首页|西妥昔单抗对脑缺血再灌注大鼠神经元凋亡、胶质细胞活化及脑组织淀粉样前体蛋白表达的影响

西妥昔单抗对脑缺血再灌注大鼠神经元凋亡、胶质细胞活化及脑组织淀粉样前体蛋白表达的影响

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目的:探讨西妥昔单抗对大鼠脑缺血再灌注后神经元凋亡、胶质细胞活化及脑组织淀粉样前体蛋白(APP)表达的影响.方法:27 只SD大鼠随机分为假手术组、缺血再灌注组、西妥昔单抗组,每组9 只.结扎大脑中动脉制备缺血再灌注模型,立即经侧脑室注射给予西妥昔单抗(106 μg/d),持续 7d.每组选取 3 只,在术后第 3和7 天进行神经功能评分.每组分别在缺血再灌注术后第3 和7 天处死3 只,取脑组织制备冰冻切片,用免疫荧光染色观察APP及胶质细胞胶质纤维酸性蛋白(GFAP)表达,用TUNEL染色法检测神经元凋亡指数.提取新生大鼠大脑皮层组织制备胶质细胞悬液,培养的胶质细胞换成含有西妥昔单抗(10 μg/mL)的无糖无血清培养基在缺氧培养箱中培养2h,然后换成正常糖/血清的培养基在正常氧的培养箱中继续培养6h,收集细胞,观察胶质细胞GFAP荧光强度的变化,对照组不进行缺氧/复氧处理,缺氧/复氧组不加西妥昔单抗.结果:与假手术组比较,缺血再灌注组大鼠神经功能评分升高,凋亡指数增加,胶质细胞GFAP免疫荧光强度增强,APP表达升高(P<0.05).与缺血再灌注组相比,西妥昔单抗组神经功能评分下降,凋亡指数降低,GFAP免疫荧光强度减弱,APP表达下降(P<0.05).体外实验结果显示,与对照组比较,缺氧/复氧组胶质细胞GFAP免疫荧光强度增强,而西妥昔单抗组较缺氧/复氧组降低(P<0.05).结论:西妥昔单抗能促进脑缺血再灌注大鼠神经功能恢复,其机制可能与减少APP的表达、抑制神经元凋亡及胶质细胞活化有关.
Effects of cetuximab on neuronal apoptosis,glial cell activation and amy-loid precursor protein expression in brain tissue in rats with cerebral is-chemia/reperfusion
Aim:To explore the effects of cetuximab on neuronal apoptosis,glial cell activation,and expression of amy-loid precursor protein(APP)in brain tissue after cerebral ischemia/reperfusion in rats.Methods:A total of 27 SD rats were randomly allocated into sham surgery group,ischemia/reperfusion group,and cetuximab group,with 9 rats in each group.Animal model of the focal cerebral ischemia/reperfusion model was induced by ligating middle cerebral artery,then adminis-tering cetuximab(106 μg/d)through lateral ventricular injection immediately after surgery,lasting for 7 days.Three animals were randomly selected from each group,and neurological function score was assessed on the 3rd and 7th day after surgery.The remaining 6 animals in each group were euthanized on the 3rd and 7th day after ischemia/reperfusion surgery,brain tis-sue was extracted,and the expression of APP and glial fibrillary acidic protein(GFAP)were observed using immunofluores-cence staining.The neuronal apoptosis index was measured using TUNEL staining.Glial cell suspension was prepared by ex-tracting cortical tissue from newborn rats.The glial cells were cultivated in a sugar free and serum free medium and cetux-imab(10 μg/mL)for 2 hours in a hypoxic incubator,and then the cells was replaced the medium with normal sugar/serum and continued to culture in a normal oxygen incubator for 6 hours.Then cells was collected and observed the changes of GFAP fluorescence intensity.The control group did not underwent hypoxia/reoxygenation treatment,and the hypoxia/reoxy-genation group was not added with cetuximab.Results:Compared with the sham surgery group,the ischemia/reperfusion group showed an increase in neurological function score,apoptosis index,GFAP staining of glial cells and expression of APP(P<0.05).Compared withtheischemia/reperfusiongroup,thecetuximabgroupshowedadecreaseofneurologicalfunction score,apoptosis index,GFAP staining and APP expression(P<0.05).Compared with the control group,the GFAP immuno-fluorescence intensity of glial cells in the hypoxia/reoxygenation group increased,which decreased in the cetuximab group compared with the hypoxia/reoxygenation group(P<0.05).Conclusion:Cetuximab could promote the recovery of neuro-logical function in rats with cerebral ischemia/reperfusion,and its mechanism may be related to reducing APP expression,inhibiting neuronal apoptosis and glial cell activation.

ischemia/reperfusionepidermal growth factor receptoramyloid precursor proteinapoptosisglial cellrat

杨琴、龚哲、王新新、姚要兵、贾延劼

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郑州大学第一附属医院神经内科 郑州 450052

缺血再灌注 表皮生长因子受体 淀粉样前体蛋白 凋亡 胶质细胞 大鼠

国家自然科学基金青年基金项目

NSFC82001290

2024

郑州大学学报(医学版)
郑州大学

郑州大学学报(医学版)

CSTPCD北大核心
影响因子:1.246
ISSN:1671-6825
年,卷(期):2024.59(5)