: 0
Role of long non-coding RNA MEG3 in hyperglycose-induced neurocyte damage in rats: relationship with mitochondrion-dependent apoptosis 长链非编码RNA MEG3在高糖诱导的大鼠神经细胞损伤中的作用:与线粒体依赖性凋亡的关系
Q4 Medicine Pub Date : 2019-10-20 DOI: 10.3760/CMA.J.ISSN.0254-1416.2019.10.008
Murat Marjan, Zhi-Hua Wang, Cheng Chen, Y. Huang, Ping-ping Xia, Fan Zhang, E. Wang, Q. Guo, Z. Ye
Objective To evaluate the role of long non-coding RNA maternally expressed gene 3 (MEG3) in hyperglycose-induced neurocyte damage and the relationship with mitochondrion-dependent apoptosis in rats. Methods Normally cultured PC12 cells were divided into 5 groups (n=18 each) using a random number table method: normal concentration of glucose control group (C group), normal concentration of glucose plus MEG3 group (C+ MEG3 group), high-concentration glucose group (HG group), high-concentration glucose plus MEG3 group(HG+ MEG3 group), and high-concentration glucose plus negative lentiviral vector (LV-NC) group (HG+ NC group). PC12 cells were cultured in DMEM medium with 25 mmol/L glucose in group C. PC12 cells were cultured in DMEM medium with 25 mmol/L glucose after being transfected with MEG3 lentiviral vector (LV-MEG3) in C+ MEG3 group.PC12 cells were cultured in DMEM medium with 250 mmol/L glucose in HG group.PC12 cells were incubated in DMEM medium containing 250 mmol/L glucose after being transfected with LV-MEG3 in HG+ MEG3 group.PC12 cells were incubated in DMEM medium containing 250 mmol/L glucose after being transfected with LV-NC in HG+ NC group.After the cells were cultured or incubated for 1 day, the cell viability was measured by CCK8 assay, the apoptosis rate and level of reactive oxygen species (ROS) were determined by flow cytometry, and the amount of lactic dehydrogenase (LDH) released was measured by DCFH-DA, the expression of Cyt c, caspase-3, caspase-9, Bcl-2, Bax and Apaf-1 was determined by Western blot, and the opening of mitochondrial permeability transition pore (mPTP) was determined by fluorescent method.Blc-2/Bax ratio was calculated. Results Compared with group C, the cell viability was significantly decreased, the amount of LDH released, ROS level and apoptosis rate were increased, the opening of mPTP was increased, and the expression of caspase-3, caspase-9, Cyt c, Bax, Bcl-2 and Apaf-1 was up-regulated in HG, HG+ MEG3 and HG+ NC groups, and Bcl-2/Bax ratio was increased in HG+ MEG3 group and decreased in HG and HG+ NC groups (P<0.05). Compared with HG group and HG+ NC group, the cell activity was significantly increased, the amount of LDH released, ROS level and apoptosis rate were decreased, the opening of mPTP was decreased, the expression of caspase-3, caspase-9, Cyt c, Bax, and Apaf-1 was down-regulated, the expression of Bcl-2 was up-regulated, and Bcl-2/Bax ratio was increased in HG+ MEG3 group (P<0.01). Conclusion MEG3 may be involved in the endogenous protective mechanism during hyperglycose-induced neurocyte damage by inhibiting mitochondrion-dependent apoptosis in rats. Key words: RNA, long noncoding; Diabetes mellitus; Neurons; Apoptosis
目的探讨长链非编码RNA母源表达基因3 (MEG3)在高糖诱导大鼠神经细胞损伤中的作用及其与线粒体依赖性凋亡的关系。方法采用随机数字表法将正常培养的PC12细胞分为5组,每组18例:正常浓度葡萄糖对照组(C组)、正常浓度葡萄糖加MEG3组(C+ MEG3组)、高浓度葡萄糖组(HG组)、高浓度葡萄糖加MEG3组(HG+ MEG3组)、高浓度葡萄糖加阴性慢病毒载体(LV-NC)组(HG+ NC组)。C组PC12细胞在含25 mmol/L葡萄糖的DMEM培养基中培养。C+ MEG3组PC12细胞转染MEG3慢病毒载体(LV-MEG3)后,在含25 mmol/L葡萄糖的DMEM培养基中培养。HG组PC12细胞在含250 mmol/L葡萄糖的DMEM培养基中培养。HG+ MEG3组PC12细胞转染LV-MEG3后,置于含250 mmol/L葡萄糖的DMEM培养基中孵育。HG+ NC组PC12细胞转染LV-NC后,置于含250 mmol/L葡萄糖的DMEM培养基中孵育。细胞培养或孵育1 d后,采用CCK8法检测细胞活力,流式细胞术检测细胞凋亡率和活性氧(ROS)水平,DCFH-DA法检测乳酸脱氢酶(LDH)释放量,Western blot法检测Cyt c、caspase-3、caspase-9、Bcl-2、Bax、Apaf-1表达,荧光法检测线粒体通透性过渡孔(mPTP)开度。计算Blc-2/Bax比值。结果与C组比较,HG、HG+ MEG3、HG+ NC组细胞活力显著降低,LDH释放量、ROS水平、凋亡率升高,mPTP开口增加,caspase-3、caspase-9、Cyt - C、Bax、Bcl-2、Apaf-1表达上调,HG+ MEG3组Bcl-2/Bax比值升高,HG、HG+ NC组Bcl-2/Bax比值降低(P<0.05)。与HG组和HG+ NC组比较,HG+ MEG3组细胞活性显著升高,LDH释放量、ROS水平和凋亡率降低,mPTP开度降低,caspase-3、caspase-9、Cyt c、Bax、Apaf-1表达下调,Bcl-2表达上调,Bcl-2/Bax比值升高(P<0.01)。结论MEG3可能通过抑制线粒体依赖性凋亡参与了高糖诱导大鼠神经细胞损伤的内源性保护机制。关键词:RNA,长链非编码;糖尿病;神经元;细胞凋亡
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引用次数: 0
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中华麻醉学杂志
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