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迷走神经刺激在局灶性脑缺血再灌注模型中的作用。

The effects of vagal nerve stimulation in focal cerebral ischemia and reperfusion model.

作者信息

Ekici Fatih, Karson Ayse, Dillioglugil Meltem Ozden, Gurol Gonul, Kir Hale Maral, Ates Nurbay

机构信息

Yildirim Beyazit University, Faculty of Medicine, Department of Physiology, Ankara, Turkey.

出版信息

Turk Neurosurg. 2013;23(4):451-7. doi: 10.5137/1019-5149.JTN.7114-12.1.

Abstract

AIM

This study aimed to investigate the effects of VNS in transient middle cerebral artery occlusion and reperfusion (MCAO/R) rat model of ischemia based on behavioral, morphological, and molecular approaches.

MATERIAL AND METHODS

Wistar albino rats were divided into 3 groups: ischemia-reperfusion (I/R), I/R+VNS, and sham (for I/R). Each group was further divided into two subgroups for the assessment of neurological deficits and infarct area, or biochemical parameters related to oxidative stress.

RESULTS

The infarct area and neurological scores were significantly lower in I/R+VNS group compared with the I/R group. MDA levels were significantly higher in I/R group compared to control and I/R+VNS groups in the cortical and subcortical specimens. There were also betweengroup differences in terms of GSH levels. GSH levels were higher in sham group compared with and I/R and I/R+VNS groups in cortical specimens whereas these levels for lower in I/R group compared to control and I/R+VNS groups in the subcortical specimens. SOD activity was higher in control group compared to I/R and I/R+VNS groups both in the cortical and subcortical specimens. There was no difference between I/R and I/R+VNS groups in neither cortical nor subcortical specimens.

CONCLUSION

The neuroprotective and antioxidant properties of VNS suggest its efficacy as a potential anti-ischemic treatment.

摘要

目的

本研究旨在基于行为学、形态学和分子学方法,探讨迷走神经刺激(VNS)对短暂性大脑中动脉闭塞再灌注(MCAO/R)缺血大鼠模型的影响。

材料与方法

将Wistar白化大鼠分为3组:缺血再灌注组(I/R)、I/R + VNS组和假手术组(用于I/R组对照)。每组进一步分为两个亚组,分别用于评估神经功能缺损和梗死面积,或与氧化应激相关的生化参数。

结果

与I/R组相比,I/R + VNS组的梗死面积和神经评分显著降低。在皮质和皮质下标本中,I/R组的丙二醛(MDA)水平显著高于对照组和I/R + VNS组。谷胱甘肽(GSH)水平也存在组间差异。在皮质标本中,假手术组的GSH水平高于I/R组和I/R + VNS组;而在皮质下标本中,I/R组的GSH水平低于对照组和I/R + VNS组。在皮质和皮质下标本中,对照组的超氧化物歧化酶(SOD)活性均高于I/R组和I/R + VNS组。在皮质和皮质下标本中,I/R组和I/R + VNS组之间均无差异。

结论

VNS的神经保护和抗氧化特性表明其作为一种潜在的抗缺血治疗方法具有有效性。

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