Sakurai Masahiro, Takahashi Goro, Abe Koji, Horinouchi Takashi, Itoyama Yasuto, Tabayashi Koichi
Department of Cardiovascular Surgery, National Hospital Organization Sendai Medical Center, Sendai, Japan.
J Thorac Cardiovasc Surg. 2005 Sep;130(3):640-5. doi: 10.1016/j.jtcvs.2005.01.007.
The mechanism of spinal cord injury has been thought to be related to the vulnerability of spinal motor neuron cells against ischemia. However, the mechanisms of such vulnerability are not fully understood. Because we previously reported that spinal motor neurons were probably lost as the result of programmed cell death, we investigated a possible mechanism of neuronal death by immunohistochemical analysis for Grp78 and caspase12.
We used a rabbit spinal cord ischemia model with a balloon catheter. The spinal cord was removed at 8 hours or 1, 2, or 7 days after 15 minutes of transient ischemia. Histologic changes were studied with hematoxylin-eosin staining. Western blot analysis for Grp78 and caspase12, temporal profiles of Grp78 and caspase12 immunoreactivity, and double-label fluorescence immunocytochemical studies were performed.
The majority of motor neurons were preserved for 2 days but were selectively lost at 7 days of reperfusion. Western blot analysis revealed scarce immunoreactivity for Grp78 and caspase12 in the sham-operated spinal cords. However, immunoreactivity for Grp78 and caspase12 became apparent at 8 hours after transient ischemia, which returned to the baseline level at 1 day. Double-label fluorescence immunocytochemical study revealed that both Grp78 and caspase12 were positive at 8 hours of reperfusion in the same motor neurons that eventually die.
This study demonstrated that immunoreactivities for both Grp78 and caspase12 were induced in the same motor neuron that eventually dies. These results suggest that endoplasmic reticulum stress was induced in motor neurons by transient spinal cord ischemia in rabbits.
脊髓损伤的机制一直被认为与脊髓运动神经元细胞对缺血的易损性有关。然而,这种易损性的机制尚未完全明确。由于我们之前报道脊髓运动神经元可能因程序性细胞死亡而丢失,因此我们通过对葡萄糖调节蛋白78(Grp78)和半胱天冬酶12(caspase12)进行免疫组织化学分析,研究了神经元死亡的可能机制。
我们使用球囊导管建立兔脊髓缺血模型。在短暂缺血15分钟后的8小时或1、2或7天取出脊髓。用苏木精-伊红染色研究组织学变化。进行了Grp78和caspase12的蛋白质印迹分析、Grp78和caspase12免疫反应性的时间变化分析以及双标荧光免疫细胞化学研究。
大多数运动神经元在2天内得以保留,但在再灌注7天时选择性丢失。蛋白质印迹分析显示,在假手术的脊髓中,Grp78和caspase12的免疫反应性较弱。然而,短暂缺血后8小时,Grp78和caspase12的免疫反应性变得明显,并在1天时恢复到基线水平。双标荧光免疫细胞化学研究显示,在最终死亡的同一运动神经元中,再灌注8小时时Grp78和caspase12均呈阳性。
本研究表明,在最终死亡的同一运动神经元中诱导了Grp78和caspase12的免疫反应性。这些结果表明,兔短暂脊髓缺血可诱导运动神经元内质网应激。