硫化氢通过抑制自噬减轻心脏停搏后脑损伤

 目的: 观察硫化氢在心肺复苏后脑保护中的作用,并探讨其对神经元细胞自噬的影响。方法: 窒息法建立大鼠心脏停搏模型。72只雄性Wistar大鼠随机分为假手术(sham)组、模型(model)组和硫氢化钠(NaHS)组。自主循环恢复(ROSC)后2 h、4 h、12 h和24 h用Western blot方法检测神经元自噬标志物beclin-1的表达和微管相关蛋白1轻链3(LC3)的转换;ROSC后12 h,用免疫组化方法观察LC3颗粒的表达;透射电镜观察神经元自噬现象;ROSC后72 h,TUNEL染色计数顶叶皮层凋亡神经元。ROSC后24 h、48 h和72 h行神经功能缺损评分(NDS)评价神经功能。结果: ROSC后2 h、4 h、12 h和24 h,model组自噬标志物beclin- 1的表达持续增加,而NaHS组beclin-1的表达先增加,然后逐渐降低(P < 0.05)。自噬标志物LC3 II/I的表达也是同样趋势。免疫组化显示,ROSC后12 h,model组神经元胞浆和胞核LC3颗粒的比例较NaHS组明显增多(P < 0.05)。电镜显示,model组自噬泡明显多于NaHS组及sham组(P < 0.05)。TUNEL染色显示,ROSC后72 h凋亡神经元数量model组明显多于NaHS组及sham组(P < 0.05)。NDS评分显示,NaHS组在各时点神经功能优于model组(P < 0.05)。结论: 硫化氢可以抑制心脏停搏模型大鼠ROSC后神经元自噬,减少神经元凋亡,改善神经功能。

Neuroprotective effect of H2S by inhibiting autophagy after restoration of spontaneous circulation in rats with cardiac arrest

AIM: To investigate the neuroprotective effect of hydrogen sulfide (H₂S) after cardiopulmonary resuscitation in rats with cardiac arrest (CA), and to explore the effects of H₂S on neuron autophagy. METHODS: The CA model was established through asphyxia. Male Wistar rats were randomly divided into sham group, model group and NaHS group. The levels of beclin-1 and LC3 II/I were measured by Western blot at 2 h, 4 h, 12 h and 24 h after the restoration of spontaneous circulation (ROSC). At 12 h after ROSC, the formation of autophagic vacuole with LC3 dots was determined by immunohistochemical (IHC) method. The phenomenon of neuron autophagy was observed under transmission electron microscope. The numbers of apoptotic neurons were counted by TUNEL staining at 72 h after ROSC. The neurolo-gic deficit score (NDS) was used to evaluate the neurologic function after ROSC. RESULTS: The level of beclin-1 was gradually increased in model group, but it was increased and then gradually recovered in NaHS group (P < 0.05). The conversion of LC3 II in the cerebral cortex was the same as beclin-1. The results of IHC showed that LC3-positive nuclei in model group were more than those in NaHS group (P < 0.05). The number of autophagic vacuole in model group was more than that in NaHS group (P < 0.05). The number of the TUNEL-positive cells in model group was more than that in NaHS group (P<0.05). The NDS of the animals in NaHS group after ROSC was lower than that in model group(P < 0.05). CONCLUSION: H₂S inhibits neuronal autophagy, decreases apoptosis and improves neurologic function in CA rats after ROSC.