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缺血性眼病大鼠模型的评价及应用

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目的:评价电凝法制备的大鼠轻度和重度缺血性眼病模型的病理特征和应用范围。方法:采用氢溴酸樟柳碱评价不同程度的血栓性缺血眼病模型。将动物随机分为假手术对照组、轻度模型对照组、氢溴酸樟柳碱Ⅰ 0。045 mg/kg组、重度模型对照组、氢溴酸樟柳碱Ⅱ 0。045 mg/kg组,连续灌胃给药28 d。通过虹膜拍照、眼底视网膜显微成像技术以及过碘酸雪夫(PAS)染色观察大鼠眼组织血管和微血管的变化;光学相干断层扫描技术和组织病理学苏木精-伊红(HE)染色观察眼组织结构的变化;血氧仪比较各组大鼠眼组织的血氧水平;视觉电生理技术观察大鼠视功能的变化;采用免疫组化技术检测视紫红质(Rhodopsin,RHO)、紧密连接跨膜蛋白-5(Claudin-5)、神经胶质纤维酸性蛋白(GFAP)阳性表达情况。结果:与假手术对照组比较,眼血管方面,两种程度模型对照组大鼠的虹膜、视网膜、脉络膜血管以及视网膜微血管均有不同程度的缺血、断流;眼组织结构方面,两种程度的模型对照组大鼠视网膜和脉络膜结构明显出现不同程度的改变;轻度模型对照组大鼠角膜上皮层厚度和角膜厚度、晶状体、视神经未出现明显变化;而重度模型对照组大鼠的角膜上皮细胞萎缩,角膜厚度与上皮层厚度均有显著变化(P<0。01),晶状体间充质细胞变形,上皮细胞丢失,结构改变,排列混乱,视神经的胶质细胞增生,排列紊乱;血氧方面,两种程度模型对照组大鼠的血氧饱和度和血流灌注指数均低于其他各组(P<0。01);视功能方面,两种程度模型分别在视杆细胞反应、最大混合反应、震荡电位反应、视锥细胞反应以及20 Hz闪烁反应中,振幅出现不同程度的下降(P<0。05或P<0。01);进一步检测视网膜光感受器的蛋白表达,两种程度模型对照组大鼠的视网膜RHO、Claudin-5蛋白表达显著下降,GFAP蛋白的表达明显升高(P<0。05或P<0。01)。与轻度、重度模型对照组相比,氢溴酸樟柳碱Ⅰ组和Ⅱ组大鼠上述检测指标明显改变(P<0。05或P<0。01)。结论:轻度眼缺血表现为虹膜、视网膜、脉络膜缺血,重度眼缺血在此基础上又增加了角膜、晶状体和视神经的缺血。氢溴酸樟柳碱可以修复不同程度眼缺血造成的眼部血管、眼组织结构(特别是视神经)以及视网膜感光细胞损伤,提高眼部血氧水平,维护视功能。
Evaluation and Application of a Rat Model of Ischemic Ophthalmopathy
Objective:To evaluate the pathological characteristics and application of rat models of mild and severe ischemic ophthalmopathy induced by electrocoagulation.Methods:Anisodine hydrobromide was used to evaluate the rat models of different degrees of thrombotic ischemic oph-thalmopathy.Rats were randomized into the sham control,mild model control,anisodine hydrobromide Ⅰ(0.045 mg/kg),severe model con-trol,and anisodine hydrobromide Ⅱ(0.045 mg/kg)groups.Rats were administrated with corresponding drugs by gavage for 28 consecutive days.The changes of blood vessels and microvessels in the ocular tissue were observed by iris photographing,fundus retinal microimaging,and periodic acid-Schiff staining.The changes of ocular tissue structure were observed by optical coherence tomography and hematoxylin-eosin staining.Oximetry was employed to compare the blood oxygen level in the ocular tissue between groups.Visual electrophysiology was adopted to reveal the visual function changes.The immunohistochemical assay was used to detect the positive expression of rhodopsin(RHO),clau-din-5,and glial fibrillary acidic protein(GFAP).Results:Compared with the sham control group,the two model control groups showed differ-ent degrees of ischemia and flow disruption in the iris,retina,choroidal vessels and retinal microvessels as well as structural changes of the ret-ina and choroid.The mild model control group presented no significant changes in the thickness of the corneal epithelial layer and the corneal thickness,lens,and optic nerves.However,the severe model group presented corneal epithelial cell atrophy,changed corneal thickness and corneal epithelial layer thickness(P<0.01),deformed mesenchymal cells,lost,deformed,and disarranged epithelial cells in the lens,and pro-liferated and disarranged glial cells of the optic nerve(P<0.01).The two model groups had lower blood oxygen saturation and perfusion in-dex than the other groups(P<0.01).In terms of the visual function,the amplitudes of the rod cell response,maximal mixed response,oscilla-tory potential response,the cone cell response,and the 20-HZ scintillation response decreased in the two model groups(P<0.05 or P<0.01).In addition,the two model groups showed down-regulated protein levels of RHO and claudin-5 and up-regulated protein level of GFAP(P<0.05 or P<0.01).Compared with the mild and severe model control groups,the anisodine hydrobromide Ⅰ and Ⅱ groups showed signifi-cant differences in the above indicators(P<0.05 or P<0.01).Conclusion:Mild ocular ischemia is manifested by ischemia of the iris,reti-na,and choroid,and severe ocular ischemia presents ischemia of the cornea,lens,and optic nerve additionally.Anisodine hydrobromide can repair the ocular ischemia-induced damage of ocular blood vessels,ocular tissue structure(especially optic nerves),and retinal photoreceptor cells and improve the ocular blood oxygen level,thereby maintaining the visual function.The findings provide a reference for the application of animal models of different degrees of ischemic ophthalmopathy and the drug evaluation.

Ischemic ophthalmopathyElectrocoagulationMild ocular ischemiaSevere ocular ischemiaAnisodine hydrobromide

谭为、袁天翊、周茂杰、王建美、顾政一、杜冠华

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新疆医科大学药学院,乌鲁木齐 830011

新疆维吾尔自治区药物研究所,乌鲁木齐 830004

中国医学科学院药物研究所,北京市药物靶点研究与新药筛选重点实验室,北京 100050

缺血性眼病 电凝法 轻度眼缺血 重度眼缺血 氢溴酸樟柳碱

2024

中药药理与临床
中国药理学会 四川省中医药科学院

中药药理与临床

北大核心
影响因子:0.996
ISSN:1001-859X
年,卷(期):2024.40(8)