Yang Zhonghua, Li Xiang, Jia Huimin, Bai Yuzuo, Wang Weilin
Department of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.
Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.
J Surg Res. 2020 Jul;251:202-210. doi: 10.1016/j.jss.2019.11.020. Epub 2020 Mar 10.
Bone morphogenetic proteins (BMPs) comprise a highly conserved signaling protein family, which are involved in spinal cord formation, development and differentiation. Malformations of the lumbosacral spinal cord are associated with postoperation complications of anorectal malformation (ARM). However, the mechanism underlying the development of these malformations remains elusive.
Embryonic rat ARM model induced by ethylenethiourea (ETU) was introduced to investigate BMP7 expression in lumbosacral spinal cord. BMP7 expression was analyzed by immunohistochemical staining, qRT-PCR, and Western blot analysis on embryonic (E) days 16, 17, 19, and 21. The expression of the neuronal marker neurofilament (NF) and pSmad1/5 was determined by immunofluorescence double staining and Western blot analysis during peak BMP7 expression.
BMP7 mRNA (E16, 1.041 ± 0.169 versus 0.758 ± 0.0423, P < 0.05; E17, 1.889 ± 0.444 versus 1.601 ± 0.263, P < 0.05; E19, 2.898 ± 0.434 versus 1.981 ± 0.068, P < 0.01; and E21, 2.652 ± 0.637 versus 1.957 ± 0.09, P < 0.05;) and protein (E16, 1.068 ± 0.065 versus 0.828 ± 0.066, P < 0.01; E17, 1.728 ± 0.153 versus1.4 ± 0.148, P < 0.05; E19, 2.313 ± 0.141 versus 1.696 ± 0.21, P < 0.01; and E21, 2.021 ± 0.13 versus 1.43 ± 0.128, P < 0.01) were downregulated, and their expressions were specifically low in interneurons (IN) located in the dorsal horn of the lumbosacral spinal cord in embryos with ARM. On E19, Western blot analysis revealed reduced P-Smad1/5(1.13 ± 0.08 versus 0.525 ± 0.06, P < 0.01).
An implication of this study is the possibility that BMP7 downregulation contributes to maldevelopment of the lumbosacral spinal cord during embryogenesis in fetal rats with ARM, indicating that BMP7 may play an important role in ARM pathogenesis and the complications thereof.
骨形态发生蛋白(BMPs)是一个高度保守的信号蛋白家族,参与脊髓的形成、发育和分化。腰骶部脊髓畸形与肛门直肠畸形(ARM)术后并发症相关。然而,这些畸形发育的潜在机制仍不清楚。
采用乙硫脲(ETU)诱导的胚胎大鼠ARM模型,研究BMP7在腰骶部脊髓中的表达。在胚胎(E)第16、17、19和21天,通过免疫组织化学染色、qRT-PCR和蛋白质印迹分析来检测BMP7的表达。在BMP7表达高峰期,通过免疫荧光双染色和蛋白质印迹分析来测定神经元标志物神经丝(NF)和pSmad1/5的表达。
BMP7 mRNA(E16,1.041±0.169对0.758±0.0423,P<0.05;E17,1.889±0.444对1.601±0.263,P<0.05;E19,2.898±0.434对1.981±0.068,P<0.01;E21,2.652±0.637对1.957±0.09,P<0.05)和蛋白质(E16,1.068±0.065对0.828±0.066,P<0.01;E17,1.728±0.153对1.4±0.148,P<0.05;E19,2.313±0.141对1.696±0.21,P<0.01;E21,2.021±0.13对1.43±0.128,P<0.01)表达下调,且在患有ARM的胚胎中,其在腰骶部脊髓背角的中间神经元(IN)中的表达特别低。在E19,蛋白质印迹分析显示P-Smad1/5减少(1.13±0.08对0.525±0.06,P<0.01)。
本研究提示,BMP7下调可能导致患有ARM的胎鼠胚胎发育过程中腰骶部脊髓发育异常,表明BMP7可能在ARM发病机制及其并发症中起重要作用。