Department of Anesthesiology, ShengJing Hospital of China Medical University, Shenyang, China.
Neurochem Res. 2013 Mar;38(3):530-7. doi: 10.1007/s11064-012-0945-4. Epub 2012 Dec 18.
Anesthetics such as propofol can provide neuroprotective effects against cerebral ischemia. However, the underlying mechanism of this beneficial effect is not clear. Therefore, we subjected male Sprague-Dawley rats to 2 h of middle cerebral artery occlusion and investigated how post-ischemic administration of propofol affected neurologic outcome and the expression of basic fibroblast growth factor (bFGF). After 2 h of ischemia, just before reperfusion, the animals were randomly assigned to receive either propofol (20 mg kg(-1) h(-1)) or vehicle (10 % intralipid, 2 ml kg(-1) h(-1)) intravenously for 4 h. Neurologic scores, infarct volume, and brain water content were measured at different time points after reperfusion. mRNA level of bFGF was measured by real-time PCR, and the protein expression level of bFGF was analyzed by immunohistochemistry and Western blot. At 6, 24, 72 h, and 7 days of reperfusion, infarct volume was significantly reduced in the propofol-treated group compared to that in the vehicle-treated group (all P < 0.05). Propofol post-treatment also attenuated brain water content at 24 and 72 h and reduced neurologic deficit score at 72 h and 7 days of reperfusion (all P < 0.05). Additionally, in the peri-infarct area, bFGF mRNA and protein expression were elevated at 6, 24, and 72 h of reperfusion compared to that in the vehicle-treated group (all P < 0.05). These results show that post-ischemic administration of propofol provides neural protection from cerebral ischemia-reperfusion injury. This protection may be related to an early increase in the expression of bFGF.
麻醉剂如丙泊酚可以提供神经保护作用,防止脑缺血。然而,这种有益效果的潜在机制尚不清楚。因此,我们使雄性 Sprague-Dawley 大鼠经历 2 小时的大脑中动脉闭塞,并研究了缺血后给予丙泊酚如何影响神经功能结局和碱性成纤维细胞生长因子 (bFGF) 的表达。在缺血 2 小时后,就在再灌注之前,动物被随机分为接受丙泊酚(20mg·kg-1·h-1)或载体(10%中链脂肪乳剂,2ml·kg-1·h-1)静脉输注 4 小时。在再灌注后的不同时间点测量神经功能评分、梗死体积和脑水含量。通过实时 PCR 测量 bFGF 的 mRNA 水平,通过免疫组织化学和 Western blot 分析 bFGF 的蛋白表达水平。在再灌注 6、24、72 小时和 7 天时,与载体处理组相比,丙泊酚处理组的梗死体积显著减小(均 P<0.05)。丙泊酚后处理还减轻了再灌注 24 和 72 小时时的脑水含量,并降低了再灌注 72 小时和 7 天时的神经功能缺损评分(均 P<0.05)。此外,在梗塞周边区,bFGF mRNA 和蛋白表达在再灌注 6、24 和 72 小时时均高于载体处理组(均 P<0.05)。这些结果表明,缺血后给予丙泊酚可提供对脑缺血再灌注损伤的神经保护作用。这种保护可能与 bFGF 表达的早期增加有关。