Liu Lei, Pei Fu-xing, Tang Kang-lai, Xu Jian-zhong, Li Qi-hong
Department of Orthopaedics, Southwestern Hospital, Third Military Medical University, Chongqing 400038, China.
Zhonghua Yi Xue Za Zhi. 2005 Jun 1;85(20):1424-7.
To observe the effects of basic fibroblast growth factor (bFGF) on neuronal apoptosis and caspase 3 gene expression after spinal cord injury.
Forty-five SD rats were randomly divided into 3 equal groups: normal group (n = 5, with the spinal cord intact), treatment group [n = 20, with their spinal cord at T13-L2 injured by distraction till the cortical somatosensory evoked potential (CSEP) decreased by 70% and then a thin plastic tube inserted into the subarachnoid cavity below the injured level for perfusion of bFGF 20 microg immediately, and 1, 2, 3, 4, 8, 12, and 24 hours after injury], and control group (n = 20, with their spinal cord at T13-L2 injured by distraction till the CSEP decreased by 70% and then a thin plastic tube inserted into the subarachnoid cavity below the injured level for perfusion of normal saline of the same volume at the same time points). CSEP was tested by electrophysiological technique to record the latent time of P1 wave and the amplitude of P1-N1. Combined behavioral score (CBS) was used to evaluate the function of spinal cord, including motivation, sensation, reflex, and coordination of actions. The rats were killed at the days 1, 4, 7, 14, and 21 postoperatively. A segment of spinal cord T13-L2 1.5 cm long was taken out to be fixed and sliced. Flow cytometry was used to detect the neuronal cell apoptosis. Imunohistochemistry and TUNEL were used to examine the expression of caspase 3.
The CBS value of the normal group was 0, and the CBS values at different time points of the treatment group were all lower than those of the control group (P < 0.05 or P < 0.05). The values of latent time of P1 wave 4 approximately 21 days after injury of the 2 injury groups were all longer than that of the normal group, those of the treatment group being significantly shorter than those of the control group. The values of P1-N1 amplitude 4 approximately 21 days after injury of the 2 injury groups were all lower than that of the normal group, those of the treatment group being significantly lower than those of the control group (P < 0.05 or P < 0.01). TUNEL showed that the apoptotic cell numbers at different time points of the 2 injury groups were lower than that of the normal group, those of the treatment group being significantly lower than those of the control group (P < 0.05 or P < 0.01). Immunohistochemistry showed that the numbers of caspase 3 positive cells at different time points of the 2 injury groups were all lower than that of the normal group, those of the treatment group being significantly lower than those of the control group (P < 0.05 or P < 0.01). The active fluorescence values at different time points of the 2 injury groups were all higher than those of the normal group, those of the treatment group being significantly lower than those of the control group (P < 0.05 or P < 0.01).
bFGF inhibits the expression of caspase 3 protein, reduces the caspase 3 activity, lessens the secondary cell apoptosis in the injured spinal cord, and promotes nerve function recovery of spinal cord.
观察碱性成纤维细胞生长因子(bFGF)对脊髓损伤后神经元凋亡及半胱天冬酶3基因表达的影响。
45只SD大鼠随机分为3组,每组15只:正常组(n = 5,脊髓完整);治疗组[n = 20,将脊髓T13-L2节段采用牵张法损伤,至皮层体感诱发电位(CSEP)下降70%后,于损伤节段下方蛛网膜下腔置入细塑料管,立即灌注bFGF 20μg,并于伤后1、2、3、4、8、12及24小时分别灌注];对照组[n = 20,将脊髓T13-L2节段采用牵张法损伤,至CSEP下降70%后,于损伤节段下方蛛网膜下腔置入细塑料管,于相同时间点灌注等体积生理盐水]。采用电生理技术检测CSEP,记录P1波潜伏期及P1-N1波幅。采用联合行为评分(CBS)评估脊髓功能,包括运动、感觉、反射及动作协调性。术后1、4、7、14及21天处死大鼠,取T13-L2节段长1.5 cm的脊髓组织固定、切片。采用流式细胞术检测神经元细胞凋亡。采用免疫组化及TUNEL法检测半胱天冬酶3的表达。
正常组CBS值为0,治疗组不同时间点CBS值均低于对照组(P < 0.05或P < 0.01)。2个损伤组伤后4~21天P1波潜伏期均长于正常组,治疗组明显短于对照组。2个损伤组伤后4~21天P1-N1波幅均低于正常组,治疗组明显低于对照组(P < 0.05或P < 0.01)。TUNEL法显示,2个损伤组不同时间点凋亡细胞数均低于正常组,治疗组明显低于对照组(P < 0.05或P < 0.01)。免疫组化显示,2个损伤组不同时间点半胱天冬酶3阳性细胞数均低于正常组,治疗组明显低于对照组(P < 0.05或P < 0.01)。2个损伤组不同时间点活性荧光值均高于正常组,治疗组明显低于对照组(P < 0.05或P < 0.01)。
bFGF可抑制半胱天冬酶3蛋白表达,降低半胱天冬酶3活性,减轻脊髓损伤后继发性细胞凋亡,促进脊髓神经功能恢复。