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灯盏花乙素对青光眼大鼠神经保护作用及分子机制

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目的 探讨灯盏花乙素对青光眼大鼠模型神经保护作用及分子机制.方法 30只SD大鼠按照随机数字表法分为对照组、青光眼组和灯盏花乙素组,青光眼组和灯盏花乙素组大鼠采用532-二极管激光光凝法建立青光眼模型,对照组作为对照研究.建模成功后,灯盏花乙素组大鼠腹腔注射灯盏花乙素50mg/kg,每日1次;对照组和青光眼组腹腔注射等体积生理盐水.治疗2周后,测量3组大鼠眼压变化;苏木精-伊红染色分析3组大鼠视网膜病理学、视网膜厚度变化;采用免疫荧光分析3组大鼠视网膜神经节细胞数量变化;采用原位缺口末端标记法(TUNEL)染色分析大鼠视网膜组织中细胞凋亡指数;采用荧光定量聚合酶链反应(PCR)分析3组大鼠视网膜组织炎性因子表达水平;采用蛋白质免疫印迹分析大鼠视网膜组织中磷酸化c-Jun氨基末端激酶(p-JNK)、p-p38丝裂原活化蛋白激酶(MAPK)、半胱氨酰天冬氨酸特异性蛋白酶-3(Caspase-3)、B细胞淋巴瘤/白血病-2相关X蛋白(bax)蛋白质表达水平.组间计量数据比较采用单因素方差分析.结果 灯盏花乙素组大鼠术后7 d眼压[(17.28±1.17)mmHg]低于青光眼组[(22.72±1.91)mmHg],差异有统计学意义(t=8.398,P<0.05).灯盏花乙素组大鼠术后7 d视网膜厚度[(129.85±7.63)μm]低于青光眼组[(94.53±10.59)μm],差异有统计学意义(t=9.752,P<0.05).灯盏花乙素组大鼠术后7 d神经节细胞数量[(23.77±7.88)个]高于青光眼组[(14.92±1.89)个],差异有统计学意义(t=11.970,P<0.05).灯盏花乙素组大鼠视网膜组织肿瘤坏死因子-α、白细胞介素-6 和白细胞介素-1β(1.34±0.11、1.39±0.12、1.34±0.05)低于青光眼组(1.97±0.08、1.78±0.11、1.71±0.08),差异有统计学意义(t=16.540、9.067、13.280,P<0.05).灯盏花乙素组大鼠术后7 d视网膜细胞凋亡指数[(14.77±1.31)%]低于青光眼组[(22.68±6.43)%],差异有统计学意义(t=4.351,P<0.05).灯盏花乙素组大鼠视网膜组织p-JNK、p-p38 MAPK、Caspase-3和bax蛋白表达水平(1.38±0.09、0.77±0.08、0.87±0.07、0.72±0.08)低于青光眼组(1.64±0.06、1.29±0.07、1.56±0.15、1.19±0.08),差异有统计学意义(t=10.760、28.120、22.540、24.840,P<0.05).结论 灯盏花乙素可以抑制炎症水平,降低视网膜细胞凋亡,其保护作用可能与抑制JNK/p38 MAPK激活有关.
Neuroprotective effects and molecular mechanisms of Scutellarin on rats with Glaucoma
Objective To explore the neuroprotective effects and molecular mechanisms of Scutel-larin on rats with glaucoma.Methods 30 SD rats were divided into control group,glaucoma group,and Scutellarin group by ransom number table methods(10 mice/group).The glaucoma group and Scutellarin group were established as glaucoma models using 532-diode laser photocoagulation,while the control group served as the.After the model was successfully established,the Scutellarin group was intraperitoneally in-jected with Scutellarin 0 mg/kg once a day;the control group and the glaucoma group were intraperitoneally injected with an equal volume of physiological saline.After weeks of treatment,the changes in intraocular pressure of the three groups of rats were measured.The changes and thickness changes in the retinas of the three groups of rats were analyzed by hematoxylin and eosin staining.The number of retinallion cells in the three groups of rats were analyzed by immunofluorescence.The apoptosis index in the retinal tissues of the rats were analyzed by terminal-deoxynucleotidyl transferase mediated nick end labeling(TUNEL)staining.The expression levels of inflammatory factors in the retinal tissues of the three groups of rats were analyzed by fluorescence quantitative polymerase chain reaction(PCR).The expression levels of phosphorylated c-Jun N-terminal kinase(p-JNK),p-p38 mitogen-activated protein kinase(MAPK),cysteinyl aspartate-specific protease-3(Caspase-3),and B cell lymphoma/leukemia-2 associated X protein(bax)proteins in the retinal tissues of the rats were analyzed by Western blotting.One-way ANO was used for the comparison of measurement data between groups.Results The intraocular pressure of the Scutellarin group[(17.2±1.17)mmHg]was significantly lower than that of the glaucoma group for 7 days after surgery[(22.72±1.91)mmHg,t=8.398,P<0.05].The retinal thickness of the Scutellarin group[(129.85±7.63)μm]was significantly higher than that of the glaucoma group for 7 days after surgery[(94.53±10.59)μm,t=9.752,P<0.05].The number of ganglion cells in the Scutellarin group[(23.77±7.88)cells]significantly higher than that in the glaucoma group for 7 days after surgery[(14.92±1.89)cells,t=1.970,P<0.05].The expression levels of tumor necrosis factor a,interleukin 6,and interleu-kin 1β in the retinal tissues of the Scutellarin group(1.34±0.11,1.39±0.12,1.34±0.05)were sig-nificantly lower than those in the glaucoma group(1.9±0.08,1.78±0.11,1.71±0.08,t=1.540,9.067,13.280,P<0.05).The apoptosis index in the ret cells of the Scutellarin group[(14.77±1.31)%]was significantly lower than that in glaucoma group for 7 days after surgery[(22.68±6.43)%,t=4.351,P<.05].The expression levels of p-JNK,p-p38 MAPK,Caspase-3,and bax proteins in the ret tissues of the Scutellarin group(1.38±0.09,0.77±0.08,0.87±0.07,0.72±0.08)were signifi-cantly lower than those in the glaucoma group(1.64±0.06,1.29±0.07,1.56±0.15,1.19±0.08,t=10.760,28.120,22.50,24.840,P<0.05).Conclusion Scutellarin can inhibit inflammation and reduce ret cell apoptosis,and its protective effect may be related to the inhibition of JNK/p38 MAPK acti-vation.

GlaucomaScutellarinGanglion cellsInflammationApoptosis

李彦、牛世阳、代志强、严泽宇、杨华

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新乡医学院第一附属医院眼科,卫辉 453000

青光眼 灯盏花乙素 神经节细胞 炎症水平 凋亡

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(12)