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[二氮嗪对幼鼠深低温脑缺血再灌注损伤后脑组织氧自由基及细胞凋亡的影响]

[Effect of diazoxide on oxygen free radicals and cell apoptosis in brain tissue after deep hypothermia cerebral ischemia reperfusion injury in young rats].

作者信息

He Xiao-min, Mo Xu-ming, Gu Qun, Chen Feng, Zhang Yong-sheng, Peng Wei, Qi Ji-rong, Gu Hai-tao, Sun Jian

机构信息

Department of Cardiothoracic Surgery, Nanjing Children's Hospital, Nanjing Medical University, Nanjing 210008, China.

出版信息

Zhonghua Wai Ke Za Zhi. 2010 Jan 15;48(2):142-5.

Abstract

OBJECTIVE

To determine the effects of diazoxide on oxygen free radicals and cell apoptosis in brain tissue after deep hypothermia cerebral ischemia reperfusion injury in young rats.

METHODS

Fifty-four 3-week-old Sprague-Dawley rats were randomly and equitably divided into sham-operated group, model group and diazoxide group respectively (n = 18). The model of hypothermia cerebral ischemia reperfusion injury was made. After 24 hours of operation, the brains of rats were removed and preserved. The content of superoxide dismutase (SOD) and malonaldehyde (MDA) in brain tissue were detected. Cytosolic C release of cytochrome was confirmed by Western Blot. The protein expression of Caspase-3 was determined by immunohistochemistry.

RESULTS

In the model group, the content of SOD was (198 +/- 41) U/mg, lower than the sham-operated group's (321 +/- 36) U/mg (P < 0.01). The content of MDA was (212 +/- 21) nmol/mg, was higher than the sham-operated group's (100 +/- 23) nmol/mg (P < 0.01), and the expressions of cytochrome C (0.72 +/- 0.09) and Caspase-3 (83 +/- 10) were all significantly higher than those in the sham-operated group (0.17 +/- 0.02 and 115 +/- 9) (P < 0.01). Compared with the model group, the content of SOD in the diazoxide group [(264 +/- 34) U/mg] was markedly increased (P < 0.05). In addition, diazoxide provided significant reductions in the content of MDA [(174 +/- 19) nmol/mg] and the expressions of cytochrome C (0.41 +/- 0.05) and Caspase-3 (99 +/- 11) (P < 0.05).

CONCLUSIONS

The neuroprotective effects of diazoxide against brain injury induced by deep hypothermia cerebral ischemia reperfusion through inhibiting oxygen free radicals and cell apoptosis. Diazoxide may become a new neuroprotective drug after infant complicated congenital cardiac operation.

摘要

目的

探讨二氮嗪对幼鼠深低温脑缺血再灌注损伤后脑组织氧自由基及细胞凋亡的影响。

方法

将54只3周龄Sprague-Dawley大鼠随机等分为假手术组、模型组和二氮嗪组(n = 18)。建立低温脑缺血再灌注损伤模型。术后24小时取出大鼠脑组织并保存。检测脑组织中超氧化物歧化酶(SOD)和丙二醛(MDA)的含量。通过蛋白质免疫印迹法确认细胞色素C的胞质释放。采用免疫组织化学法测定Caspase-3的蛋白表达。

结果

模型组SOD含量为(198±41)U/mg,低于假手术组的(321±36)U/mg(P < 0.01)。MDA含量为(212±21)nmol/mg,高于假手术组的(100±23)nmol/mg(P < 0.01),细胞色素C(0.72±0.09)和Caspase-3(83±10)的表达均显著高于假手术组(0.17±0.02和115±9)(P < 0.01)。与模型组相比,二氮嗪组SOD含量[(264±34)U/mg]明显升高(P < 0.05)。此外,二氮嗪能显著降低MDA含量[(174±19)nmol/mg]以及细胞色素C(0.41±0.05)和Caspase-3(99±11)的表达(P < 0.05)。

结论

二氮嗪对深低温脑缺血再灌注诱导的脑损伤具有神经保护作用,其机制可能与抑制氧自由基及细胞凋亡有关。二氮嗪可能成为婴幼儿复杂先天性心脏病手术后新型神经保护药物。

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