首页|不同剂量雌激素对大鼠脑缺血-再灌注后ICAM-1,TNF-α表达的影响

不同剂量雌激素对大鼠脑缺血-再灌注后ICAM-1,TNF-α表达的影响

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目的:探讨不同剂量雌激素对雄性大鼠脑缺血-再灌注损伤后脑保护作用及其可能的机制.方法:选用雄性SD大鼠200只,体质量250~300 g,随机分为5大组:假手术组(SO组),缺血-再灌注组(I/R组),雌激素大剂量组(EC组)、中剂量组(EB组)、小剂量组(EA组)、雌激素治疗组(E2组),每组大鼠40只.应用免疫组化法测定大鼠大脑皮质ICAM-l,TNF-α表达情况.采用两样本均数的t检验对数据进行分析.结果:大鼠200只均进入结果分析,I/R组各时间点ICAM-1,TNF-α的表达24 h峰值分别为(94.62±5.72),(41.68±2.46),高于SO组[(2.32±0.41),(1.88±0.28),P<0.01]和E2各剂量治疗组[(68.28±4.14),(39.35±6.63),(40.90±6.09)和(19.22±0.96),(11.92±1.36),(12.75±1.03),P<0.05].在E2组各剂量组中在3,24,48 h,雌激素EA组的表达高于EB及EC组(P<0.05);EB,EC组间在各灌注时间点差异无统计学意义.在表达时间上,I/R组和E2组缺血2 h再灌注3 h即有ICAM-1开始表达,在12 h明显升高,24 h达到高峰.结论:雌激素可能通过抑制TNF-α的激活,减少ICAM-1的表达起到脑保护的作用,且雌激素的脑保护作用呈一定的量效关系.
Effect of different dosed estrogen on expression of intercellular adhesion molecule-1 and tumor necrosis factor-after focal cerebral ischemia/reperfusion in rats
AIM: To study the neuroprotective role of different dosed estrogen on expressions of ICAM-1 and TNF-α after focal cerebral ischemia/reperfusion in male rats. METHODS: Totally 200 male SD rats, with the body mass of 250-300 g, were selected and randomly assigned into 5 groups: Sham operation group(SO), ischemia reperfusion group( I/R), low-dosage estrogen treatment group ( EA), medium-dosage estrogen treatment group (EB) and high-dosage estrogen treatment group (EC). The expression of ICAM-1 and TNF-α was detected by immunohisto-chemistry. Data in all groups were analyzed with test. RESULTS: The data of the 200 rats were analyzed. The expression of ICAM-1 and TNF-α in the I/R group(94.62 ±5.72) and (41.68 ±2.46) were higher than those in the SO group(2. 32 ± 0.41 and 1. 88 ± 0. 28) and treatment groups (68. 28 ± 4. 14), (39.35 ± 6. 63), (40. 90 ± 6. 09) and (19. 22 ± 0. 96), (11.92 ± 1. 36),(12. 75 ± 1.03), respectively. The estrogen level in EA group was significantly higher than those in the EB group and EC group (P < 0. 05 ) , but there was no significant difference between the EB group and the EC group ( P > 0. 05). The ICAM-1 expression was observed on cerebral cortex in I/R group and different treatment groups after 2-hour cerebral ischemia and 3-hour reperfusion. The expression increased significantly after 12 th and reached the peak at 24 th. CONCLUSION: Estrogen may exert some neuroprotective effect against the cere- bral ischemia in rats by inhibiting the activation of TNF-α and decreasing the expression of ICAM-1. The neuroprotective effect of estrogen is closed related to its dosage.

EstrogenCerebral ischemia reperfusionIntercellular adhesion molecule-1Tumor necrosis factor-α

张江、王大力、尚书玲、刘会英、郭翠凤

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华北煤炭医学院附属医院神经内科二病区,河北,唐山,063000

华北煤炭医学院附属医院老年病科,河北,唐山,063000

华北煤炭医学院附属医院中心ICU,河北,唐山,063000

雌激素 脑缺血-再灌注 细胞间黏附分子-1 肿瘤坏死因子-α

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(5)
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