Park Young Soo, Bang Ji Yeon, Hwang Bo Young, Ryu Hae Young, Jeong Sung Moon, Park Pyung Hwan
Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan School of Medicine, Seoul, Korea.
Korean J Anesthesiol. 2009 Dec;57(6):729-736. doi: 10.4097/kjae.2009.57.6.729.
A brief episode of cerebral ischemia confers transient ischemic tolerance to a subsequent ischemic challenge that is otherwise lethal to them. This study was purposed to evaluate the effect of mitochondrial adenosine triphosphate-sensitive potassium (KATP) channel blocker on ischemic preconditioning in hypoxic-ischemic brain injury model of neonatal rat.
Seven-day old Sprague-Dawley rat pups were used. The rats were divided into five groups; control group (n = 91), pretreatment hypoxic preconditioning group (n = 43), pretreatment ischemic preconditioning group (n = 52), hypoxic preconditioning group (n = 39), and ischemic preconditioning group (n = 51). Rats in the pretreatment hypoxic preconditioning group and pretreatment ischemic preconditioning group were treated by an intraperitoneal injection with 5-hydroxydecanoate (60 mg/kg). Thirty minutes after injection, right common carotid artery was temporarily occluded for ten minutes in pretreatment ischemic preconditioning group. Rats in the pretreatment hypoxic preconditioning group and hypoxic preconditioning group underwent hypoxia (8% oxygen/92% nitrogen) for four hours. Twenty-four hours after the preconditioning, rats from all groups were exposed to right common carotid artery ligation followed by 2.5 hour hypoxia. On the 1st day after hypoxic-ischemic brain injury, terminal deoxynucleotidyltransferase-mediated dUTP-biotin nick end-labeling (TUNEL) reaction was evaluate as apoptotic markers and triphenyl tetrazolium chloride (TTC) was done to measure necrotic tissue. All rats were sacrificed 2 weeks after hypoxic-ischemia brain injury and the brains were examined for morphologic study.
There were no differenced in survival rate, infarct area, number of TUNEL positive cells and morphologic score either between hypoxic preconditioning group and pretreatment hypoxic preconditioning group or between ischemic preconditioning group and pretreatment ischemic preconditioning group.
The results suggests that mitochondrial K(ATP) channel blocker, 5-hydroxydecanoate, does not change hypoxic-ischemic preconditioning in the neonatal rat.
短暂的脑缺血发作可使机体对随后的缺血性挑战产生短暂性缺血耐受,否则这对它们是致命的。本研究旨在评估线粒体三磷酸腺苷敏感性钾(KATP)通道阻滞剂对新生大鼠缺氧缺血性脑损伤模型中缺血预处理的影响。
使用7日龄的Sprague-Dawley幼鼠。将大鼠分为五组;对照组(n = 91)、预处理低氧预处理组(n = 43)、预处理缺血预处理组(n = 52)、低氧预处理组(n = 39)和缺血预处理组(n = 51)。预处理低氧预处理组和预处理缺血预处理组的大鼠腹腔注射5-羟基癸酸(60 mg/kg)。注射后30分钟,预处理缺血预处理组将右侧颈总动脉暂时阻断10分钟。预处理低氧预处理组和低氧预处理组的大鼠进行4小时的低氧(8%氧气/92%氮气)处理。预处理24小时后,所有组的大鼠均接受右侧颈总动脉结扎,随后进行2.5小时的低氧处理。在缺氧缺血性脑损伤后的第1天,评估末端脱氧核苷酸转移酶介导的dUTP-生物素缺口末端标记(TUNEL)反应作为凋亡标志物,并进行氯化三苯基四氮唑(TTC)检测以测量坏死组织。所有大鼠在缺氧缺血性脑损伤2周后处死,对大脑进行形态学研究。
低氧预处理组与预处理低氧预处理组之间或缺血预处理组与预处理缺血预处理组之间在存活率、梗死面积、TUNEL阳性细胞数量和形态学评分方面均无差异。
结果表明,线粒体K(ATP)通道阻滞剂5-羟基癸酸不会改变新生大鼠的缺氧缺血预处理。