异氟烷预处理对大鼠全脑缺血损伤的保护作用及递质机制

Protective effect and neurotransmitter mechanism of isoflurane preconditioning on cerebral ischemic injury in rats

  • 摘要: 目的: 阐明异氟烷预处理脑保护作用的神经递质机制及其保护作用是否具有限时性。方法: 1.4%异氟烷+空气连续吸入5d预处理大鼠,最后一次预处理24h后缺血。采用清醒全脑缺血模型。观察清醒、缺血及再灌注后海马组织间液谷氨酸递质浓度改变及再灌注后脑电双频谱指数(B IS)变化,记录翻正反射恢复的时间及运动功能评分。双盲记数海马CA1区锥体细胞数和TUNEL阳性细胞的百分率。结果: 全脑缺血10m in、15m in后预处理组B IS及翻正反射恢复好于对照组;谷氨酸递质浓度变化与对照组无明显差异;全脑缺血15m in,预处理组运动功能评分均高于对照组。预处理组缺血10m in、15m in海马CA1区神经细胞计数及锥体细胞凋亡明显好于对照组。全脑缺血20m in两组各指标无明显差异。结论: 异氟烷预处理对非致死性全脑缺血再灌注损伤具有保护作用,但有限时性;其脑保护作用与降低谷氨酸递质浓度无关。

     

    Abstract: Objective:To clarify the neurotransmitter mechanism of protective effect of isoflurane preconditioning on global cerebral ischemia and if the protective effect has the character of time limitation on cerebral ischemia.Methods:The rats were anesthetized with 1.0MAC of isoflurane in air 1h for 5 days(1/per day) as the method of preconditioning.The wakeful model of global cerebral ischemia and reperfusion(4-V0) was set up 2 days before ischemia.The microdialysis samples were collected and BIS was recorded after reperfusion.The recovery of right reflection was observed after ischemia and the motor function was investigated.All viable and apoptotic neurons were counted and the % apoptotic neuron was calculated.Results:The BIS and right reflection of preconditioning groups was better than control groups after ischemia of 10 and 15 min.The change of glutamate concentration in hippocampus showed no significant difference between two groups.Preconditioning with isoflurane resulted in significant better total motor performance compared with control groups after ischemia of 15 min.The viable neurons and apoptotis rate in the CA1 sector of hippocampus of preconditioning groups were significantly better compared with control groups after ischemia of 10 and 15 min;but there was no difference between two groups after 20 min ischemia.Conclusions:Isoflurane preconditioning has protective effect to global cerebral ischemia-reperfusion injury,but it has limited ability for serious ischemia-reperfusion;The protective effect appears to be no related to decrease the concentration of glutamate transmitter during wakefulness and ischemia-reperfusion.

     

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