Department of Anesthesiology, Ningbo Yinzhou Second Hospital, Ningbo, China.
Department of Anesthesiology, Wenzhou Central Hospital, Wenzhou, China.
J Biol Regul Homeost Agents. 2020;34(5):1669-1677. doi: 10.23812/20-224-A.
The purpose of this study was to explore the mitigating effect of morphine on the myocardial ischemia-reperfusion injury (MIRI) in rats through the cyclic adenosine monophosphate/protein kinase A (cAMP/PKA) pathway. A total of 30 male Wistar rats were assigned into sham group, MIRI group and morphine group using a random number table. The model of MIRI was routinely established. Then, the pathological changes in the morphology of myocardial tissues were observed via hematoxylin-eosin (HE) staining. The levels of the oxidative stress indicators superoxide dismutase (SOD) and malondialdehyde (MDA), the content of the inflammatory cytokine tumor necrosis factor alpha (TNF-α), interleukin-1 beta (IL-1β) and IL-6 and the quantity of glutathione peroxidase (GSH-Px), lactate dehydrogenase (LDH), creatine kinase (CK), CK-MB and cardiac troponin I (cTnI) in the myocardial enzyme spectrum were determined and analyzed through enzyme-linked immunosorbent assay (ELISA). Moreover, the messenger ribonucleic acid (mRNA) and protein expressions of cAMP, PKA, cAMP-response element binding protein (CREB) and phosphorylated CREB (p-CREB) in the cAMP/PKA signaling pathway in the myocardial tissues were measured using real-time polymerase chain reaction (PCR) and Western blotting, respectively. The results manifested that compared with those in MIRI group, the levels of myocardial infarct size, LDH, CK, CK-MB, cTnI, MDA, TNF-α, IL-1β, IL-6 and p-CREB were decreased, while the levels of GSH-Px, SOD, PKA and CREB were increased in the morphine group. In conclusion, morphine may mitigate MIRI in rats through the cAMP/PKA signaling pathway.
本研究旨在通过环磷酸腺苷/蛋白激酶 A(cAMP/PKA)通路探讨吗啡对大鼠心肌缺血再灌注损伤(MIRI)的缓解作用。采用随机数字表法将 30 只雄性 Wistar 大鼠分为假手术组、MIRI 组和吗啡组。常规建立 MIRI 模型,然后通过苏木精-伊红(HE)染色观察心肌组织形态的病理变化。通过酶联免疫吸附试验(ELISA)测定和分析氧化应激指标超氧化物歧化酶(SOD)和丙二醛(MDA)、炎症细胞因子肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)和白细胞介素-6(IL-6)以及谷胱甘肽过氧化物酶(GSH-Px)、乳酸脱氢酶(LDH)、肌酸激酶(CK)、CK-MB 和心肌酶谱中心肌肌钙蛋白 I(cTnI)的含量。此外,采用实时聚合酶链反应(PCR)和 Western blot 分别测定和分析心肌组织中 cAMP/PKA 信号通路中环磷酸腺苷(cAMP)、蛋白激酶 A(PKA)、cAMP 反应元件结合蛋白(CREB)和磷酸化 CREB(p-CREB)的信使核糖核酸(mRNA)和蛋白表达。结果表明,与 MIRI 组相比,吗啡组心肌梗死面积、LDH、CK、CK-MB、cTnI、MDA、TNF-α、IL-1β、IL-6 和 p-CREB 水平降低,GSH-Px、SOD、PKA 和 CREB 水平升高。综上所述,吗啡可能通过 cAMP/PKA 信号通路减轻大鼠的 MIRI。