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二甲双胍对七氟醚麻醉幼鼠神经元自噬和认知功能的影响
作者:陈文道  陈明才  韦雪梅 
单位:海南医学院第二附属医院 麻醉科, 海南 海口 571100
关键词:二甲双胍 七氟醚 自噬 认知功能 神经元凋亡 
分类号:R614
出版年·卷·期(页码):2022·50·第六期(688-695)
摘要:

目的:探究二甲双胍(Met)对七氟醚(Sev)麻醉幼鼠神经元自噬及认知功能的影响。方法:MTT法检测Met对Sev诱导SH-SY5Y细胞活力的影响,检测自噬和凋亡相关蛋白表达的改变。将60只SD幼鼠随机分为对照(Con)组,Sev组,Met组,Met+雷帕霉素(Met+Rap)组,Met+氯喹(Met+CQ)组。应用3% Sev麻醉各组(除Con)并进行血气分析,麻醉前后接受共7 d的药物治疗。采用水迷宫检测认知功能,Nissl染色检测神经元状态,蛋白质印迹法及免疫荧光实验检测海马中蛋白表达。结果:Met明显提高SH-SY5Y细胞活力,且100 μmol·L-1 Met明显抑制Sev诱导的Caspase-3、Bax表达(P<0.05),下调mTOR、LC3-Ⅱ/LC3-Ⅰ表达(P<0.05)。麻醉期间,各组血气指标差异无统计学意义(P>0.05)。与Sev组相比,Met组幼鼠海马中Caspase-3、Bax、mTOR、LC3-Ⅱ/LC3-Ⅰ表达显著降低(P<0.05),逃避潜伏期缩短(P<0.05)。此外,Rap与Met发挥了协同作用,但CQ却与Met产生了拮抗作用。结论:Met通过激活神经元自噬改善了Sev造成的幼鼠认知功能障碍。

Objective: To investigate the effects of metformin(Met) on neuron autophagy and cognitive function in infant rats anesthetized with sevoflurane(Sev). Methods: MTT method was used to detect the effective dose of Met to improve the viability of SH-SY5Y cells induced by Sev, and to determine the effect of Met on the expression of autophagy/apoptosis-related proteins in SH-SY5Y cells. Then sixty SD infant rats were randomly divided into control(Con) group, Sev group, Met group, Met+rapamycin(Met+Rap) group, Met+chloroquine(Met+CQ) group. The infant rats in each group were anesthetized with 3% Sev, then, blood gas analysis was performed. The infant rats received drug treatment for continuous 7 days, during which the water maze was used to detect the cognition impairment, the Nissl staining was used for neuron status detection. Western blotting and immunofluorescence were used to detected autophagy/apoptosis-related protein expression. Results: Met effectly improved SH-SY5Y cells viability that induced by Sev and Met effectively inhibited the expression of Caspase-3, Bax(P<0.05), as well as down-regulated mTOR, LC3-Ⅱ/LC3-Ⅰ expression(P<0.05). During anesthesia, the blood gas indexes of rats were similar(P>0.05).Compared with Sev group,the expressions of Caspase-3, Bax, mTOR, LC3-Ⅱ/LC3-Ⅰ in Met group were lower and escape latency was shorter(P<0.05). Meanwhile, Rap played a synergistic role with Met. However, the administration of CQ exerted an antagonistic effect on Met. Conclusion: Met effectively improve cognitive dysfunction in infant rats caused by Sev through activating neuron autophagy pathway.

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