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[神经通路参与肢体缺血预处理对大鼠缺血/再灌注诱导的脑损伤的保护作用]

[Neural pathway participates in protection of limb ischemic preconditioning against brain injuries induced by ischemia/reperfusion in rats].

作者信息

Zhao Hong-Gang, Li Wen-Bin, Sun Xiao-Cai, Li Qing-Jun, Ai Ji, Li Dong-Liang

机构信息

Department of Physiology, Xinxiang Medical College, Xinxiang 453003, China.

出版信息

Zhongguo Ying Yong Sheng Li Xue Za Zhi. 2007 Feb;23(1):19-23.

Abstract

AIM

To explore the role of femoral nerves section (FNS) on the protection of limb ischemic preconditioning (LIP) against cerebral ischemia/reperfusion injuries.

METHODS

Model of brain ischemia induced by Four-vessel occlusion was used. LIP was performed by clamping the bilateral femoral arteries for 10 min 3 times in a interval of 10 min. Rats with vertebral arteries permanently occluded were divided into sham group, cerebral ischemic group, FNS + cerebral ischemic group, LIP + cerebral ischemic group, FNS + LIP + cerebral ischemic group. The changes of neural density (ND) in the CA1 hippocampus were observed 7d after the sham operation or brain ischemia under thionin staining. The expression of c-Fos in the CA1 hippocampus was measured 6 h after the sham operation or brain ischemia under immunohistochemistry method.

RESULTS

Thionin staining revealed that serious neuronal damage was visualized in the CA1 hippocampus in both cerebral ischemic group and FNS + cerebral ischemic group as compared with sham group. LIP attenuated the neuronal damage of the CA1 subfield induced normally by cerebral ischemia/reperfusion, and ND in LIP + cerebral ischemic group was significantly higher than that in cerebral ischemic group (P < 0.01). But obvious neuronal damage of the CA1 subfield was found in FNS+ LIP + cerebral ischemic group, and ND was significantly decreased as compared with LIP + cerebral ischemic group (P < 0.01). These results suggested that the protection of LIP against cerebral ischemia/reperfusion injuries might be cancelled by preceding section of femoral nerve. It was found that there was almost no c-Fos expression in the CA1 hippocampus in sham group. Changes of c-Fos expression in the CA1 subfield in cerebral ischemic group were similar to that in sham group. But in LIP + cerebral ischemic group, c-Fos expression in the CA1 subfield was markedly increased and the number of positive cells and optical density of c-Fos expression were significantly higher than those in sham and cerebral ischemic group. c-Fos expression in the CA1 subfield was again decreased in FNS + LIP + cerebral ischemic group, and the number of positive cells and optical density of c-Fos expression were significantly lower than those in LIP + cerebral ischemic group.

CONCLUSION

Neural pathway participated in the protective effect of LIP on brain, and increased c-Fos expression in the CA1 hippocampus by LIP after cerebral ischemia/reperfusion, might be a part of neural pathway by which LIP induced brain ischemic tolerance.

摘要

目的

探讨切断股神经(FNS)对肢体缺血预处理(LIP)保护脑缺血/再灌注损伤作用的影响。

方法

采用四动脉闭塞法制备脑缺血模型。通过夹闭双侧股动脉10分钟,间隔10分钟,重复3次来进行LIP。将永久性闭塞椎动脉的大鼠分为假手术组、脑缺血组、FNS + 脑缺血组、LIP + 脑缺血组、FNS + LIP + 脑缺血组。在假手术或脑缺血7天后,采用硫堇染色观察海马CA1区神经密度(ND)的变化。在假手术或脑缺血6小时后,采用免疫组织化学方法检测海马CA1区c-Fos的表达。

结果

硫堇染色显示,与假手术组相比,脑缺血组和FNS + 脑缺血组海马CA1区可见严重的神经元损伤。LIP减轻了脑缺血/再灌注正常诱导的海马CA1亚区神经元损伤,LIP + 脑缺血组的ND明显高于脑缺血组(P < 0.01)。但FNS + LIP + 脑缺血组海马CA1亚区出现明显的神经元损伤,与LIP + 脑缺血组相比,ND明显降低(P < 0.01)。这些结果表明,预先切断股神经可能会取消LIP对脑缺血/再灌注损伤的保护作用。发现假手术组海马CA1区几乎没有c-Fos表达。脑缺血组海马CA1亚区c-Fos表达变化与假手术组相似。但在LIP + 脑缺血组,海马CA1亚区c-Fos表达明显增加,阳性细胞数量和c-Fos表达光密度均明显高于假手术组和脑缺血组。FNS + LIP + 脑缺血组海马CA1亚区c-Fos表达再次降低,阳性细胞数量和c-Fos表达光密度均明显低于LIP + 脑缺血组。

结论

神经通路参与了LIP对脑的保护作用,脑缺血/再灌注后LIP使海马CA1区c-Fos表达增加,可能是LIP诱导脑缺血耐受的神经通路的一部分。

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