绞股蓝总皂苷经 PI3K/ Akt / Bax 信号通路对脓毒症大鼠脑损伤的改善作用
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1.海南医学院第一附属医院急诊科,海口 570102; 2.海南医学院第一附属医院 ICU,海口 570102; 3.中南大学湘雅医学院附属海口医院肿瘤化疗科,海口 570208; 4.海南医学院第一附属医院血透科,海口 570102

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R-33


Gypenosides alleviate brain injury in septic rats via the PI3K / Akt/ Bax signaling pathway
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1.Department of Emergency, the First Affiliated Hospital of Hainan Medical College, Haikou 570102, China. 2. ICU, the First Affiliated Hospital of Hainan Medical College, Haikou 570102. 3. Department of Oncology and Chemotherapy, Haikou Hospital Affiliated to Xiangya Medical College of Central South University, Haikou 570208. 4. Department of Hemodialysis, the First Affiliated Hospital of Hainan Medical College, Haikou 570102

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    摘要:

    目的 观察绞股蓝总皂苷(GYPs)对脓毒症大鼠脑损伤的影响,并初步探究其作用机制。 方法 将 SD 大鼠分为 Sham 组、脓毒症脑损伤(SAE)组、GYPs 组、GNE-317 组、GYPs+GNE-317 组,12 只/ 组,除 Sham 组外均采用盲肠结扎穿孔术制备 SAE 模型,造模后 2 h,分别给予生理盐水、生理盐水、200 mg / kg GYPs 溶液、40 mg / kg GNE-317 溶液、200 mg / kg GYPs+40 mg / kg GNE-317 溶液灌胃,灌胃体积 2 mL/ d,连续给药 3 d。 采用反射实验评估 大鼠神经行为,之后处死大鼠取海马组织,苏木素伊红(HE)染色观察海马组织病理损伤,TUNEL 实验检测海马中细胞凋亡,试剂盒检测 MDA 水平和 SOD 活性,免疫印迹法(Western blot)检测磷脂酰肌醇 3 激酶(PI3K)、蛋白激酶 B(Akt)、p-Akt、凋亡调节因子 Bax、Bad 及半胱氨酸蛋白酶-3( caspase-3)蛋白表达。 结果 Sham 组大鼠一般情况良好,海马神经元形态、结构正常;SAE 组大鼠出现嗜睡、自发活动缺乏等症状,可见弥漫性神经元损伤;GYPs 组大鼠活动及神经元形态趋于正常;GNE-317 组大鼠活动及神经元形态比 SAE 组差;GYPs+GNE-317 组同 SAE 组相近。相较于 Sham 组,SAE 组大鼠凋亡细胞比例、MDA 水平、cleaved-caspase-3、Bax 及 Bad 蛋白表达增高(均 P<0. 05); GYPs 组上述指标相较于 SAE 组均降低(均 P<0. 05);GYPs+GNE-317 组上述指标相较于 GYPs 组均增高,相较于 GNE-317 组均降低(均 P<0. 05)。相较于 Sham 组,SAE 组大鼠神经行为评分、SOD 活性、PI3K 蛋白及 p-Akt 水平降低(均 P<0. 05);GYPs 组上述指标相较于 SAE 组均增高(均 P<0. 05);GYPs+GNE-317 组上述指标相较于 GYPs 组均降低,相较于 GNE-317 组均增高(均 P<0. 05)。 结论 GYPs 可促进海马 PI3K/ Akt 通路活化,抑制下游促凋亡因子释放,降低氧化应激,改善 SAE 大鼠脑损伤。

    Abstract:

    Objective To observe the effect of gypenosides (GYPs) on brain injury in septic rats and explore its mechanisms. Methods Sprague-Dawley rats were divided into the sham, sepsis-associated encephalopathy ( SAE), GYPs, GNE-317, and GYPs + GNE-317 groups. The SAE model was constructed via cecal ligation and perforation. Two hours after establishing the model, the rats were administered normal saline, normal saline, 200 mg / kg GYPs solution, 40 mg / kg GNE-317 solution or 200 mg / kg GYPs + 40 mg / kg GNE-317 solution, respectively, by irrigation at 2 mL/ d, continually administered for 3 days. The reflex test was used to evaluate the rats’ neural behavior, then the rats were killed and their hippocampuses were removed, hematoxylin and eosin staining was used to observe the pathological damage to the hippocampus, TUNEL testing was used to detect apoptosis in the hippocampus, MDA levels and SOD activity were detected using kits, and the expressions of phosphatidylinositol-3-kinase ( PI3K), protein kinase B ( Akt), p-Akt, apoptosis regulator Bax, Bad and caspase-3 proteins were detected via Western blot. Results Rats in the sham group were in good condition, and the morphology and structure of the hippocampal neurons were normal. Rats in the SAE group exhibited somnolence, lack of spontaneous activity, and diffuse neuronal damage. Rats in the GYPs group exhibited normal activity and neuronal morphology. Rats in the GNE-317 group exhibited worse activity and neuronal morphology than that of the SAE group. Rats in the GYPs + GNE-317 group showed similar symptoms to those of the SAE group. Compared with those of the sham group, the proportion of apoptotic cells, the MDA levels, and the expressions of cleaved-caspase-3, Bax and Bad were higher in the SAE group (P< 0. 05), whereas these indexes were lower in the GYPs group than in the SAE group (P< 0. 05), higher in the GYPs + GNE-317 group than in the GYPs group, and lower in the GYPs + GNE-317 group than in the GNE-317 group (P< 0. 05). Compared with those of the sham group, the neurobehavioral score, SOD activity, PI3K and p-Akt levels were lower in the SAE group (P< 0. 05) and higher in the GYPs group than in the SAE group (P< 0. 05). These indexes were lower in the GYPs + GNE-317 group than in the GYPs group and higher than those in the GNE- 317 group (P< 0. 05). Conclusions GYPs promoted activation of the PI3K/ Akt pathway in the hippocampus, inhibited the release of downstream apoptogenic factors, reduced oxidative stress, and alleviated brain injury in SAE-induced rats.

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邱名耀,吴梅秋,张玮芳,林明霞,林先萍.绞股蓝总皂苷经 PI3K/ Akt / Bax 信号通路对脓毒症大鼠脑损伤的改善作用[J].中国比较医学杂志,2021,31(3):23~29.

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  • 收稿日期:2020-06-28
  • 在线发布日期: 2021-04-30
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