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[脑缺血预处理时间参数对大鼠全脑缺血损伤保护作用的影响]

[The effect of time parameters of cerebral ischemic preconditioning on its protective effect against global cerebral ischemic injury in rats].

作者信息

Liu Hui-Qing, Li Wen-Bin, Feng Rong-Fang, Li Qing-Jun, Zhou Ai-Min, Zhao Hong-Gang, Chen Xiao-Ling, Ai Jie

机构信息

Department of Pathophysiology, Institute of Basic Medicine, Hebei Medical University, Shijiazhuang 050017, China.

出版信息

Zhongguo Ying Yong Sheng Li Xue Za Zhi. 2006 Feb;22(1):7-11.

Abstract

AIM

To investigate the effects of the duration of cerebral ischemic preconditioning(CIP) and interval between CIP and the subsequent ischemic insult on the protection of CIP against delayed neuronal death (DND) in the CA1 hippocampus normally induced by brain ischemic insult.

METHODS

Four-vessel occlusion cerebral ischemic model of rats (54) was used. The brain of the rats was sectioned and stained with thionin to show DND in the CA1 hippocampus.

RESULTS

No DND was found in the hippocampus of the rats subjected to sham operation and CIP, in which 3 min cerebral ischemic preconditioning was performed. Obvious destruction of the CA1 hippocampus was found in brain ischemic insult group, in which histological (HG) was 2-3 in 6 min and 10 min ischemia subgroups and grade 3 in 15 min ischemia subgroup. In CIP + brain ischemic insult group, no obvious neuronal damage was found in 3 min-3d-6 min (CIP for 3 min was followed by a brain ischemic insult for 6 min at an interval of 3 d, the same as the following) and 3 min-3 d-10 min groups, indicating that CIP effectively protected neurons of the CA1 hippocampus against DND normally induced by ischemic insult for 6 or 10 min. However, in 3 min-1 d-10 min and 3 min-3 d-15 min groups, the protective effect of CIP was lower than that in the 3 min-3 d-10 min group. The quantitative analysis of the protective effect of CIP on the CA1 hippocampal neurons showed that there was no significant difference in protecting number and protecting index between 3 min-3 d-6 min and 3 min-3 d-10 min groups (P > 0.05). However, the growth index in 3 min-3 d-10 min group was obvious larger than that in 3 min-3 d-6 min (P < 0.05).

CONCLUSION

Although the protective effects of CIP in 3 min-3 d-6 min and 3 min-3 d-10 min groups were similar, the protective effect of CIP in 3 min-3 d-10 min group was sensitively found. Maximal protective potential of CIP could be induced when using the time parameters of 3 min-3 d-10 min to establish the model of global cerebral ischemic tolerance.

摘要

目的

探讨脑缺血预处理(CIP)的持续时间以及CIP与随后缺血性损伤之间的间隔时间对CIP保护海马CA1区免受脑缺血损伤正常诱导的迟发性神经元死亡(DND)的影响。

方法

采用大鼠四血管闭塞脑缺血模型(54只)。将大鼠脑切片并用硫堇染色以显示海马CA1区的DND。

结果

进行假手术和3分钟脑缺血预处理的大鼠海马中未发现DND。脑缺血损伤组海马CA1区有明显破坏,其中6分钟和10分钟缺血亚组的组织学分级(HG)为2 - 3级,15分钟缺血亚组为3级。在CIP + 脑缺血损伤组中,3分钟 - 3天 - 6分钟(先进行3分钟CIP,间隔3天再进行6分钟脑缺血损伤,下同)和3分钟 - 3天 - 10分钟组未发现明显神经元损伤,表明CIP有效保护海马CA1区神经元免受缺血损伤6分钟或10分钟正常诱导的DND。然而,在3分钟 - 1天 - 10分钟和3分钟 - 3天 - 15分钟组中,CIP的保护作用低于3分钟 - 3天 - 10分钟组。CIP对海马CA1区神经元保护作用的定量分析表明,3分钟 - 3天 - 6分钟和3分钟 - 3天 - 10分钟组在保护数量和保护指数上无显著差异(P > 0.05)。然而,3分钟 - 3天 - 10分钟组的生长指数明显大于3分钟 - 3天 - 6分钟组(P < 0.05)。

结论

虽然3分钟 - 3天 - 6分钟和3分钟 - 3天 - 10分钟组中CIP的保护作用相似,但3分钟 - 3天 - 10分钟组中CIP的保护作用更明显。采用3分钟 - 3天 - 10分钟的时间参数建立全脑缺血耐受模型时,可诱导CIP的最大保护潜能。

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