中华急诊医学杂志
中華急診醫學雜誌
중화급진의학잡지
CHINESE JOURNAL OF EMERGENCY MEDICINE
2010年
10期
1015-1018
,共4页
马宇洁%杨兴易%林兆奋%缪明永%张雷%宁波
馬宇潔%楊興易%林兆奮%繆明永%張雷%寧波
마우길%양흥역%림조강%무명영%장뢰%저파
心肺复苏%心搏骤停%缺血-再灌注损伤%线粒体%线粒体通透性转换孔%细胞色素C%凋亡%大鼠
心肺複囌%心搏驟停%缺血-再灌註損傷%線粒體%線粒體通透性轉換孔%細胞色素C%凋亡%大鼠
심폐복소%심박취정%결혈-재관주손상%선립체%선립체통투성전환공%세포색소C%조망%대서
Cardiopulmonary resusication%Cardiac arrest%Ischemia-reperfusion%Mitochondria%Mitochondrial permeability transition pore%Cytochrome C%Apoptosis%Rat
目的 探讨大鼠心肺复苏后神经细胞线粒体通透性转换孔(MPTP)变化在细胞色素C释放中的作用及可能机制.方法 以56只成年雄性Sprague Dawley(SD)大鼠建立窒息加冰氯化钾致心搏骤停/心肺复苏(CA/CPR)动物模型,随机(随机数字法)分为7组,即假手术组、自主循环恢复(ROSC)后3 h,6 h,12 h,24 h,48 h,72 h组,每组8只,分别在各时相点断头处死大鼠,采用差速离心法分离制备大脑皮质内线粒体匀浆.采用分光光度法测定线粒体不同时相MPTP的开放程度,Western blot免疫杂交法检测线粒体细胞色素C释放(CytC).采用SPSS 11.5 for Windows统计软件分析结果.结果 ROSC后6 h内神经细胞MPTP开放程度保持低水平,6 h以后开始迅速大量开放,12 h开放程度达到最大,24 h开放程度略有缩小,至48 h开放程度再次加大,72 h又明显缩小,与对照组相比较差异均具有统计学意义(P<0.05或P<0.01).正常脑组织线粒体CytC蛋白在相对分子质量14 000处出现一强阳性条带,而胞浆蛋白中CytC蛋白含量甚微,呈一弱阳性条带.ROSC后3 h线粒体CytC蛋白未见显著变化,而胞浆成分中开始增多,至ROSC后24 h大部分CytC已释放至胞浆中,此时线粒体条带明显减弱.结论 大鼠CA/CPR并ROSC后神经MPTP的开放程度与CytC释放的量呈明显的相关性,MPFP的开放促使CytC的释放.
目的 探討大鼠心肺複囌後神經細胞線粒體通透性轉換孔(MPTP)變化在細胞色素C釋放中的作用及可能機製.方法 以56隻成年雄性Sprague Dawley(SD)大鼠建立窒息加冰氯化鉀緻心搏驟停/心肺複囌(CA/CPR)動物模型,隨機(隨機數字法)分為7組,即假手術組、自主循環恢複(ROSC)後3 h,6 h,12 h,24 h,48 h,72 h組,每組8隻,分彆在各時相點斷頭處死大鼠,採用差速離心法分離製備大腦皮質內線粒體勻漿.採用分光光度法測定線粒體不同時相MPTP的開放程度,Western blot免疫雜交法檢測線粒體細胞色素C釋放(CytC).採用SPSS 11.5 for Windows統計軟件分析結果.結果 ROSC後6 h內神經細胞MPTP開放程度保持低水平,6 h以後開始迅速大量開放,12 h開放程度達到最大,24 h開放程度略有縮小,至48 h開放程度再次加大,72 h又明顯縮小,與對照組相比較差異均具有統計學意義(P<0.05或P<0.01).正常腦組織線粒體CytC蛋白在相對分子質量14 000處齣現一彊暘性條帶,而胞漿蛋白中CytC蛋白含量甚微,呈一弱暘性條帶.ROSC後3 h線粒體CytC蛋白未見顯著變化,而胞漿成分中開始增多,至ROSC後24 h大部分CytC已釋放至胞漿中,此時線粒體條帶明顯減弱.結論 大鼠CA/CPR併ROSC後神經MPTP的開放程度與CytC釋放的量呈明顯的相關性,MPFP的開放促使CytC的釋放.
목적 탐토대서심폐복소후신경세포선립체통투성전환공(MPTP)변화재세포색소C석방중적작용급가능궤제.방법 이56지성년웅성Sprague Dawley(SD)대서건립질식가빙록화갑치심박취정/심폐복소(CA/CPR)동물모형,수궤(수궤수자법)분위7조,즉가수술조、자주순배회복(ROSC)후3 h,6 h,12 h,24 h,48 h,72 h조,매조8지,분별재각시상점단두처사대서,채용차속리심법분리제비대뇌피질내선립체균장.채용분광광도법측정선립체불동시상MPTP적개방정도,Western blot면역잡교법검측선립체세포색소C석방(CytC).채용SPSS 11.5 for Windows통계연건분석결과.결과 ROSC후6 h내신경세포MPTP개방정도보지저수평,6 h이후개시신속대량개방,12 h개방정도체도최대,24 h개방정도략유축소,지48 h개방정도재차가대,72 h우명현축소,여대조조상비교차이균구유통계학의의(P<0.05혹P<0.01).정상뇌조직선립체CytC단백재상대분자질량14 000처출현일강양성조대,이포장단백중CytC단백함량심미,정일약양성조대.ROSC후3 h선립체CytC단백미견현저변화,이포장성분중개시증다,지ROSC후24 h대부분CytC이석방지포장중,차시선립체조대명현감약.결론 대서CA/CPR병ROSC후신경MPTP적개방정도여CytC석방적량정명현적상관성,MPFP적개방촉사CytC적석방.
Objective To analyse the relationship between cytochrome C release and the opening degree of the permeability transition pore (PTP) during in post cardiopulmonary resuscitation(CPR) rats. Method Adult male Sprague Dawley (SD)rats were randomly (random number ) divided into a surgical sham group (no CA/CPR) ( n = 8) and CA/CPR group ( n = 48). Animals in CA/CPR group was induced by asphyxiation and icecold 0.5 mmol/L KCI and killed by decapitation and processed for isolation of brain cortex mitochondria at 3 h,6 h,12 h,24 h,48 h,72 h after restoration of spontaneous circulation (ROSC). MPTP opening degree was based on the absorbance changes of the mitochondrial suspension at 540 nm. Western blot analysed the release of CytC from
mitochondrial to cytoplast. Results Neural cells MPTP always remained opening post ROSC. The opening degree of MPTP was not reaching the peak instantly. While its' change depended on time: remaining low level within 6 h post ROSC,then rapidly opening, till 12 h reaching the largest degree,and at 24 h post ROSC slightly shrunken. All these suggested that mitochondria started to shink. While at 48 h the opening degree largen again, shrunken once more at 72 h,but not reaching the normal level ( P < 0.05 or P < 0.01). Cytochrome C could not be detected in the cytosol in the earlier phases of the sham-operated brain samples but appeared in the mitochondria.The amount of cytochrome C released was proportional after restoration of spontaneous circulation 3 h and 24 h,failed to detect the enzyme in the mitochondria fraction. Conclusions We draw the conclusion MPTP plays a key role in neurocyte apoptosis after CA/CPR, which leads to mitochondria release CytC.