基础医学与临床 ›› 2007, Vol. 27 ›› Issue (8): 903-908.

• 研究论文 • 上一篇    下一篇

丙泊酚对大鼠肾缺血/再灌注损伤细胞凋亡信号通路的影响

李锦 李树人   

  1. 首都医科大学附属天坛医院麻醉科 首都医科大学附属友谊医院麻醉科
  • 收稿日期:2006-03-20 修回日期:2006-09-08 出版日期:2007-08-25 发布日期:2007-08-25
  • 通讯作者: 李锦

Effects of Propofol on Apoptosis Signaling Pathways in Renal Ischemia/Reperfusion Injury of Rat

Jin Li Shuren Li   

  • Received:2006-03-20 Revised:2006-09-08 Online:2007-08-25 Published:2007-08-25
  • Contact: Jin Li

摘要: 目的 探讨丙泊酚对大鼠肾缺血/再灌注损伤细胞凋亡通路的影响及可能的作用机制。方法 建立大鼠肾缺血/再灌注损伤模型,将动物分为对照(Con)组、缺血再灌注 (IR) 组、缺血再灌注+丙泊酚 (IR+P) 组。观察损伤肾的形态学改变,用免疫组织化学观察细胞凋亡相关蛋白Bcl-2、Bax、caspase 3和细胞色素C(cytochrome C)的表达情况。结果 光镜可观察到肾缺血/再灌注引起的肾损害,程度依次为近曲小管、远曲小管、集合管、肾小球;免疫组化图像分析观察到IR组与Con组相比,Bax、caspase 3,细胞色素C表达增加,Bcl-2表达未见明显变化;IR+P组与IR组比较,前者Bax、caspase 3和细胞色素C表达下降,Bcl-2表达增高(P<0.05)。结论 丙泊酚对肾缺血/再灌注损伤引起的细胞凋亡可能具有保护作用,可能机制是抑制促凋亡蛋白Bax、caspase 3和细胞色素C的表达,对Bcl-2的表达无影响,与细胞凋亡的线粒体通路途径有关。

Abstract: Objective To establish a model of renal ischemic/reperfusion in rats , to observe whether propofol protect kidney from this injury, and deduce a possible mechanism. Methods Ninty-nine male SD rats with right nephrectomy were randomly divided into three groups according to the different treatments to left kidney and rat: Control group (n=26), IR group (n=38), IR+Pro group (n=38). The left kidney was exsected and blood samples were collected 0, 3, 12, 24, 72h postsurgery respectively. Renal morphology were observed with light microscope dyed with HE. Immunohistochemistry was used to detect the expression of apoptosis proteins including Bcl-2、Bax、caspase 3、cytochrome C. Results We observed that renal ischemia-reperfusion induced tissues injury, the severity of injury sequence was: proximal convoluted tubule, distal convoluted tubule, collecting duct, renal corpuscle; According to the results of IHC, the expression of Bax, caspase 3, and cytochrome C in IR group were more than that in Con group, and Bcl-2 level was stable. The protective protein (Bcl-2) level were higher and the proteins (Bax, caspase 3, and cytochrome C ) inducing apoptosis were lower in IR+P group than that of IR group (P<0.05). Conclusions Renal ischemia-reperfusion induced tissues injury and the expression changes of apoptosis proteins; Propofol inhibits the expression of apoptosis proteins such as Bax, caspase 3, cytochrome C, induces the action of Bcl-2. In a word, propofol perhaps inhibit the apoptosis signaling pathways in mitochondrion and cytoplasm.