首页|二氢杨梅素对创伤性脑损伤合并海水浸泡性体温过低症大鼠脑损伤的作用机制

二氢杨梅素对创伤性脑损伤合并海水浸泡性体温过低症大鼠脑损伤的作用机制

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目的 评价二氢杨梅素(DMY)对创伤性脑损伤合并海水浸泡性体温过低症(TBI+SIH)大鼠的的作用及其机制.方法 36只健康雄性SD大鼠随机分为Sham组(n=12)、TBI+SIH组(n=12)和DMY治疗组(n=12).采用受控皮质撞击(CCI)颅脑致伤法+恒温水浴浸泡法建立TBI+SIH大鼠模型.每24小时腹腔注射300 mg/Kg的DMY.于模型制备成功后72 h时进行改良神经功能缺损评分(mNSS)和旷场实验评估大鼠神经功能状态,行为学测定结束后处死大鼠,测定脑组织含水量及伊文思蓝(EB)含量,苏木精-伊红染色(HE)染色观察脑组织形态,普鲁士蓝染色观察脑组织中铁沉积情况,透射电镜观察神经元超微结构改变,采用试剂盒检测损伤周围脑组织中铁含量、丙二醛(MDA)含量、谷胱甘肽(GSH)含量及肿瘤坏死因子-α(TNF-α)、白细胞介素(IL)-1β、IL-6等炎症因子的水平;Western blot检测脑组织中谷胱甘肽过氧化物酶4(GPX4)的表达.结果 病理学检查可见TBI+SIH组出现散在出血,组织和细胞结构变形.DMY治疗组的脑水肿更明显,脑出血更为严重.透射电镜下TBI+SIH组线粒体缩小、线粒体膜增厚、嵴断裂,DMY治疗组细胞核染色质部分发生边集,线粒体破坏减少.与TBI+SIH组比较,DMY治疗组大鼠神经功能评分降低,脑组织中MDA、铁含量和TNF-α、IL-1β、IL-6含量显著降低(均P<0.05),而GSH含量和GPX4表达显著升高(均P<0.05).结论 DMY可以减轻TBI+SIH大鼠的脑损伤,其机制可能与抑制神经炎性反应和GPX4介导的铁死有关.
Mechanism of dihydromyricetin attenuates on brain damage in rats with traumatic brain injury and sea-water immersion hypothermia
Objective This study aims to explore the mechanism of dihydromyricetin attenuates on brain damage in rats with traumatic brain injury and seawater immersion hypothermia.Methods A total of 36 male SD rats were randomly divided into three groups:Sham group(n=12),TBI+SIH group(n=12),and DMY treatment group(n=12).The controlled cortical impact(CCI)cranio-cerebral injury method and constant temperature water bath soak-ing method were used to establish the TBI+SIH rat model.DMY was intraperitoneally injected at a dose of 300 mg/kg every 24 hours.The modified neurological deficit score(mNSS)and open field test were performed to evaluate the neurological function of rats at 72 h after the model was successfully prepared.The rats were killed after the behavioral test,and the water content and Ev-ans blue(EB)content of brain tissue were measured.Hematoxylin-eosin(HE)staining was used to observe the morphology of brain tissue,Prussian blue staining was used to observe the iron deposition in brain tissue,and transmission electron microscopy was used to observe the ultrastructural changes of neurons.Kits were used to detect the iron content,malondialdehyde(MDA)content,glutathione(GSH)content and the levels of inflammatory factors such as tumor necrosis factor-α(TNF-α),interleukin(IL)-1β,and IL-6 in the brain tissue around the injury.Western blotting was applied to detect the expression of glutathione peroxidase 4(GPX4).Results The pathological examination showed scattered bleeding and deformation of tissue and cell structure in TBI+SIH group.In the DMY treatment group,cerebral edema was more obvious and cerebral hemorrhage was more serious.Under the transmission electron micro-scope,mitochondria in TBI+SIH group were shrunk,mitochondrial membrane was thickened and the cristae were broken.In the DMY treatment group,the nuclear chromatin was partially edged and mitochondrial damage was reduced.Compared with the TBI+SIH group,the neurological function score of rats in the DMY treatment group was reduced,and the MDA,iron content,TNF-α,IL-1β,and IL-6 content in brain tissue were significantly reduced(all P<0.05),while the GSH content and GPX4 expression were significantly in-creased(all P<0.05).Conclusion DMY can alleviate brain damage in TBI+SIH rats,and its mechanism may be related to the inhi-bition of the inflammatory response and GPX4-mediated ferroptosis.

traumatic brain injuryseawater immersion hypothermiadihydromyricetinferroptosis

张灏、叶丹、潘振洪、钟琳兴、魏梁锋、吴再新、王守森、陈宏颉

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350025 福州,福建医科大学福总临床医学院(联勤保障部队第九○○医院)神经外科

350025 福州,福建中医药大学附属福总教学医院神经外科

350025 福州,联勤保障部队第九○○医院卫勤部

创伤性脑损伤 海水浸泡性体温过低症 二氢杨梅素 铁死亡

2024

医学研究生学报
南京军区南京总医院

医学研究生学报

CSTPCD北大核心
影响因子:1.652
ISSN:1008-8199
年,卷(期):2024.37(7)