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[磁共振波谱对缺血大鼠海马神经元损伤的实验研究]

[Experimental study of hippocampal neuronic lesion in ischemic rat by magnetic resonance spectroscopy].

作者信息

Lou Hai-Yan, Zhang Min-Ming, Zhang Jing-Feng, Xu Shun-Liang, Zhang Liang

机构信息

Department of Radiology, The First Affiliated Hospital, College of Medicine, Zhejiang Uninersity, Hangzhou 310003, China.

出版信息

Zhongguo Ying Yong Sheng Li Xue Za Zhi. 2007 Feb;23(1):41-5.

Abstract

AIM

To evaluate N-acetylaspartate reflecting the neuronal lesion in middle cerebral artery occlusion and reperfusion rat by magnetic resonance spectroscopy (MRS).

METHODS

Sixteen adult Wistar rats with MCAO reperfusion and ten pseudooperation rats were performed MRS in vivo at the sixth weeks, then pathologic examination of HE staining and immunohistochemical staining were made. We compared hippocampus modality, cell density and immunohistochemical results with N-acetylaspartate, creatine changes and ration of NAA/Cr.

RESULTS

The values of NAA, Cr and NAA/Cr of ipsilateral hippocampus lesion in MCAO reperfusion rats (2.05 +/- 0.33, 2.42 +/- 0.41 and 0.86 +/- 0.10) were visiblly decreased than contralateral hippocampus (3.45 +/- 0.58, 3.10 +/- 0.93, 1.18 +/- 0.32) and control group (3.42 +/- 0.43, 3.57 +/- 0.47, 0.98 +/- 0.14). But the level of decreased NAA is not corresponding to the degree of neuronal death in ipsilateral region of hippocampus in histochemistry.

CONCLUSION

MRS has perfect explanation of cell metabolic changes in CA1 region. Decrease of NAA represented neuron delayed injury. But the decreased level of NAA is not perfectly corresponded to the degree of neuron lost. This change has closed correlation with reactive astrocytes proliferation.

摘要

目的

通过磁共振波谱(MRS)评估反映大脑中动脉闭塞再灌注大鼠神经元损伤的N-乙酰天门冬氨酸。

方法

对16只大脑中动脉闭塞再灌注成年Wistar大鼠和10只假手术大鼠在第6周进行活体MRS检查,然后进行HE染色和免疫组化染色的病理检查。我们将海马形态、细胞密度和免疫组化结果与N-乙酰天门冬氨酸、肌酸变化及NAA/Cr比值进行比较。

结果

大脑中动脉闭塞再灌注大鼠同侧海马损伤区的NAA、Cr及NAA/Cr值(2.05±0.33、2.42±0.41和0.86±0.10)明显低于对侧海马(3.45±0.58、3.10±0.93、1.18±0.32)和对照组(3.42±0.43、3.57±0.47、0.98±0.14)。但在组织化学中,同侧海马区NAA降低水平与神经元死亡程度不对应。

结论

MRS能很好地解释CA1区细胞代谢变化。NAA降低代表神经元延迟性损伤。但NAA降低水平与神经元丢失程度不完全对应。这种变化与反应性星形胶质细胞增生密切相关。

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