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尤瑞克林对心脏骤停后综合征兔脑保护作用的研究

李昌盛 闵喆 杨贤义 郭辉 柴林 肖敏

神经损伤与功能重建2018,Vol.13Issue(5):221-224,4.
神经损伤与功能重建2018,Vol.13Issue(5):221-224,4.DOI:10.16780/j.cnki.sjssgncj.2018.05.002

尤瑞克林对心脏骤停后综合征兔脑保护作用的研究

Brain Protective Effects of Urinary Kallidinogenase in Rabbits with Post-cardiac Arrest Syndrome

李昌盛 1闵喆 2杨贤义 1郭辉 1柴林 1肖敏1

作者信息

  • 1. 十堰市太和医院(湖北医药学院附属医院)急诊医学科,湖北 十堰442000
  • 2. 华中科技大学同济医学院附属同济医院神经内科,武汉430030
  • 折叠

摘要

Abstract

Objective: To investigate the brain protective effects and mechanism of urinary kallidinogenase (UK) in rabbits with post-cardiac arrest syndrome (PCAS). Methods: Japanese white rabbits were random divided into the sham group (n=6), PCAS group (n=12), UK high-dose group (UK-H group, n=12), and UK low-dose group(UK-L group,n=12).PCAS models were established by using asphyxia-induced cardiac arrest;the sham group was not subjected to asphyxia. Immediately after ROSC, UK-H and UK-L groups were given 17.5×10-3 PNAU/kg and 3.5×10-3 PNAU/kg doses of UK,and the PCAS group was injected with an equal amount of saline.Serum level of neuron specificity enolization enzyme(NSE)was examined before ROSC and 6 h,24 h, and 48 h after ROSC respectively. Functional outcomes were measured by neurological deficit score. Rabbit brain tissue was collected after 48 h, and Western blot was performed to determine brain tissue Caspase-3 and Caspase-9 expression.Results:Compared to the sham group,serum level of NSE was significantly elevated in the PCAS group,UK-L group,and UK-H group 6 h,24 h,and 48 h after ROSC(P<0.01).Compared to PCAS group,serum level of NSE and neurological deficit score was clearly decreased in the UK-L group and UK-H group 24 h and 48 h after ROSC;the expression level of Caspase-3 and Caspase-9 was significantly attenuated in the two groups 48 h after ROSC (P<0.05), with the UK-H group showing a greater reduction than the UK-L group (P<0.05). Conclusion: UK reduced brain inflammation and alleviated neurological deficit, and the mechanism may be related to inhibition of apoptosis.

关键词

心脏骤停后综合征/尤瑞克林/炎症/凋亡

Key words

post-cardiac arrest syndrome/urinary kallidinogenase/inflammation/apoptosis

分类

医药卫生

引用本文复制引用

李昌盛,闵喆,杨贤义,郭辉,柴林,肖敏..尤瑞克林对心脏骤停后综合征兔脑保护作用的研究[J].神经损伤与功能重建,2018,13(5):221-224,4.

基金项目

湖北省自然科学基金面上项目(No.2010CDB09103) (No.2010CDB09103)

神经损伤与功能重建

OACSTPCD

1001-117X

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