Kizmazoglu Ceren, Aydin Hasan Emre, Sevin Ismail Ertan, Kalemci Orhan, Yüceer Nurullah, Atasoy Metin Ant
Department of Neurosurgery, Katip Celebi University Izmir Atatürk Training and Research Hospital, Izmir, Turkey.
Department of Neurosurgery, Eskisehir State Hospital, Eskisehir, Turkey.; Department of Pharmacology, Eskişehir Osmangazi University, Eskisehir, Turkey.
J Korean Neurosurg Soc. 2015 Dec;58(6):508-12. doi: 10.3340/jkns.2015.58.6.508. Epub 2015 Dec 31.
Cerebral ischemia is as a result of insufficient cerebral blood flow for cerebral metabolic functions. Resveratrol is a natural phytoalexin that can be extracted from grape's skin and had potent role in treating the cerebral ischemia. Apoptosis, a genetically programmed cellular event which occurs after ischemia and leads to biochemical and morphological changes in cells. There are some useful markers for apoptosis like Bcl-2, bax, and p53. The last reports, researchers verify the apoptosis with early markers like Annexin V.
We preferred in this experimental study a model of global cerebral infarction which was induced by bilateral common carotid artery occlusion method. Rats were randomly divided into 4 groups : sham, ischemia-reperfusion (I/R), I/R plus 20 mg/kg resveratrol and I/R plus 40 mg/kg resveratrol. Statistical analysis was performed using Sigmastat 3.5 ve IBM SPSS Statistics 20. We considered a result significant when p<0.001.
After administration of resveratrol, Bcl-2 and Annexin levels were significantly increased (p<0.001). Depending on the dose of resveratrol, Bcl2 levels increased, p53 levels decreased but Annexin V did not effected. P53 levels were significantly increased in ishemia group, so apoptosis is higher compared to other groups.
In the acute period, Annexin V levels misleading us because the apoptotic cell counts could not reach a certain level. Therefore we should support our results with bcl-2 and p53.
脑缺血是由于脑血流不足导致脑代谢功能异常。白藜芦醇是一种可从葡萄皮中提取的天然植保素,在治疗脑缺血方面具有重要作用。凋亡是一种基因编程的细胞事件,发生在缺血后,导致细胞发生生化和形态学变化。有一些凋亡相关的有用标志物,如Bcl-2、bax和p53。最近的报道中,研究人员使用Annexin V等早期标志物来验证凋亡。
在本实验研究中,我们选用双侧颈总动脉闭塞法诱导的全脑梗死模型。大鼠随机分为4组:假手术组、缺血再灌注组(I/R)、I/R + 20 mg/kg白藜芦醇组和I/R + 40 mg/kg白藜芦醇组。使用Sigmastat 3.5和IBM SPSS Statistics 20进行统计分析。当p<0.001时,我们认为结果具有统计学意义。
给予白藜芦醇后,Bcl-2和Annexin水平显著升高(p<0.001)。根据白藜芦醇的剂量,Bcl2水平升高,p53水平降低,但Annexin V不受影响。缺血组p53水平显著升高,因此与其他组相比凋亡率更高。
在急性期,Annexin V水平可能会误导我们,因为凋亡细胞计数未达到一定水平。因此,我们应该用bcl-2和p53来支持我们的结果。