锂剂抑制脊髓损伤后大鼠细胞凋亡的机制研究
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作者Author单位AddressE-Mail
王放 WANG Fang 西安交通大学第二附属医院骨二科, 陕西 西安, 710004 The Second Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China  
周超 ZHOU Chao 西安交通大学理学院, 陕西 西安 710004  
高正超 GAO Zheng-chao 西安交通大学第二附属医院骨二科, 陕西 西安, 710004 The Second Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China  
李宇欢 LI Yu-huan 西安交通大学第二附属医院骨二科, 陕西 西安, 710004 The Second Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China  
杨文龙 YANG Wen-long 西安交通大学第二附属医院骨二科, 陕西 西安, 710004 The Second Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China  
王栋 WANG Dong 西安交通大学第二附属医院骨二科, 陕西 西安, 710004 The Second Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China  
李浩鹏 LI Hao-peng 西安交通大学第二附属医院骨二科, 陕西 西安, 710004 The Second Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China  
贺西京 HE Xi-jing 西安交通大学第二附属医院骨二科, 陕西 西安, 710004 The Second Department of Orthopaedics, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China xijing_h@vip.tom.com 
期刊信息:《中国骨伤》2018年,第31卷,第4期,第379-385页
DOI:10.3969/j.issn.1003-0034.2018.04.016
基金项目:国家自然科学基金(编号:81701223);陕西省自然科学基金(编号:2017JQ8019);中央高校基本科研业务费专项资金资助(编号:1191329737)
中文摘要:

目的:研究锂剂是否通过抑制脊髓损伤(spinal cord injury,SCI)后大鼠神经细胞的凋亡产生神经保护作用。

方法:将42只SD雄性大鼠,体重为200~250 g,按随机数字法分成3组:空白对照组(6只)不做手术;生理盐水(NS)组(18只)经腹腔注射NS(40 mg/kg);氯化锂(Licl)组(18只)经腹腔注射Licl(40 mg/kg)。按照Allen法对大鼠建模后,Licl组于脊髓损伤术后15 min内开始腹腔注射Licl溶液(40 mg·kg-1·d-1)2周,NS组在同时间内注入等量的NS作为对照。分别于术后3、7、14 d进行BBB评分,利用免疫组化染色观察Bcl-2和Bax的表达,并采用TUNEL染色观察神经细胞凋亡。

结果:BBB评分:空白对照组大鼠为21±0,Licl组与NS组比较,术后7、14 d时Licl组大于NS组(P<0.05)。Bcl-2蛋白表达:空白对照组大鼠为0.081±0.003,术后7、14 d两个时间点Bcl-2蛋白表达Licl组分别为0.151±0.003和0.163±0.003,NS组为0.143±0.003和0.154±0.002,Licl组能明显升高其表达(P<0.05)。Bax蛋白的表达:空白对照组大鼠为0.071±0.003,术后7、14 d两个时间点Bax蛋白的表达Licl组分别为0.121±0.002和0.106±0.002,NS组为0.126±0.001和0.120±0.002,Licl组可以明显降低其表达(P<0.05)。神经细胞凋亡:TUNEL染色显示,空白对照组阳性细胞较少,凋亡指数(AI)为1.98±0.19,术后7、14 d两个时间Licl组分别为13.12±0.69和4.29±1.00,NS组为18.26±0.87和5.48±0.70,Licl组能显著抑制细胞凋亡(P<0.05)。

结论:锂剂能够促进SCI后大鼠的神经元细胞内Bcl-2蛋白的表达,抑制神经元内Bax蛋白的表达,从而起到了抑制神经细胞凋亡的作用,这可能是锂剂促进大鼠运动功能恢复的机制之一。
【关键词】脊髓损伤  锂剂  神经元  细胞凋亡
 
Depressant effect of Lithium on apoptosis of nerve cells of adult rats after spinal cord injury
ABSTRACT  

Objective: To study whether lithium agent produces neuroprotective effect by inhibiting the nerve cell apoptosis of rats after spinal cord injury.

Methods: Forty-two male SD rats weighing 200 to 250 g were randomly divided into 3 groups:blank control group(n=6) without surgery,normal saline(NS) group(n=18) with intraperitoneal injection of NS (40 mg/kg); and Lithium chloride (Licl) group (n=18) with intraperitoneal injection of Licl (40 mg/kg). After Allen method modeling,Licl group started intraperitoneal injection of Licl solution (40 mg·kg-1·d-1) within 15 min after operation to the second week. NS group,during the same interval,was injected with a same amount of NS. Postoperative 3,7,14 d,BBB scores in each group were measured;the expression of Bcl-2 and Bax protein were observed by immunohistochemisty staining;TUNEL staining was used to observe the nerve cell apoptosis.

Results: The BBB scores in blank control group were 21. Postoperative 7,14 d,BBB scores of Licl group were higher than that of NS group(P<0.05). As for the Bcl-2 protein expression,black control group has a level of 0.081±0.003;7 d and 14 d postoperatively,the level in Licl group was 0.151±0.003,0.163±0.003 and in NS group,0.143±0.003,0.154±0.002,respectively. Licl group showed significantly increased Bcl-2 protein expression(P<0.05). As for the Bax protein expression,black control group showed a level of 0.071±0.003; 7 d and 14 d postoperatively,the level in Licl group was 0.121±0.002,0.106±0.002 and in NS group was 0.126±0.001,0.120±0.002,respectively. The Bax protein expression is significantly inhibited in the Licl group(P<0.05). In nerve cell apoptosis by TUNEL staining,the positive cells were fewer in the black control group with apoptosis index (AI) of 1.98±0.19;while 7d and 14d postoperatively,the AI of Licl group was 13.12±0.69,4.29±1.00 and of NS group,18.26±0.87,5.48±0.70,respectively. Licl group showed significant inhibition of the cell apoptosis(P<0.05).

Conclusion: Licl can promote the Bcl-2 protein expression and inhibit the Bax proteins expression in nerve cells of rat after SCI,thereby playing a role in the inhibition of nerve cell apoptosis. This may be one of the mechanisms that Licl can promote the recovery of motor function of rats after SCI.
KEY WORDS  Spinal cord injury  Lithium  Neurons  Apoptosis
 
引用本文,请按以下格式著录参考文献:
中文格式:王放,周超,高正超,李宇欢,杨文龙,王栋,李浩鹏,贺西京.锂剂抑制脊髓损伤后大鼠细胞凋亡的机制研究[J].中国骨伤,2018,31(4):379~385
英文格式:WANG Fang,ZHOU Chao,GAO Zheng-chao,LI Yu-huan,YANG Wen-long,WANG Dong,LI Hao-peng,HE Xi-jing.Depressant effect of Lithium on apoptosis of nerve cells of adult rats after spinal cord injury[J].zhongguo gu shang / China J Orthop Trauma ,2018,31(4):379~385
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