基础医学与临床 ›› 2008, Vol. 28 ›› Issue (7): 676-680.

• 研究论文 • 上一篇    下一篇

树鼩脑缺血后适应对海马rCBF及VEGF的影响及其相互关系

罗海芸   

  1. 昆明医学院药理教研室
  • 收稿日期:2007-11-20 修回日期:2008-01-01 出版日期:2008-07-25 发布日期:2008-07-25
  • 通讯作者: 罗海芸

Interrelationship and Effects of Ischemic Postconditioning on Hippocampus rCBF and VEGF following Cerebral Ischemic in Tree Shrews

Hai-yun LUO,   

  • Received:2007-11-20 Revised:2008-01-01 Online:2008-07-25 Published:2008-07-25
  • Contact: Hai-yun LUO,

摘要: 目 的:研究树鼩局部脑缺血海马rCBF与血管内皮生长因子(VEGF)间的关系,探讨缺血后适应(PC)对rCBF与VEGF表达的改变及其机制。方 法:建立树鼩血栓性局部脑缺血及缺血PC模型,通过激光多普勒血流计测量脑缺血后4、8、12、24及72h海马CA1区rCBF的改变;用免疫组化法测定脑缺血上述时间海马VEGF的表达,并用图像分析系统测定其平均灰度值。于脑缺血后4h重复3次夹闭缺血侧颈总动脉实施缺血PC,并观察其对海马CA1区rCBF及VEGF表达的影响。结 果:树鼩脑缺血后4h海马CA1区VEGF阳性细胞数增多,以12h表达最强(P<0.01),72h表达最低(P>0.05)。脑缺血时海马rCBF逐渐降低,以24h的改变最显著(为2.55±0.28PU,P<0.01);72h时海马rCBF略有增加,为9.84±1.22 PU。实施缺血PC后,海马CA1区rCBF逐渐增加,72h最显著(P<0.01)与此同时VEGF的表达除8h(P>0.05)外,其余各组均比血栓性缺血组增强(P<0.01),以12h组最明显;电镜显示缺血24h血栓性缺血组的海马线粒体应激及内质网池形成最明显,给予PC后得以缓减。结 论:树鼩脑缺血时海马CA1区rCBF减少的程度与VEGF表达增加具有密切联系;缺血PC可延长治疗的时间窗;缺血12h内VEGF表达的明显增强可能与rCBF改善有关;PC对海马rCBF的影响可能是神经元保护的关键所在。

Abstract: OBJECTIVE:To approach the interrelationship between the regional cerebral blood flow (rCBF) and VEGF on CA1 of hippocampus and reveal the effect and possible mechanism of ischemic prostconditioning on rCBF and VEGF expression during focal cerebral thrombosis. METHODS: The thrombotic focal cerebral ischemia was induced by photochemical reaction in tree shrews, and ischemic postconditioning was established by clipped ipsilateral carotid of the animal at 4 hours after cerebral ischemia. The rCBF and VEGF expression in hippocampus CA1 area were detected, respectively, by laser-Doppler(LD) fowmeter and immunohistochemistry. RESULTS: The number of VEGF positive cells were increased markedly and VEGF expression enhanced after cerebral ischemic 4h,express of VEGF in 12h is the most intensification(P<0.01), the most attenuate in 72 h(P>0.05). The rCBF reduce along with temporal lasting in cerebral thrombus,especially decrease in 24h(2.55±0.28pu P<0.01);Then the rCBF also to a exten restoration,especially increase in 72h(18.74±1.59).Postconditioning may gradually increase hippocampus rCBF, especially in 72h (10.42±3.75 PU ,P<0.05) meanwhile the expression of VEGF is very high than that of ischemic except 8h (P>0.05),mostly in 12h(P<0.01); Electron microscope reveals that mitochondrium stress and endoplasmic reticulum cisterna formation of hippocampus were the most manifest in 24 h,but when we apply postconditioning on it ,the phenomenon can be relieived.CONCLUSION: The close relationship between rCBF reduction and VEGF expression in hippocampus CA1. Ischemic postconditioning may prolong “time window” of therapeutic cerebral ischemia, and the protection mechanism of ischemic postconditioning may associated with the increase of rCBF in 12h.Also ischemic postconditioning influence the rCBF of hippocampus maybe the key point of protective neuron .