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盐酸戊乙奎醚对小鼠心肌缺血再灌注损伤的保护作用及机制

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目的 基于巨噬细胞迁移抑制因子(MIF)/腺苷一磷酸活化的蛋白激酶(AMPK)信号通路探讨盐酸戊乙奎醚(PHC)对小鼠心肌缺血再灌注(I/R)损伤的保护作用及潜在机制。方法 将雄性C57BL/6小鼠随机分为假手术组、I/R组、I/R+PHC组(PHC 20μg/kg)、I/R+ISO-1组(MIF抑制剂35 mg/kg)、I/R+PHC+ISO-1组(剂量同各单药组),每组8只。除假手术组外,其余各组均采用冠状动脉结扎法制备I/R损伤模型。于结扎前30 min,各药物组小鼠分别单次尾静脉注射相应药液1 mL。于再灌注120 min后,检测各组小鼠的心功能指标[心率、每搏输出量、射血分数、心输出量、收缩期末左室后壁厚度(LVPWs)、舒张期末左室后壁厚度(LVPWd)]和血清中炎症因子[白细胞介素6(IL-6)、IL-10、肿瘤坏死因子α(TNF-α)]水平,观察其心肌组织病理改变和超微结构,并检测心肌组织中B细胞淋巴瘤2(Bcl-2)、磷酸化AMPKα(p-AMPKα)、MIF蛋白的表达水平。结果 与假手术组比较,I/R组小鼠心肌细胞排列松散,炎症细胞浸润严重,线粒体受损明显,其血清中IL-6、TNF-α水平和心肌组织中p-AMPKα蛋白的表达均显著升高或上调,心率、每搏输出量、射血分数、心输出量、LVPWd和血清中IL-10水平均显著降低(P<0。05);与I/R组比较,I/R+PHC组小鼠心肌组织病变有所减轻,其血清中IL-6、TNF-α水平均显著降低,心率、每搏输出量、射血分数、心输出量、LVPWs、LVPWd、血清中IL-10水平以及心肌组织中Bcl-2、p-AMPKα、MIF蛋白的表达均显著升高或上调(P<0。05);而I/R+ISO-1组小鼠心肌组织病变有所加重,多数定量指标显著恶化(P<0。05);MIF抑制剂能普遍逆转PHC对I/R小鼠的保护作用(P<0。05)。结论 PHC可改善I/R小鼠心功能,减轻其心肌组织炎症,恢复其心肌组织超微结构,上述作用可能与激活MIF/AMPK信号通路有关。
Protective effects and mechanism of penehyclidine hydrochloride on myocardial ischemia-reperfusion injury in mice
OBJECTIVE To investigate the protective effects and potential mechanism of penehyclidine hydrochloride(PHC)on myocardial ischemia-reperfusion(I/R)injury in mice through the macrophage migration inhibitory factor(MIF)/adenosine monophosphate-activated protein kinase(AMPK)signaling pathways.METHODS Male C57BL/6 mice were randomly divided into sham operation group,I/R group,I/R+PHC group(PHC 20 μg/kg),I/R+ISO-1 group(MIF inhibitor 35 mg/kg),I/R+PHC+ISO-1 group(with the same dosage as each single drug group),with 8 mice in each group.Except for the sham operation group,the myocardial I/R injury model was prepared by coronary artery ligation.Thirty minutes before ligation,mice in each drug group were injected with 1 mL of the corresponding drug solution through the tail vein.After 120 min of reperfusion,the levels of cardiac function indexes[heart rate,stroke volume,ejection fraction,cardiac output,left ventricular posterior wall thickness in systole(LVPWs),left ventricular posterior wall thickness in diastole(LVPWd)],serum inflammatory factors[interleukin-6(IL-6),IL-10,tumor necrosis factor-α(TNF-α)]in mice were detected in each group;the pathological changes and ultrastructure of myocardial tissue were observed,and the protein expressions of B cell lymphoma-2(Bcl-2),phosphorylated AMPKα(p-AMPKα)and MIF in myocardial tissue were detected.RESULTS Compared with the sham operation group,the myocardial cells in the I/R group were loosely arranged,with severe infiltration of inflammatory cells and obvious mitochondrial damage.Serum levels of IL-6 and TNF-α and protein expression of p-AMPKα in myocardial tissue were significantly increased or upregulated,while heart rate,stroke volume,ejection fraction,cardiac output,LVPWd and serum level of IL-10 were significantly decreased(P<0.05).Compared with the I/R group,the myocardial tissue lesions in the I/R+PHC group were alleviated;serum levels of IL-6 and TNF-α were decreased significantly,while heart rate,stroke volume,ejection fraction,cardiac output,LVPWs,LVPWd,serum level of IL-10,and protein expressions of Bcl-2,p-AMPKα and MIF in myocardial tissue were significantly increased or upregulated(P<0.05).However,myocardial tissue lesions of mice in the I/R+ISO-1 group worsened,with most quantitative indicators significantly deteriorating(P<0.05);MIF inhibitor could generally reverse the protective effect of PHC on I/R mice(P<0.05).CONCLUSIONS PHC can improve cardiac function,reduce myocardial inflammation,and restore the ultrastructure of myocardial tissue in I/R mice.These effects may be related to the activation of the MIF/AMPK signaling pathway.

penehyclidine hydrochloridemyocardial ischemia-reperfusioninflammatory responseMIF/AMPK signaling pathway

贾春媚、孟晨雪、张宝慧、韩帅、訾聪娜

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河北北方学院附属第一医院麻醉科,河北 张家口 075000

盐酸戊乙奎醚 心肌缺血再灌注 炎症反应 MIF/AMPK信号通路

2024

中国药房
中国医院协会,中国药房杂志社

中国药房

CSTPCD北大核心
影响因子:0.956
ISSN:1001-0408
年,卷(期):2024.35(24)