法医学杂志2025，Vol.41Issue(2)：144-151,159,9.DOI:10.12116/j.issn.1004-5619.2024.440503
钙调控蛋白与核因子κB在急性MDMA染毒心肌细胞钙失衡中的作用机制
The Mechanism of Calcium Handling Proteins and NF-κB in Calcium Dyshomeo-stasis of Cardiomyocytes Caused by Acute MDMA Exposure
摘要
Abstract
Objective To explore the mechanism of myocardial toxicity caused by N-methyl-3,4-methyle-nedioxyamphetamine(MDMA),the changes of intracellular calcium oscillation mode and calcium han-dling proteins during acute exposure to different concentrations of MDMA were detected,and the in-volvement of nuclear factor κB(NF-κB)and its effect on calcium handling proteins were investigated.Methods Primary rat cardiomyocytes were cultured to establish MDMA acute exposure model,and a control group was set up.The MDMA poisoning model was divided into three concentration groups of 10,100 and 1 000 μmol/L.After 1 h of exposure,the morphological changes of cardiomyocytes were ob-served,the cytotoxicity and changes in calcium signals were measured,and the changes in calcium handling proteins RyR2,SERCA2a,PLN,NCX1 and Cav1.2 were detected.The changes of NF-κB activity and the expression of nucleoprotein p-p65(Ser311)and PKCζ after MDMA exposure,and the intervention of NF-κB inhibitors pyrrolidine dithiocarbamate ammonium(PDTC)and protein kinase C(PKC)inhibitor chelerythrine(CHE)were detected by electrophoretic mobility shift assay(EMSA)and Western blotting.The effects of PDTC intervention on calcium signals,and the expressions of RyR2,SERCA2a,PLN,NCX1 and Cav1.2 after acute MDMA exposure were also observed.Results No obvious changes were observed in the morphology of cardiomyocytes after acute exposure to MDMA,whereas the oscillation waveform of intracytoplasmic calcium ion showed irregular changes with increased oscillation amplitude,intense fluctuations,irregular frequency,and increased fluctuation range of relative optical density values.The expression of RyR2,SERCA2a and NCX1 increased,while the expression of Cav1.2 and PLN de-creased.Acute MDMA exposure could increase NF-κB activity,while PDTC and CHE intervention could inhibit NF-κB activity.In MDMA exposed group,the expression of PKCζ and nucleoprotein p-p65(Ser311)both increased and could be inhibited by CHE.After the intervention of PDTC to block NF-κB,the amplitude of calcium oscillation was lower than that of the MDMA exposed group,and the expres-sion of RyR2,SERCA2a and NCX1 decreased.There was no significant change in PLN,while the ex-pression of Cav1.2 increased.Conclusion MDMA can lead to an increase of calcium ion concentration in cardiomyocytes.Calcium ions are involved in myocardial toxicity of MDMA.The mechanism is re-lated to changes in calcium handling proteins,mainly associated with the increased expression of RyR2.MDMA can up-regulate the intracellular activity of NF-κB through the PKCζ-NF-κB pathway and affect calcium handling proteins,which aggravate intracellular calcium overload during acute MDMA exposure.关键词
法医病理学/法医毒理学/3,4-亚甲二氧基甲基苯丙胺(MDMA)/细胞毒性/钙稳态/钙调控蛋白/核因子κB/蛋白质激酶CKey words
forensic pathology/forensic toxicology/N-methyl-3,4-methylenedioxyamphetamine(MDMA)/cytotoxicity/calcium homeostasis/calcium handling protein/nuclear factor κB(NF-κB)/protein kinase C(PKC)分类
医药卫生引用本文复制引用
王荣帅,黄锶哲,王云云,邓燕飞,丁自娇,张杰,刘勇,任亮,刘良..钙调控蛋白与核因子κB在急性MDMA染毒心肌细胞钙失衡中的作用机制[J].法医学杂志,2025,41(2):144-151,159,9.基金项目
国家自然科学基金资助项目(81373243) （81373243）
皖南医学院中青年科研基金资助项目(WYRCQD2022004) （WYRCQD2022004）
法庭科学湖北省重点实验室开放课题资助项目(KFKT2023009) （KFKT2023009）
