首页|MCC950抑制NLRP3/caspase-1通路改善体外循环大鼠围手术期神经认知障碍的作用研究

MCC950抑制NLRP3/caspase-1通路改善体外循环大鼠围手术期神经认知障碍的作用研究

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目的 研究NOD样受体热蛋白结构域相关蛋白3(NLRP3)炎症小体抑制剂MCC950对体外循环(CPB)大鼠围手术期神经认知障碍(PND)的保护作用.方法 清洁级成年雄性SD大鼠30只,体重350~450 g,采用随机数字表法分为3组(每组10只):假手术组(S组)、CPB组(C组)和CPB+MCC950(CM组).S组不建模,C组和CM组建立大鼠CPB模型.CM组在CPB前24、1 h和术后24h注射MCC950 10mg/kg,S组和C组注射等容量生理盐水.术后3 d大鼠进行水迷宫测试,记录逃避潜伏期和穿越平台次数.随后处死大鼠,取海马组织,采用酶联免疫吸附测定法检测白细胞介素(IL)-18和IL-1β含量,分光光度法检测胱天蛋白酶(caspase)-1活性,免疫印迹法(Western-blot)检测NLRP3、凋亡相关斑点样衔接蛋白(ASC)、胱天蛋白酶原(pro-caspase-1)和消皮素D(GSDMD)蛋白含量,实时荧光定量聚合酶链反应(FQ-PCR)检测NLRP3、ASC、caspase-1 mRNA表达水平.结果 与S组比较,C组和CM组大鼠逃避潜伏期较长(均P<0.05),穿越平台次数较少(均P<0.05);海马组织中IL-18、IL-1β含量和caspase-1 酶活性较高(均P<0.05),NLRP3、ASC、pro-caspase-1 和GSDMD蛋白含量较高(均P<0.05),NLRP3、ASC、caspase-1 mRNA表达较高(均P<0.05).与C组比较,CM组大鼠逃避潜伏期较短(P<0.05),穿越平台次数较多(P<0.05);海马组织中IL-1β、IL-18含量和caspase-1酶活性较低(均P<0.05),NLRP3、ASC、pro-caspase-1和GSDMD蛋白含量较低(均P<0.05),NLRP3、ASC、caspase-1 mRNA 表达较低(均P<0.05).结论 MCC950可抑制 NLRP3/caspase-1 通路改善体外循环大鼠 PND.
MCC950 improves perioperative cognitive disorders in rats undergoing cardiopulmonary bypass through inhibiting the NOD like receptor thermal protein domain associated protein 3/caspase-1 pathway
Objective To investigate the protective effect of MCC950,the NOD like receptor thermal protein domain associat-ed protein 3(NLRP3)inflammasome inhibitor on perioperative neurocognitive disorders(PND)in rats undergoing cardiopulmonary by-pass(CPB).Methods According to the random number table method,30 clean adult male SD rats,weighing 350-450 g,were divid-ed into three groups(n=10):a sham operation group(group S),a CPB group(group C)and a CPB+MCC950(group CM).Rats in group S were not subject to CPB,while CPB was modeled in group C and group CM.Furthermore,group CM was injected with MCC950 at 10 mg/kg 24 h before CPB,1 h before CPB,and 24 h after CPB,while group S and group C were injected with the equal volume of nor-mal saline.Then,the water maze test was carried out 3 days after the operation to record the escape latency and the number of crossing the platform.Subsequently,the rats were sacrificed,and the hippocampal tissues were collected.Interleukin(IL)-18 and IL-1β contents were detected by enzyme-linked immunosorbent assay,and caspase-1 activity was detected by spectrophotometry.The protein levels of NLRP3,apoptosis-associated speck-like protein(ASC),pro-caspase-1 and gasdermin D(GSDMD)were detected by Western blot.The mRNA levels of NLRP3,ASC,and caspase-1 were detected by real-time fluorescence quantitative polymerase chain reaction(FQ-PCR).Results Compared with group S,group C and group CM showed prolonged escape latency(all P<0.05),with a reduced number of crossing the platform(all P<0.05),as well as increased contents of IL-18 and IL-1β and enhanced activity of caspase-1 in hippocampal tissues(all P<0.05),up-regulated protein levels of NLRP3,ASC,pro-caspase-1,and GSDMD(all P<0.05),and up-regulated mRNA levels of NLRP3,ASC,and caspase-1(all P<0.05).Compared with group C,group CM presented shortened escape latency(all P<0.05),with an increased number of crossing the platform(P<0.05),as well as decreased contents of IL-1β and IL-18 and weakened activity of caspase-1 in hippocampal tissues(all P<0.05),down-regulated protein levels of NLRP3,ASC,pro-caspase-1 and GSDMD(all P<0.05),and down-regulated mRNA levels of NLRP3,ASC,and caspase-1(all P<0.05).Conclusion MCC950 can inhibit the NLRP3/cas-pase-1 pathway to improve PND in CPB rats.

NOD like receptor thermal protein domain associated protein 3CaspasePerioperative neurocognitive disor-dersCardiopulmonary bypassMCC950

丁国鹏、付益计、孙莹杰、刁玉刚、宋丹丹

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北部战区总医院麻醉科,沈阳 110016

鞍山市中心医院麻醉手术中心,鞍山 114009

NOD样受体热蛋白结构域相关蛋白3 胱天蛋白酶 围手术期神经认知障碍 体外循环 MCC950

2024

国际麻醉学与复苏杂志
中华医学会,徐州医学院

国际麻醉学与复苏杂志

CSTPCD
影响因子:0.909
ISSN:1673-4378
年,卷(期):2024.45(3)
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