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脊髓损伤后大鼠线粒体自噬变化及靶向治疗效果

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目的 探讨脊髓损伤后大鼠线粒体自噬变化及靶向Nix对脊髓损伤的影响.方法 30只SD大鼠按照数字表格法分为对照组、脊髓损伤组和Nix下调组,每组10只.Nix下调组小鼠在术前24 d脊髓中注射Nix短发卡RNA(shRNA)腺相关病毒,对照组和脊髓损伤组相同位置注射等体积对照腺相关病毒.脊髓损伤组和Nix下调组大鼠采用动脉瘤夹压迫型损伤法制备脊髓损伤模型,对照组不做处理.两组建模14 d后采用染色法分析脊髓部位变性神经元的数量;采用Basso-Beattie-Bresnahan(BBB)运动功能评分表分析3组大鼠损伤后运功功能变化;采用蛋白质免疫印迹分析3组大鼠线粒体外膜蛋白TOM20、线粒体内膜蛋白Tim23、第10号染色体上缺失与张力蛋白同源的磷酸酯酶基因诱导激酶(PINK1)、Parkin表达水平.采用透射电子显微镜分析3组大鼠3组大鼠脊髓细胞自噬体数量;采用流式细胞术分析3组小鼠脊髓细胞线粒体膜电位;组间比较采用单因素方差分析.结果 Nix下调组大鼠骨髓组织Nix蛋白表达水平(0.89±0.31)明显低于脊髓损伤组(1.79±0.11),差异有统计学意义(t=15.320,P<0.05).Nix下调组大鼠骨髓组织TOM20和Tim23蛋白表达水平(0.80±0.07、0.69±0.06)明显高于脊髓损伤组(0.53±0.12、0.39±0.09),差异有统计学意义(t=6.029、8.270,P<0.05).Nix下调组大鼠骨髓组织PINK1和Parkin蛋白表达水平(1.04±0.11、0.83±0.07)明显低于对照组(1.48±0.15、1.24±0.13),差异有统计学意义(t=7.565,9.019,P<0.05).Nix下调组大鼠骨髓组织死亡神经元数量[(6.70±1.34)个]明显低于脊髓损伤组[(17.9±5.26)个],差异有统计学意义(t=6.527,P<0.05).Nix下调组大鼠骨髓细胞自噬数量[(14.00±2.58)个]明显高于脊髓损伤组[(29.70±3.56)个],差异有统计学意义(t=11.290,P<0.05).Nix下调组大鼠骨髓细胞线粒体膜电位荧光强度(179.54±12.02)明显高于脊髓损伤组(108.14±12.89),差异有统计学意义(t=12.810,P<0.05).Nix下调组大鼠BBB评分[(12.50±2.80)分]明显高于脊髓损伤组[(5.80±1.48)分],差异有统计学意义(t=6.960,P<0.05).结论 脊髓损伤后线粒体自噬水平显著增加,下调Nix可抑制抑制线粒体自噬,降低线粒体损伤,保护脊髓神经元,进而改善大鼠神经功能.
Changes of mitochondrial autophagy in rats after spinal cord injury and efficacy of targeted therapy
Objective To investigate the changes of mitochondrial autophagy after spinal cord inju-ry in rats and the effect of targeted Nix on spinal cord injury.Methods Totally,30 SD rats were randomly divided into control group,spinal cord injury group and Nix down-regulated group according to the digital table method.Mice in the Nix down-regulated group were injected with Nix short hairpin RNA(shRNA)adeno-associated virus in the spinal cord at 24th day before surgery,and the control group and the spinal cord injury group were injected with adeno-associated virus at the same location.Spinal cord injury model was prepared by aneurysm clamp compression injury method in spinal cord injury group and Nix down-regu-lated group,and no treatment was given in control group.The number of denatured neurons in the spinal cord was analyzed by staining after 14 days.Basso-Beattie-Bresnahan(BBB)motor function rating scale was used to analyze the changes of motor function after injury in the three groups.Mitochondrial outer membrane protein TOM20,mitochondrial inner membrane protein Tim23 and phosphatase and tensin homo-logue deleted on chromosome ten-induced putative kinase(PINK1)and Parkin of the three groups were an-alyzed by Western blotting.The number of autophagosomes in spinal cord cells of three groups of rats was analyzed by transmission electron microscopy.The mitochondrial membrane potential of spinal cord cells in three groups of mice was analyzed by flow cytometry.Univariate analysis of variance was used for measure-ment comparison between groups.Results The expression level of Nix protein in bone marrow of rats in the down-regulated Nix group(0.89±0.31)was significantly lower than that in the spinal cord injury group(1.79±0.11,t=15.320,P<0.05).The expression levels of TOM20 and Tim23 protein in bone marrow tissue of rats in Nix down-regulated group(0.80±0.07,0.69±0.06)was significantly higher than that in spinal cord injury group(0.53±0.12,0.39±0.09,t=6.029,8.270,P<0.05).The ex-pression levels of PINK1 and Parkin protein in bone marrow tissue of rats in Nix down-regulated group(1.04±0.11,0.83±0.07)were significantly lower than those in control group(1.48±0.15,1.24±0.13,t=7.565,9.019,P<0.05).The number of dead neurons in bone marrow tissue of rats in Nix down-regulated group(6.70±1.34)was significantly less than that in spinal cord injury group(17.9±5.26,t=6.527,P<0.05).The number of autophagy in bone marrow cells in the down-regulated Nix group(14.00±2.58)was significantly greater than that in the spinal cord injury group(29.70±3.56,t=11.290,P<0.05).The fluorescence intensity of mitochondrial membrane potential of bone marrow cells in the down-regulated Nix group(179.54±12.02)was significantly higher than that in the spinal cord injury group(108.14±12.89,t=12.810,P<0.05).The BBB score of rats in Nix down-regulated group[(12.50±2.80)points]was significantly higher than that in spinal cord injury group[(5.80±1.48)points,t=6.960,P<0.05].Conclusion The level of mitochondrial autophagy increases signifi-cantly after spinal cord injury.Down-regulating Nix can inhibit the inhibition of mitochondrial autophagy,reduce mitochondrial damage,protect spinal cord neurons,and improve neural function in rats.

Spinal cord injuryMitochondrial autophagyNerve functionAutophagy

梁栋华、刘继军

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阜外华中心血管病医院骨科,郑州 450000

河南省人民医院骨科,郑州 450000

脊髓损伤 线粒体自噬 神经功能 自噬

河南省医学科技攻关计划项目

LHGJ20190775

2024

中华实验外科杂志
中华医学会

中华实验外科杂志

CSTPCD
影响因子:0.759
ISSN:1001-9030
年,卷(期):2024.41(8)
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