Department of Anesthesiology and Pain Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
J Korean Med Sci. 2011 Feb;26(2):290-6. doi: 10.3346/jkms.2011.26.2.290. Epub 2011 Jan 24.
The purpose of this study is to determine 1) whether morphine post condition (MPostC) can attenuate the intercellular adhesion molecules-1 (ICAM-1) expression after reoxygenation injury and 2) the subtype(s) of the opioid receptors (ORs) that are involved with MPostC. Human umbilical vein endothelial cells (HUVECs) were subjected to 6 hr anoxia followed by 12 hr reoxygenation. Three morphine concentrations (0.3, 3, 30 µM) were used to evaluate the protective effect of MPostC. We also investigated blockading the OR subtypes' effects on MPostC by using three antagonists (a µ-OR antagonist naloxone, a κ-OR antagonist nor-binaltorphimine, and a δ-OR antagonist naltrindole) and the inhibitor of protein kinase C (PKC) chelerythrine. As results, the ICAM-1 expression was significantly reduced in the MPostC (3, 30 µM) groups compared to the control group at 1, 6, 9, and 12 hours reoxygenation time. As a consequence, neutrophil adhesion was also decreased after MPostC. These effects were abolished by co administering chelerythrine, nor-binaltorphimine or naltrindole, but not with naloxone. In conclusion, it is assumed that MPostC could attenuate the expression of ICAM-1 on endothelial cells during reoxygenation via the κ and δ-OR (opioid receptor)-specific pathway, and this also involves a PKC-dependent pathway.
1)吗啡后处理(MPostC)能否减轻再复氧损伤后细胞间黏附分子-1(ICAM-1)的表达;2)涉及 MPostC 的阿片受体(OR)亚型。将人脐静脉内皮细胞(HUVEC)置于 6 小时缺氧后再复氧 12 小时。使用三种吗啡浓度(0.3、3、30μM)来评估 MPostC 的保护作用。我们还通过使用三种拮抗剂(µ-OR 拮抗剂纳洛酮、κ-OR 拮抗剂诺比那肽和 δ-OR 拮抗剂纳曲吲哚)和蛋白激酶 C(PKC)抑制剂 chelerythrine 来研究阻断 OR 亚型对 MPostC 的影响。结果显示,与对照组相比,MPostC(3、30μM)组在再复氧 1、6、9 和 12 小时时 ICAM-1 表达明显降低。因此,MPostC 后中性粒细胞黏附也减少。这些作用被 chelerythrine、nor-binaltorphimine 或 naltrindole 共同给药所消除,但纳洛酮没有消除。总之,假设 MPostC 可以通过 κ 和 δ-OR(阿片受体)特异性途径减轻再复氧过程中内皮细胞上 ICAM-1 的表达,这也涉及 PKC 依赖性途径。