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脑缺血/再灌注后轻度低温对 PERK 介导的通路的作用。

Role of PERK-mediated pathway in the effect of mild hypothermia after cerebral ischaemia/reperfusion.

机构信息

Department of Anesthesiology, Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine, Hangzhou, China.

Department of Anesthesiology, School of Medicine, The Second Affiliated Hospital, Zhejiang University, Hangzhou, China.

出版信息

Eur J Clin Invest. 2023 Oct;53(10):e14040. doi: 10.1111/eci.14040. Epub 2023 Jun 19.

Abstract

BACKGROUND

Hypothermia is an effective method of reducing brain injury caused by a variety of neurological insults. It is aimed to elucidate whether a change in the expression of PERK-mediated pathway proteins is an indicator of the neuroprotective effect of mild hypothermia after cerebral ischaemia/reperfusion.

METHODS

One hundred and ninety-two male C57BL/6 mice were randomly divided into three groups: a sham group, a cerebral normothermic ischaemia/reperfusion (I/R) group and a cerebral hypothermic I/R group. A cerebral ischaemia model was established by ligating the bilateral common carotid artery for 15 min. Mice in the hypothermia group stayed in a cage that was set at 33°C, sprayed with a spray of 70% ethanol, and blown with two high-speed fans. The state of neurons was assessed on micropreparations stained with haematoxylin-eosin and TUNEL. The expressions of GRP78, p-perk, p-eif2α, ATF4 and CHOP were measured by western blot analysis 6, 12, 24 and 72 h after reperfusion.

RESULTS

The number of surviving cells was significantly higher in the hypothermia group than in the group without hypothermia (p < .05). The GRP78 expression in the hypothermia group was statistically higher (p < .05) than in the ischaemia/reperfusion group. Optical densities of p-perk, p-eif2α and ATF4 in hippocampus CA1 neurons ischaemia were statistically significantly lower in the hypothermia group than in the ischaemia/reperfusion group (p < .05). The CHOP expression in the hypothermia group was statistically lower (p < .05) than in the ischaemia/reperfusion group.

CONCLUSION

Mild hypothermia for 6 h promoted moderate neuroprotection by mediating the expression of GRP78, p-PERK, p-eIF2α, ATF4 and CHOP.

摘要

背景

低温是减少各种神经损伤引起的脑损伤的有效方法。本研究旨在阐明 PERK 介导的通路蛋白表达的变化是否是脑缺血/再灌注后轻度低温的神经保护作用的指标。

方法

192 只雄性 C57BL/6 小鼠随机分为三组:假手术组、脑常温缺血/再灌注(I/R)组和脑低温 I/R 组。通过结扎双侧颈总动脉 15 分钟建立脑缺血模型。低温组的小鼠待在温度设定为 33°C 的笼子里,用 70%乙醇喷雾,并用两个高速风扇吹风。用苏木精-伊红染色和 TUNEL 染色的微切片评估神经元状态。用 Western blot 分析在再灌注后 6、12、24 和 72 小时测量 GRP78、p-perk、p-eif2α、ATF4 和 CHOP 的表达。

结果

与未低温组相比,低温组存活细胞数明显更高(p<0.05)。低温组的 GRP78 表达明显高于缺血/再灌注组(p<0.05)。低温组海马 CA1 神经元缺血 p-perk、p-eif2α 和 ATF4 的光密度明显低于缺血/再灌注组(p<0.05)。低温组的 CHOP 表达明显低于缺血/再灌注组(p<0.05)。

结论

6 小时的轻度低温通过调节 GRP78、p-PERK、p-eIF2α、ATF4 和 CHOP 的表达促进中度神经保护。

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