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p38MAPK信号转导通路在七氟烷后处理减轻乳鼠心肌细胞缺氧复氧损伤中的作用
引用本文:庄欣琪,吕国义,杨阔,徐勇,邓迺封. p38MAPK信号转导通路在七氟烷后处理减轻乳鼠心肌细胞缺氧复氧损伤中的作用[J]. 中华麻醉学杂志, 2009, 29(7): 741-744. DOI: 10.3760/cma.j.issn.0254-1416.2009.08.017
作者姓名:庄欣琪  吕国义  杨阔  徐勇  邓迺封
作者单位:天津医科大学第二医院麻醉科,300211;天津市泌尿外科研究所;
摘    要:Objective To evalnate the role of p38 mitogen-activated protein kinase (p38MAPK) signal pathway in the protective effect of sevoflurane postconditioning (S-Postcon) on cultured neonatal rat cardiomyocytes against anoxia/reoxygenation (A/R) injury. Methods Primary cultured neonatal rat cardiomyocytes were randomly divided into 7 groups: group Ⅰ normal control (C); group Ⅱ A/R; group Ⅲ S-Poatcan + A/R; group ⅣS-Postcon + SB203580 + A/R; group Ⅴ S-Postcon + DMSO + A/R; group Ⅵ SB203580 + A/R and group Ⅶ DMSO + A/R. GroupⅡ-Ⅶ were exposed to 2 h anoxia (95% N2-5% CO2) followed by 1 h reoxygenation. In group Ⅲ, Ⅳ and Ⅴ the cultured myocytes were postconditioned with 20 min 3% sevoflurane in 97% O2 alone (in group Ⅲ) or in conjunction with 5 μmol/L 5B203580 (a specific p38 MAPK inhibitor) (in group Ⅳ) or 0.1% DMSO (in group Ⅴ) followed by 40 min reoxygenation. The cardiomyocytes were reoxygenated in the presence of 5 μmol/L SB203580 in group Ⅵ or 0.1% DMSO in group Ⅶ. The LDH activity, cell survival rate and apoptotic rate were measured at the end of the experiment. The levels of phosphor-p38MAPK (p-p38MAPK) was detected by Western blotting. Results S-Postcon reduced LDH activity and apoptotic rate and increased cell survival rate and the level of p-p38MAPK as compared with group A/R (group Ⅱ). The myocardial protecfive effect of S-Posteon was eliminated by p38MAPK inhibltor-SB203580 and p-p38MAPK level was also decreased at the same time.Conclusion Sevoflurane postconditioning can attenuate anoxia/reoxygenation induced cardiomyocyte injury through activation of p38MAPK signal pathway.

关 键 词:p38丝裂原活化蛋白激酶类   麻醉药,吸入   缺血后处理   心肌再灌注损伤   

The role of p38 mitogen-activated protein kinase pathway in protective effect of sevoflurane postconditioning on cultured neonatal rat cardiomyocytes against anoxia/reoxygenafion injury
Abstract:
Keywords:p38mitogen-activated protein kinasesAnesthetics  inhalationIschemie postcon-ditioningMyocardial reperfusion injury
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