乐尔脉对脑缺血再灌注损伤后期大鼠海马神经细胞凋亡的作用

 目的： 探讨乐尔脉胶囊（LEM）对脑缺血再灌注损伤后期大鼠海马神经细胞凋亡的作用与机制。方法: 采用大鼠左侧大脑中动脉内栓线阻断法(MCAO)造成局灶性脑缺血再灌注模型。缺血2 h再灌注30 d后，应用原位末端标记法（TUNEL）检测海马神经细胞凋亡，免疫组化、RT-PCR 法检测海马神经细胞Fas、Bax、caspase-3、caspase-9蛋白及 mRNA的表达，并进行阳性细胞计数及Mias图像程序分析结果。结果: 大鼠缺血再灌注30 d后，模型组缺血侧海马CA1、CA2区凋亡细胞显著高于假手术组(P<0.05)， Fas、Bax、 caspase-3、caspase-9蛋白表达明显增加，fas、bax、caspase-3、caspase-9 mRNA的表达上调(P<0.05)。LEM2.00 g/kg、0.87 g/kg和氟桂利嗪可显著减少海马神经细胞凋亡数，降低Fas、Bax、caspase-3、caspase-9蛋白表达，fas、bax、caspase-3、caspase-9 mRNA的表达下调，LEM 0.87 g/kg作用次于2.00 g/kg。LEM对bax mRNA有显著抑制作用。结论: LEM抑制海马神经细胞的凋亡,明显地减轻缺血再灌注后期大鼠海马神经细胞的损伤，其作用机制与调节细胞凋亡信号转导通路及相关蛋白有关。

Effects of Le Er Mai on apoptosis of hippocampus neuronal cells in anaphase of cerebral ischemic reperfusion injury in rats

AIM: To investigate the effects and mechanism of Le Er Mai (LEM) on the apoptosis of hippocampus neuronal cells in the anaphase of cerebral ischemic reperfusion injury in rats.METHODS: A rat model of middle cerebral artery occlusion reperfusion (MCAO) was produced with the intraluminal filament. During reperfusion for 30 d after 2 h of ischemia, the TUNEL staining methods were used to detect apoptosis of hippocampus neuronal cells, and immunohistochemical technique were employed to examine the protein expression of Fas, Bax, caspase-3 and caspase-9 in the hippocampial. The gene expressions of fas, bax, caspase-3 and caspase-9 in hippocampial were examined by RT-PCR. RESULTS: After 2 h ischemia and 30 d reperfusion, compared with sham-operated group, TUNEL-positive staining cells and expression levels of Fas, Bax as well as caspase-3 and caspase-9 obviously increased, and the mRNA expressions of fas, bax, caspase-3 and caspase-9 in hippocampial markedly up-regulated in model group. Compared with model group, LEM at dose of 2.00 g/kg or 0.87 g/kg, and flunarizinum significantly reduced apoptosis and decreased the protein expressions of Fas, Bax, caspase-3 and caspase-9 in hippocampial, and down-regulated the mRNA expressions of fas, bax, caspase-3 and caspase-9 (P<0.05), those action of LEM in 0.87 g/kg dosage group was lower than those in 2.00 g/kg dosage group.CONCLUSION: LEM obviously lower the injury of hippocampial in the anaphase of cerebral ischemia reperfusion through inhibiting the apoptosis of hippocampus neuronal cells. The mechanism of LEM may be related to regulate the expression of signal transduction pathway correlated gene of apoptosis in neuronal cells.