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钩藤碱治疗骶上脊髓损伤致逼尿肌反射亢进大鼠的实验研究

刘仁杰 姜华茂 何春秀

中国全科医学Issue(23):2817-2821,5.
中国全科医学Issue(23):2817-2821,5.DOI:10.3969/j.issn.1007-9572.2015.23.017

钩藤碱治疗骶上脊髓损伤致逼尿肌反射亢进大鼠的实验研究

Experimental Study of the Effect of Phynchophylline on Detrusor Overactivity Induced by Sacral Spinal Cord Injury in Rats

刘仁杰 1姜华茂 1何春秀2

作者信息

  • 1. 121000辽宁省锦州市,辽宁医学院附属第一医院
  • 2. 辽宁医学院
  • 折叠

摘要

Abstract

Objective To investigate the effects of phynchophylline on detrusor overactivity induced by sacral spinal cord injury ( SSCI) in rats and the underlying mechanism .Methods Using random number table method , we divided 30 10-week female healthy SD rats into control group , model group and treatment group , with 10 rats in each group.No surgical intervention was made in control group , neurogenic bladder models were made in model group and treatment group by spinal cord transaction.Control group and model group were administrated with 0.9%sodium chloride solution by intraperitoneal infection . Treatment group was administrated with phynchophylline (5 mg/kg).10 rats in control group were all alive, successful model building was made in 8 rats in model group and 8 rats in treatment group . Four weeks later , urine dynamics testing was undertaken with the bladder of rats , in vitro test of the electrophysiological indicators of detrusor was conducted , the pathological sections of bladder were observed by HE staining method , c-kit protein expression was tested by western blotting method , the change in the number of ICC was observed under laser scanning confocal microscope , and the expression level of α1G gene of subunit of T-type calcium channels in ICC was detected by real -time PCR.Results Compared with the model group , the treatment group had larger maximum capacity of bladder (q=8.251, P<0.05), lower bladder leak point pressure (q=3.764, P<0.05), lower bladder filling pressure (q =5.687, P <0.05), lower detrusor contraction frequency (q =9.661, P <0.05), higher minimum tension (q=5.217, P<0.05), lower expression level of c -kit protein (q=13.688, P<0.05), lower number of ICC (q =7.060, P <0.05) and lower α1G gene expression (q =8.762, P <0.05).Conclusion Rhynchophylline can reduce the number of ICC cells in neurogenic detrusor and inhibit the pacemaker activity of ICC cells by inhibiting the expression of α1G gene of subunit of T -type calcium channels in ICC , thereby reducing excessive detrusor hyperactivity and make the excitability of detrusor become normal .

关键词

逼尿肌过度活动/膀胱,神经原性/钩藤碱/Cajal间质细胞/钙通道, T型/α1G基因

Key words

Overactive detrusor/Urinary bladder , neurogenic/Phynchophylline/ICC/Calcium channels , T -type/α1G gene

分类

医药卫生

引用本文复制引用

刘仁杰,姜华茂,何春秀..钩藤碱治疗骶上脊髓损伤致逼尿肌反射亢进大鼠的实验研究[J].中国全科医学,2015,(23):2817-2821,5.

基金项目

辽宁省科技厅计划项目 ()

中国全科医学

OA北大核心CSCDCSTPCD

1007-9572

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