Department of Anesthesiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, P.R. China.
J Investig Med. 2024 Oct;72(7):705-714. doi: 10.1177/10815589241254044. Epub 2024 Jun 19.
Spinal cord ischemia-reperfusion injury (SCIRI) is a major contributor to neurological damage and mortality associated with spinal cord dysfunction. This study aims to explore the possible mechanism of Propofol and G-protein-coupled receptor-interacting protein 1 (GIT1) in regulating SCIRI in rat models. SCIRI rat models were established and injected with Propofol, over expression of GIT1 (OE-GIT1), or PI3K inhibitor (LY294002). The neurological function was assessed using Tarlov scoring system, and Hematoxylin & Eosin (H&E) staining was applied to observe morphology changes in spinal cord tissues. Cell apoptosis, blood-spinal cord barriers (BSCB) permeability, and inflammatory cytokines were determined by TdT-mediated dUTP Nick-End Labeling (TUNEL) staining, evans blue (EB) staining, and enzyme-linked immuno sorbent assay (ELISA), respectively. Reverse transcription-quantitative polymerase chain reaction and western blot were used to detect the expression levels of GIT1, endothelial nitric oxide synthase (eNOS), PI3K/AKT signal pathway and apoptosis-related proteins. SCIRI rats had decreased expressions of GIT1 and PI3K/AKT-related proteins, whose expressions can be elevated in response to Propofol treatment. LY294002 can also decrease GIT1 expression levels in SCIRI rats. Propofol can attenuate neurological dysfunction induced by SCIRI, decrease spinal cord tissue injury and BSCB permeability in addition to suppressing cell apoptosis and inflammatory cytokines, whereas further treatment by LY294002 can partially reverse the protective effect of Propofol on SCIRI. Propofol can activate PI3K/AKT signal pathway to increase GIT1 expression level, thus attenuating SCIRI in rat models.
脊髓缺血再灌注损伤(SCIRI)是导致与脊髓功能障碍相关的神经损伤和死亡率的主要因素。本研究旨在探讨异丙酚和 G 蛋白偶联受体相互作用蛋白 1(GIT1)在调节大鼠 SCIRI 中的可能机制。建立 SCIRI 大鼠模型,并注射异丙酚、GIT1 过表达(OE-GIT1)或 PI3K 抑制剂(LY294002)。使用 Tarlov 评分系统评估神经功能,并用苏木精和伊红(H&E)染色观察脊髓组织形态变化。通过 TdT 介导的 dUTP 缺口末端标记(TUNEL)染色、伊文思蓝(EB)染色和酶联免疫吸附试验(ELISA)分别测定细胞凋亡、血脊髓屏障(BSCB)通透性和炎症细胞因子。逆转录定量聚合酶链反应和蛋白质印迹法用于检测 GIT1、内皮型一氧化氮合酶(eNOS)、PI3K/AKT 信号通路和凋亡相关蛋白的表达水平。SCIRI 大鼠 GIT1 和 PI3K/AKT 相关蛋白表达降低,异丙酚处理可升高其表达水平。LY294002 也可降低 SCIRI 大鼠的 GIT1 表达水平。异丙酚可减轻 SCIRI 引起的神经功能障碍,降低脊髓组织损伤和 BSCB 通透性,抑制细胞凋亡和炎症细胞因子,而进一步用 LY294002 处理可部分逆转异丙酚对 SCIRI 的保护作用。异丙酚可激活 PI3K/AKT 信号通路,增加 GIT1 表达水平,从而减轻大鼠 SCIRI。