[1]冯庆琪,李昂,王巍.κ阿片受体激动剂(U50488H)对缺血性脑卒中大鼠神经元自噬、迟发性神经元损伤及NOTCH表达水平的影响[J].卒中与神经疾病杂志,2022,29(04):311-316.[doi:10.3969/j.issn.1007-0478.2022.04.002]
 Feng Qingqi*,Li Ang*,Wang Wei.*.Effects of κ opioid receptor agonist(U50488H)on autophagy, delayed nerve injury and NOTCH expression in ischemic stroke rats[J].Stroke and Nervous Diseases,2022,29(04):311-316.[doi:10.3969/j.issn.1007-0478.2022.04.002]
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κ阿片受体激动剂(U50488H)对缺血性脑卒中大鼠神经元自噬、迟发性神经元损伤及NOTCH表达水平的影响()
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《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第29卷
期数:
2022年04期
页码:
311-316
栏目:
论著
出版日期:
2022-09-10

文章信息/Info

Title:
Effects of κ opioid receptor agonist(U50488H)on autophagy, delayed nerve injury and NOTCH expression in ischemic stroke rats
文章编号:
1007-0478(2022)04-0311-06
作者:
冯庆琪李昂王巍
200032 上海中医药大学附属龙华医院神经外科(冯庆琪 李昂),放射科[王巍(通信作者)]
Author(s):
Feng Qingqi* Li Ang* Wang Wei.*
Department of Neurosurgery, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032
关键词:
κ阿片受体激动剂缺血性脑卒中神经元自噬迟发性神经损伤NOTCH
Keywords:
κ opioid receptor agonist Ischemic stroke Neuronal autophagy Delayed nerve injury NOTCH
分类号:
R743.3
DOI:
10.3969/j.issn.1007-0478.2022.04.002
文献标志码:
A
摘要:
目的 探讨κ阿片受体激动剂(U50488H)对缺血性脑卒中大鼠神经元自噬、迟发性神经元损伤及NOTCH表达水平的影响。方法 选取40只清洁级(Specific pathogen free,SPF)级Sprague Dawley(SD)雄性大鼠,随机分为正常(N)组、模型(M)组、丁苯酞(B)组、U50488H(U)组,每组各10只,对M,B,U组采用线栓法建立缺血性脑卒中模型,N组不建立该模型,建模成功后对B组给予灌胃4.5 mg/kg的丁苯酞,对U组给予脑内注射1.5 mg/kg的U50488H,N,M组同期给予灌胃同体积生理盐水,生物机能实验系统检测大鼠脑血流动力学,Zea longa评分及神经症状评分(Neurosymptom score,NSS)评分检测大鼠迟发性神经损伤,HE染色法检测脑组织病理形态,免疫印迹法检测脑组织中自噬相关蛋白表达水平,免疫组化法检测NOTCH表达水平。结果 与N组比较,M组心率(Heart rate,HR)、收缩压(Systolic blood pressure,SBP)、舒张压(Diastolic blood pressure,DBP)均显著升高(P<0.05); 与M组比较,B,U组大鼠HR,SBP,DBP均显著降低(P<0.05),且U组比B组降低显著(P<0.05)。与N组比较,M组Zea longa评分、NSS评分均显著升高(P<0.05); 与M组比较,B,U组大鼠Zea longa评分、NSS评分均显著降低(P<0.05),且U组比B组降低显著(P<0.05)。N组大鼠脑组织及皮质结构完整且致密均匀,神经细胞核形态正常完整,核仁清晰,神经细胞排列整齐,未见细胞周围间隙水肿; M组脑组织结构遭到破坏,细胞排列紊乱且着色变浅,核仁及结构消失,出现蹄网状结构,并可见大量空泡; 与M组比较,B,U组病理状态明显,细胞体积明显缩小,细胞排列少且散乱。与N组比较,M组脑组织中LC3,Beclin1蛋白表达水平显著升高(P<0.05); 与M组比较,B,U组脑组织中LC3,Beclin1蛋白表达水平显著降低(P<0.05),且U组比B组降低显著(P<0.05)。与N组比较,M组脑组织NOTCH蛋白表达水平显著升高(P<0.05); 与M组比较,B,U组脑组织NOTCH蛋白表达水平显著降低(P<0.05),且U组比B组降低显著(P<0.05)。结论 κ阿片受体激动剂可显著降低缺血性脑卒中大鼠神经元自噬及NOTCH表达水平,并有效改善迟发性神经元损伤。
Abstract:
ObjectiveTo investigate the effects of κ opioid receptor agonist(U50488H)on autophagy, delayed nerve injury, and NOTCH expression in ischemic stroke rats.Methods Forty male Sprague Dawley(SD)rats of specific pathogen free(SPF)were randomly divided into normal(N)group, model(M)group, butylphthalide(B)group, and U50488H(U)group with10 animals in each group. The ischemic stroke model was established for the M, B, and U groups by suture method. After the modeling was successful, the B group was given 4.5 mg/kg butylbenzene Phthaloin, the U group was injected with U50488H into the brain at 1.5 mg/kg, and the N and M groups were given the same volume of normal saline by gavage at the same time. Neurosymptom score(NSS)was used to detect delayed nerve injury in rats. HE staining was used to detect the pathological morphology of brain tissue. Western blotting was used to detect the expression level of autophagy-related proteins in brain tissue. Immunohistochemistry was used to detect the expression level of NOTCH.Results Compared with the N group, the heart rate(HR), systolic blood pressure(SBP),diastolic blood pressure(DBP), Zea longa score and NSS score of the M group were significantly increased(P<0.05). Compared with the M group, the Zea longa score and the NSS score of the B and U groups were significantly decreased(P<0.05). HR, SBP, DBP, Zea longa score and the NSS score of U group were significantly decreased(P<0.05), and U group was significantly lower than B group(P<0.05). The brain tissue and cortex of the rats were intact, dense and uniform; the nerve cell nucleus was normal and complete; the nucleoli were clear; the nerve cells were arranged neatly, and there was no edema in the space around the cells in the N group. The brain structure was destroyed; the cell arrangement was disordered and colored in the M group. Compared with the M group, the pathological state of the B and U groups was obvious, the cell volume was reduced, and the cell arrangement was less scattered. Compared with the N group, the levels of LC3, Beclin1 and NOTCH in the brain tissue of the M group were significantly increased(P<0.05). Compared with the M group, the levels of LC3, Beclin1 and NOTCH in the brain tissue of the B and U groups were significantly decreased(P<0.05), and group U was significantly lower than group B(P<0.05).Conclusion κ opioid receptor agonists can significantly reduce neuronal autophagy and NOTCH expression in rats with ischemic stroke, and effectively improve delayed neuronal damage.

参考文献/References:

[1] 王飞,陈姝.脑血疏口服液辅助治疗急性缺血性脑卒中临床研究[J].新中医,2021,53(20):50-53.
[2] Alper BS, Foster G, Thabane L, et al. Thrombolysis with alteplase 3-4.5 hours after acute ischaemic stroke: trial reanalysis adjusted for baseline imbalances[J]. BMJ Evid Based Med, 2020, 25(5): 168-171.
[3] 张文,董斌,席春华.远隔缺血处理在急性缺血性卒中患者的应用[J].国际脑血管病杂志,2021,29(5):370-377.
[4] Ajoolabady A, Wang S, Kroemer G, et al.Targeting autophagy in ischemic stroke:From molecular mechanisms to clinical therapeutics[Z],2021:107848.
[5] 房裕钞,王黎洲,黄学卿,等.微小RNA-155通过Notch信号通路对脑缺血-再灌注损伤的影响[J].介入放射学杂志,2019,28(7):661-668.
[6] 金强,刘冬,刁玉刚,等.κ阿片受体激动剂U45088 H对大鼠体外循环后认知功能及PKA-CREB信号通路影响[J].临床军医杂志,2020,48(2):133-136.
[7] Herpich F, Rincon F. Management of acute ischemic stroke[J]. Crit Care Med, 2020, 48(11): 1654-1663.
[8] Rabinstein AA. Update on treatment of acute ischemic stroke[J]. Continuum(Minneap Minn), 2020, 26(2): 268-286.
[9] 鲍宏刚,苏芳菊,徐志勇,等.κ阿片受体选择性激动剂U50488H对大鼠心房纤维化及缝隙连接蛋白43重构的影响[J].现代生物医学进展,2020,20(10):1824-1828, 1888.
[10] 朱金,杜宇平.丁苯酞软胶囊联合双联抗血小板治疗急性缺血性脑卒中疗效及对血清β2-MG HCY CysC和神经功能的影响[J].河北医学,2021,27(10):1734-1739.
[11] Fan J, Li L, Qu P, et al. κ opioid receptor agonist U50488H attenuates postoperative cognitive dysfunction of cardiopulmonary bypass rats through the PI3K/AKT/Nrf2/HO-1 pathway[J]. Mol Med Rep, 2021, 23(4): 293.
[12] 曾芳芳,余丽红,王丽君.穴位贴敷与针刺联合常规疗法治疗缺血性脑卒中后失眠临床研究[J].新中医,2021,53(20):156-160.
[13] 丁俊云,陈维英,王震虹,等.salvinorin A上调MALAT1表达减轻缺血性脑卒中大鼠的脑血管内皮损伤[J].国际麻醉学与复苏杂志,2020,41(12):1124-1130.
[14] Lamark T, Svenning S, Johansen T. Regulation of selective autophagy: the p62/SQSTM1 paradigm[J]. Essays Biochem, 2017, 61(6): 609-624.
[15] 周大旺,张晨禹,黎博,等.转录因子EB通过激活自噬及溶酶体功能改善缺血性卒中小鼠神经功能[J].中国病理生理杂志,2021,37(7):1178-1186.
[16] 李鲁博.尼莫地平对缺血性脑卒中自噬相关蛋白Beclin1、LC3表达的影响[D].镇江:江苏大学,2018.
[17] Wang H, Zang C, Liu XS, et al. The role of Notch receptors in transcriptional regulation[J]. J Cell Physiol, 2015, 230(5): 982-988.
[18] 田会玲,李庆盟,孙新月,等.中医药对缺血性脑卒中神经修复中Notch信号通路的调控机制研究进展[J].世界中西医结合杂志,2017,12(10):1477-1480.
[19] Maida CD, Norrito RL, Daidone M, et al. Neuroinflammatory mechanisms in ischemic stroke: focus on cardioembolic stroke, background, and therapeutic approaches[J]. Int J Mol Sci, 2020, 21(18): 6454.
[20] 温艺超,陈伟燕,谢富华,等.DAPT阻断Notch通路对动脉粥样硬化型缺血性脑卒中大鼠的保护作用[J].中国病理生理杂志,2018,34(11):2031-2036.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(编号为81630697)
更新日期/Last Update: 2022-09-10