
自噬水平变化对心脏骤停心肺复苏后大鼠海马神经元凋亡的影响
Effects of autophagy on apoptosis in rat hippocampal neurons following cardiac arrest and cardiopulmonary resuscitation
目的 探讨自噬水平变化对心脏骤停心肺复苏(CA/CPR)后大鼠海马神经元凋亡的影响。 方法 将40只大鼠随机分为假手术组(sham)、CA/CPR模型组(model)、雷帕霉素(Rapa)组(CA/CPR +Rapa)及3-甲基腺嘌呤(3-MA)组(CA/CPR +3-MA)。采用呼气末夹闭气管窒息法复制大鼠CA/CPR动物模型,分别给予自噬激动剂Rapa 0.2 mg/kg及自噬抑制剂3-MA 10 mg/kg进行干预。采用神经功能缺陷评分(NDS)评价CA/CPR大鼠神经功能;用TUNEL染色法检测大鼠海马神经元的凋亡变化;用RT-PCR和Western blotting法检测大鼠海马内微管蛋白轻链3(LC3)、Beclin-1、Bax、Bcl-2及Caspase-3 mRNA和蛋白的表达水平。 结果 与假手术组比较,CA/CPR模型组大鼠NDS评分明显降低;海马神经元TUNEL染色阳性细胞数明显增多,凋亡率显著升高;海马内LC3、Beclin-1、Caspase-3、Bax表达上调,Bcl-2表达下调(P<0.05,P<0.01)。与模型组比较,CA/CPR+Rapa大鼠NDS评分明显降低,而海马神经元凋亡率明显有所增加,海马内LC3、Beclin-1、Caspase-3、Bax表达明显上调,而Bcl-2表达则明显有所下降;CA/CPR +3-MA大鼠NDS评分明显升高,而海马神经元凋亡率下降,海马内LC3、Beclin-1、Caspase-3、Bax表达明显下调,而Bcl-2表达则有所升高(P<0.05,P<0.01)。 结论 CA/CPR后自噬水平升高促进海马神经元凋亡,自噬水平降低抑制海马神经凋亡,两者相互作用共同参与CA/CPR的病理过程。
Objective To explore the effect of autophagy on apoptosis in rat hippocampal neurons following cardiac arrest and cardiopulmonary resuscitation (CA/CPR).Methods Forty Sprague-Dawley(SD)rats were randomly divided into 4 groups: sham, CA/CPR model, rapamycin (CA/CPR +Rapa) and 3-Methyladenine (CA/CPR +3-MA) groups. The CA/CPR model was established by the asphyxial method . The rapamycin (autophagy agonist) or 3-methyladenine (autophagy inhibitor) were used to treated the corresponding group, respectively. The neurological deficit score (NDS) was used to evaluate the neurological function of CA/CPR rats. The TUNEL staining method was used to detect the apoptosis rate of hippocampal neurons of CA/CPR rats. The reverse transcription-polymerase chain reaction (RT-PCR) and Western blotting method were used to detect the expression levels of microtubuleassociated protein light chain 3(LC3), Beclin-1, Bax, Bcl-2 and Caspase-3 mRNA and protein in hippocampus of CA/CPR rats. Results Compared with the sham group, the NDS of rats was decreased in the CA/CPR group; the apoptosis rate of the hippocampal neurons in CA/CPR group was increased; the expression levels of LC3, Beclin-1, Caspase-3, Bax were up-regulated, and Bcl-2 was down-regulated in the hippocampus of CA/CPR group (P<0.05, P<0.01). Compared with the model group, Rapa decreased NDS of CA/CPR rats, promoted the apoptosis rate of the hippocampal neurons, up-regulated the expression levels of LC3, Beclin-1, Caspase-3 and Bax in hippocampal tissue, and down-regulated the expression of Bcl-2; 3-MA increased CA/CPR rats’ NDS, inhibited the apoptosis rate of the hippocampal neurons, down-regulated the expression levels of LC3, Beclin-1, Caspase-3 and Bax in hippocampal tissue, and up-regulated the expression of Bcl-2 (P<0.05, P<0.01).Conclusion The increased level of autophagy may promote the apoptosis of CA/CPR rats’ hippocampal neurons. The inhibited level of autophagy may suppress the apoptosis of CA/CPR rats’ hippocampal neurons. The interaction of these two effects may be involved in the pathological process of CA/CPR.
心脏骤停 / 心肺复苏 / 海马神经元 / 自噬 / 免疫印迹法 / 大鼠
Cardiac arrest / Cardiopulmonary resuscitation / Hippocampal neuron / Autophagy / Western blotting / Rat
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