[1]陈金权,赵 娟.右美托咪定对缺血性脑损伤大鼠神经功能及认知障碍恢复的影响研究[J].陕西医学杂志,2022,51(2):155-158.[doi:DOI:10.3969/j.issn.1000-7377.2022.02.006]
 CHEN Jinquan,ZHAO Juan.Effects of dexmedetomidine on recovery of neurological function and cognitive impairment in rats with ischemic brain injury[J].,2022,51(2):155-158.[doi:DOI:10.3969/j.issn.1000-7377.2022.02.006]
点击复制

右美托咪定对缺血性脑损伤大鼠神经功能及认知障碍恢复的影响研究
分享到:

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
51
期数:
2022年2期
页码:
155-158
栏目:
基础研究
出版日期:
2022-02-05

文章信息/Info

Title:
Effects of dexmedetomidine on recovery of neurological function and cognitive impairment in rats with ischemic brain injury
作者:
陈金权1赵 娟2
(1.咸阳市第一人民医院麻醉科,陕西 咸阳 712300; 2.西安国际医学中心医院麻醉手术中心,陕西 西安 710100)
Author(s):
CHEN JinquanZHAO Juan
(Department of Anesthesiology,the First People's Hospital of Xianyang,Xianyang 712300,China)
关键词:
右美托咪定 微小RNA-329-3p cAMP反应元件结合蛋白 白介素-1受体拮抗剂 神经功能 认知障碍
Keywords:
Dexmedetomidine micoRNA-329-3p cAMP response element binding protein Interleukin-1 receptor antagonist Neurological function Cognitive impairment
分类号:
R 743.3
DOI:
DOI:10.3969/j.issn.1000-7377.2022.02.006
文献标志码:
A
摘要:
目的:探讨右美托咪定对缺血性脑损伤大鼠神经功能及认知障碍恢复的影响。方法:将缺血性脑损伤大鼠(n=45)随机平分为三组:模型组、地佐辛组与右美托咪定组。右美托咪定组在再灌注即刻腹腔注射右美托咪定40 μg/kg,地佐辛组在再灌注即刻腹腔注射地佐辛40 μg/kg,模型组在再灌注即刻腹腔注射相同容量0.9%氯化钠溶液,检测神经功能缺陷评分、血清白介素(IL)-1β、IL-6、micoRNA-329-3p表达水平及海马组织可调控cAMP 反应元件结合蛋白(CREB)、白介素-1受体拮抗剂(IL-1RA)蛋白相对表达水平。结果:地佐辛组与右美托咪定组再灌注后第1、3、7天逃避潜伏期、神经功能缺陷评分低于模型组(均P<0.05),右美托咪定组低于地佐辛组(P<0.05); 地佐辛组与右美托咪定组再灌注后第7天IL-1β、IL-6表达水平、micoRNA-329-3p相对表达水平低于模型组(均P<0.05),右美托咪定组低于地佐辛组(P<0.05); 地佐辛组与右美托咪定组再灌注后第7 天的大脑海马组织CREB、IL-1RA蛋白相对表达水平高于模型组(均P<0.05),右美托咪定组高于地佐辛组(P<0.05)。结论:右美托咪定可通过协调micoRNA-329-3p/CREB/IL-1RA轴的表达,促进缺血性脑损伤大鼠神经功能及认知障碍恢复正常,具有很好的脑保护效果。
Abstract:
Objective:To investigate the effects of dexmedetomidine on recovery of neurological function and cognitive impairment in rats with ischemic brain injury.Methods:Rats with ischemic brain injury(n=45)were randomly divided into model group,dezocine group and dexmedetomidine group.The dexmedetomidine group was intraperitoneally injected with 40 μg/kg dexmedetomidine immediately after reperfusion,and the dezocine group was intraperitoneally injected with 40 μg/kg dezocine immediately after reperfusion,and the model group was intraperitoneally injected with 0.9% sodium chloride solution of the same volume immediately after reperfusion.The neurological deficit score,the expression levels of IL-1β,IL-6,microRNA-329-3p,cyclic-AMP response binding protein(CREB)in and Interleukin-1 receptor antagonist(IL-1RA)were compared among groups.Results:The escape latency and neurological deficit scores of the dezocine group and dexmedetomidine group were lower than those of the model group at 1,3 and 7 days after reperfusion,and those of the dexmedetomidine group were lower than those of dezocine group(all P<0.05).The serum IL-1β and IL-6 expression levels and the relative expression levels of microRNA-329-3p at 7 days after reperfusion in the dezocine group and dexmedetomidine group were lower than those in the model group,and those of the dexmedetomidine group were lower than those of the dezocine group(all P<0.05).The relative expression levels of CREB and IL-1RA proteins in the hippocampus of the dezocine group and the dexmedetomidine group were higher than those of the model group at 7 days after reperfusion,and those of the dexmedetomidine group were higher than those of the dezocine group(all P<0.05).Conclusion:Dexmedetomidine can promote the recovery of neurological function and cognitive impairment in rats with ischemic brain injury by coordinating the expression of microRNA-329-3p/CREB/IL-1RA axis,and have good brain protection effect.

参考文献/References:

[1] 李保华.术前足三里穴位注射联合右美托咪定对老年腹部手术后早期认知功能障碍的影响[J].陕西中医,2018,39(7):959-961.
[2] 郭 聪,杨 昊.罗哌卡因复合不同剂量右美托咪定腹横肌平面阻滞对胃肠道腹腔镜手术患者镇痛及术后认知功能的影响[J].陕西医学杂志,2021,50(8):1011-1014.
[3] 张 祎,陈 权,尚 游.体温保护联合右美托咪定预防老年脊柱手术患者术后谵妄及寒战临床效果观察[J].陕西医学杂志,2021,50(3):308-311.
[4] Bao Y,Zhu Y,He G,et al.Dexmedetomidine attenuates neuroinflammation in LPS-Stimulated BV2 microglia cells through upregulation of miR-340[J].Drug Des Devel Ther,2019,3(13):3465-3475.
[5] Fang H,Li HF,Yan JY,et al.Exmedetomidine-up-regulated microRNA-381 exerts anti-inflammatory effects in rats with cerebral ischaemic injury via the transcriptional factor IRF4[J].J Cell Mol Med,2021,25(4):2098-2109.
[6] Dong W,Yang H,Cheng M,et al.Dexmedetomidine alleviates pulmonary ischemia-reperfusion injury through modulating the miR-21-5p/Nr4 signaling pathway[J].Acta Biochim Pol,2020,67(4):521-529.
[7] 陈艳艳,庄国栋,高 明.右美托咪定神经保护作用机制的研究进展[J].中国实验诊断学,2021,25(1):141-144.
[8] 张 琦,吴 军,郭 阳,等.右美托咪定对颅脑损伤大鼠海马神经细胞凋亡及Omi/HtrA2信号通路的影响[J].南昌大学学报:医学版,2021,61(2):18-22,28.
[9] 李 霞,王 勇.右美托咪定对脑缺血再灌注损伤大鼠学习记忆能力的影响[J].神经解剖学杂志,2021,37(4):459-464.
[10] 许晓霞,栾 佐,古桂雄,等.新生大鼠重度缺氧缺血性脑损伤模型的建立[J].中国新生儿科杂志,2009,24(3):165-167.
[11] 周文君,崔军凯.右美托咪定通过下调NLRP3炎性小体的表达减轻SAH大鼠早期脑损伤的机制[J].脑与神经疾病杂志,2021,29(1):5-9.
[12] 唐 源,吕其铭.基于PI3K/Akt通路研究右美托咪定对癫痫持续状态大鼠海马神经元自噬的调节作用[J].卒中与神经疾病,2021,28(1):73-77.
[13] 赵海峰,范鸣玥,陈 亮,等.盐酸右美托咪定对脑缺血再灌注损伤小鼠的保护机制[J].中国临床药理学杂志,2021,37(3):258-261.
[14] 朱荣誉,向 俊,李传进,等.右美托咪定基于CD38/cADPR通路对罗哌卡因致惊厥大鼠大脑氧化应激的保护作用[J].疑难病杂志,2021,20(8):826-830.
[15] 赵丽丽,杜 睿,杨晓林,等.右美托咪定通过调节CX3CL1-CX3CR1信号通路对老年大鼠肝部分切除术后认知功能障碍的改善作用研究[J].现代药物与临床,2021,36(1):21-27.
[16] Wang Z,Yang Y,Xiong W,et al.Dexmedetomidine protects H9C2 against hypoxia/reoxygenation injury through miR-208b-3p/Med13/Wnt signaling pathway axis[J].Biomed Pharmacother,2020,125(13):110001.
[17] Xue Y,Xu T,Jiang W.Dexmedetomidine protects PC12 cells from ropivacaine injury through miR-381/LRRC4/SDF-1/CXCR4 signaling pathway[J].Regen Ther,2020,14(22):322-329.
[18] Yuan T,Yang Z,Xian S,et al.Dexmedetomidine-mediated regulation of miR-17-3p in H9C2 cells after hypoxia/reoxygenation injury[J].Exp Ther Med,2020,20(2):917-925.
[19] Zhang P,He H,Bai Y,et al.Dexmedetomidine suppresses the progression of esophageal cancer via miR-143-3p/epidermal growth factor receptor pathway substrate 8 axis[J].Anticancer Drugs,2020,31(7):693-701.
[20] Li C,Niu J,Zhou B,et al.Dexmedetomidine attenuates cisplatin-induced cognitive impairment by modulating miR-429-3p expression in rats[J].Biotech,2020,10(6):244.
[21] Li H,Lu C,Yao W,et al.Dexmedetomidine inhibits inflammatory response and autophagy through the circLrp1b/miR-27a-3p/Dram2 pathway in a rat model of traumatic brain injury[J].Aging(Albany NY),2020,12(21):21687-21705.
[22] Wang L,Liu W,Zhang Y,et al.Dexmedetomidine had neuroprotective effects on hippocampal neuronal cells via targeting lncRNA SHNG16 mediated microRNA-10b-5p/BDNF axis[J].Mol Cell Biochem,2020,469(1-2):41-51.

相似文献/References:

[1]区浩林.右美托咪定联合瑞芬太尼TCI清醒镇静镇痛在输尿管镜钬激光碎石术中临床研究*[J].陕西医学杂志,2019,(1):32.
[2]顾国清,张海东,唐 鸣.髋关节置换患者术后镇痛中右美托咪定应用浓度研究[J].陕西医学杂志,2019,(3):370.
 GU Guoqing,ZHANG Haidong,TANG Ming.Study on the application concentration of dexmedetomidine in postoperative analgesia for patients with hip replacement[J].,2019,(2):370.
[3]谢 力,贺宏智△,何 恒.右美托咪定对79例椎管内麻醉手术患者应激反应的影响研究[J].陕西医学杂志,2019,(3):373.
 XIE Li,HE Hongzhi,HE Heng.Clinical effect of dexmedetomidine on stress response in 79patients undergoing intraspinal anesthesia[J].,2019,(2):373.
[4]周维纲,王宇波△,杨建治,等.右美托咪定对分娩镇痛产妇产程和脐动脉血气的影响*[J].陕西医学杂志,2019,(8):1074.
 ZHOU Weigang,WANG Yubo,YANG Jianzhi,et al.Effect of dexmedetomidine on the duration of labor and umbilical artery blood gas in painless parturient[J].,2019,(2):1074.
[5]刘 明,常红侠△.右美托咪定复合罗哌卡因腹横肌平面阻滞对腹腔镜下腹股沟〖JZ〗斜疝高位结扎术患儿血流动力学及麻醉质量的影响研究*[J].陕西医学杂志,2019,(10):1268.
 LIU Ming,CHANG Hongxia..Effects of dexmedetomidine combined with ropivacaine on the transverse hemifacial plane block on〖JZ〗hemodynamics and anesthesia quality in children undergoing high ligation of inguinal hernia[J].,2019,(2):1268.
[6]冯 健,邓挚玺△.右美托咪定联合舒芬太尼与右美托咪定联合地佐辛〖JZ〗用于胶质瘤患者术后镇痛临床研究*[J].陕西医学杂志,2019,(10):1289.
[7]秦 悦,董补怀,赵元廷,等.多模式镇痛对老年颈后路手术患者血流动力学及术后早期疼痛效果研究[J].陕西医学杂志,2019,(10):1355.
 QIN Yue,DONG Buhuai,Zhao Yuanting,et al.Effect of multimodal analgesia on hemodynamics and early postoperative 〖JZ〗pain in elderly patients with posterior cervical surgery[J].,2019,(2):1355.
[8]和优娟,喻 倩,庄莹莹△.右美托咪定复合全麻对急性脑出血患者脑保护作用研究*[J].陕西医学杂志,2019,(12):1702.
 HE Youjuan,YU Qian,ZHUANG Yingying.Cerebral protection effect of dexmedetomidine combined with general anesthesia on patients with acute cerebral hemorrhage[J].,2019,(2):1702.
[9]张力召,魏光辉.右美托咪定滴鼻联合七氟醚吸入对磁共振成像检查婴幼儿镇静作用的研究*[J].陕西医学杂志,2020,49(1):93.
[10]霍建臻,刘 江△.右美托咪定在喉镜下声带手术麻醉中的应用效果分析[J].陕西医学杂志,2020,49(6):745.[doi:DOI:10.3969/j.issn.10007377.2020.06.026]

备注/Memo

备注/Memo:
基金项目:陕西省中医管理局中医药科研项目(JCMS036)
更新日期/Last Update: 2022-02-09