文章摘要
王君 曾文斌 岳惠玉 党莎杰 韩丽春△.氢饱和生理盐水治疗大鼠脑缺血再灌注损伤的效果研究[J].,2017,17(3):433-437
氢饱和生理盐水治疗大鼠脑缺血再灌注损伤的效果研究
Research of Effects on Hydrogen-rich Saline Treating CerebralIschemia-reperfusion Injury in Rats*
  
DOI:
中文关键词: 氢饱和生理盐水  缺血再灌注  氧化应激  炎症
英文关键词: Hydrogen-rich saline  Ischemia-reperfusion  Oxidative stress  Inflammation
基金项目:陕西省自然科学基金项目(2014JM2-8176)
作者单位
王君 曾文斌 岳惠玉 党莎杰 韩丽春△ 陕西省肿瘤医院麻醉科 
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中文摘要:
      目的:探讨氢饱和生理盐水对大鼠脑缺血再灌注损伤模型的治疗效果及可能的作用机制。方法:SD大鼠(250-300g)随机分 为3 组(n=20):假手术组(Sham 组),缺血再灌注损伤模型组(I/R 组),氢饱和盐水治疗组(HS 组)。采用大鼠线栓法右侧中动脉栓 塞模型(MCAO模型),于模型90 min 时拔出线栓进行再灌注,再灌注同时,I/R组腹腔给予生理盐水10 mL/kg,HS 组腹腔给予氢 饱和生理盐水10 mL/kg。24 h 后,对各组大鼠进行神经功能缺陷评分。断头取脑后,TTC染色法检测脑组织梗死体积(n=10)。选 取缺血半暗带处大脑皮层组织进行相关指标测定(n=10)。HE 染色观察大鼠缺血半暗带脑组织形态结构,测定缺血半暗带区域氧 化应激反应,选取指标为SOD,MDA;并观察缺血半暗带区域炎症反应,利用Elisa 方法测定该处TNF-α,IL-6含量。结果:TTC 染 色证实,右侧MCAO 明显诱导大鼠脑局灶性缺血(P<0.05)。与I/R 组相比,HS 组明显降低脑梗死体积(P<0.05),显著降低大鼠神经 功能缺陷评分(P<0.05)。与I/R 组相比,氢饱和生理盐水治疗后,很好的保持了缺血半暗带区域细胞结构完整性,明显提高了SOD 含量(P<0.05),有效降低了MDA 水平(P<0.05),并且减轻了炎症因子TNF-α,IL-6 含量(P<0.05)。结论:氢饱和生理盐水可有效的治 疗脑缺血再灌注损伤,其机制可能涉及氢气在缺血半暗带区域的选择性的抗氧化应激作用,以及抗炎症反应。
英文摘要:
      Objective:The aimof this research was to study the effects on hydrogen-rich saline against the rat model of cerebral ischemia- reperfusion injury and elucidate the possible mechanisms.Methods:Sprague-Dawley rats weighing 250-300 g were distributed randomly into 3 groups (n=20): sham group, cerebral ischemia-reperfusion injury group (I/R group), and hydrogen-rich saline treated group (HS group). The model was induced by right middle cerebral artery occlusion (MCAO) via suture. Reperfusion was accomplished by withdrawing the suture after 90 min of ischemia. During the process of reperfusion, rats in I/R group were injected saline (10 mL/kg) intraperitoneally, and rats in HS group were injected hydrogen-rich saline (10 mL/kg) intraperitoneally. Neurological deficit scores were evaluated at 24 h after reperfusion. Then, the rats were decapitated, TTC tests were performed to detect the infarct volume of cortex (n=10). Ischemic penumbra was collected to analyze the involved indexes (n=10). We used HE staining to observe the morphology of cortical ischemic penumbra, and used SOD and MDA to evaluate the oxidative response in the region of cortical ischemic penumbra, and used TNF-α and IL-6 to evaluate the inflammatory response in cortical ischemic penumbra via Elisa test.Results:TTC staining test suggested that the model of right MCAO could induce focal ischemia of brain obviously (P<0.05). Compared with I/R rats, rats in HS group had decreased infarct volume of cortex (P<0.05) and lower neurological deficit scores (P<0.05). Rats in HS group maintained cellular structural integrity superiorly and had higher concentration of SOD (P<0.05), and lower concentration of MDA(P<0.05), TNF-α and IL-6 (P<0.05) when compared to rats in I/R group.Conclusion:Hydrogen-rich saline could treat cerebral ischemia-reperfusion injury effectively, and the possible mechanisms involved the selectively antioxidant stress damage and effects of anti-inflammation in the region of cortical ischemic penumbra.
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