Shinone Kotaro, Tomita Masafumi, Inoue Hiromasa, Nakagawa Yasuhisa, Ikemura Mayumi, Nata Masayuki
Department of Forensic Medicine and Science, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu City, Mie 514-8507, Japan.
Leg Med (Tokyo). 2010 Mar;12(2):79-83. doi: 10.1016/j.legalmed.2010.01.001. Epub 2010 Feb 9.
In order to investigate the interaction in the heart between the administration of methamphetamine (MAP) and restraint of the body following it, we administrated MAP intraperitoneally to mice and restrained them, and then determined the level of mRNA expression of 22 genes in the heart using quantitative RT-PCR method. The mRNA expressions of Nfkbiz, Nr4a1 and Dusp1 changed significantly after the administration of MAP, suggesting the induction of an inflammatory condition such as damage to the myocardium. Moreover, the serum concentrations of inflammatory cytokines such as tumor necrosis factor-alpha, interleukin (IL)-1 beta and IL-6 were significantly increased by the administration of MAP. On the other hand, the mRNA expressions of Rgs2 and Rasd1 were changed by both the administration of MAP and body restraint without interaction, which indicated that these insults affected the circulatory system additively or synergistically. From these results, it is likely that the administration of MAP, followed by body restraint, might cause acute myocardial damage due to the direct myocardial toxic effect of MAP, myocardial hypoxia and/or severe hypertension, which is one of the mechanisms for sudden death in MAP abusers who were restrained due to their excited state.
为了研究甲基苯丙胺(MAP)给药与随后的身体束缚对心脏的相互作用,我们给小鼠腹腔注射MAP并对其进行束缚,然后使用定量RT-PCR方法测定心脏中22个基因的mRNA表达水平。MAP给药后,Nfkbiz、Nr4a1和Dusp1的mRNA表达发生显著变化,提示诱导了如心肌损伤等炎症状态。此外,MAP给药显著增加了肿瘤坏死因子-α、白细胞介素(IL)-1β和IL-6等炎症细胞因子的血清浓度。另一方面,Rgs2和Rasd1的mRNA表达在MAP给药和身体束缚时均发生变化,但无相互作用,这表明这些损伤对循环系统有相加或协同作用。从这些结果来看,MAP给药后再进行身体束缚,可能由于MAP的直接心肌毒性作用、心肌缺氧和/或严重高血压导致急性心肌损伤,这是因兴奋状态而被束缚的MAP滥用者猝死的机制之一。