Abstract:【Objective】 To explore the neuroprotective effect and mechanism of nasopharynx perfluorochemical (NP-PFC) treatment in rats with subarachnoid hemorrhage (SAH). 【Methods】 After modeling, forty rats were randomly divided into two groups: model group (group B), NP-PFC treatment group (group C), and another 20 rats were randomly selected as sham operation group (group A). After administration, we evaluated neurological function and morphology of prefrontal cortex (HE staining). The number of apoptotic cells was measured by TUNEL staining. Then, we detected the content of MDA and the activity of SOD and CAT. Finally, the expression of caspase-3 mRNA and caspase-3 protein in brain tissue were detected by PCR and Western Blotting. 【Results】 The neurological function scores of rats in groups A, B, and C were (16.9±2.4), (11.6±2.2), and (15.1±2.4) points, respectively. The neurological function scores of rats in groups B and C were lower than those in group A, while the score in the group C was higher than that in the group B; and the difference was statistically significant (F=26.64, P<0.001). The cell structure of each layer in the prefrontal cortex of the group A rats was in normal pattern, and the edges of nerve cells are clear. The cells of each layer in the prefrontal cortex of group B rats were sparsely arranged, and the edges of nerve cells were fuzzy. When NP-PFC was used, the messy arrangement in the group C was significantly improved compared to the group B, and the edges of nerve cells were clearer than that of group B. Comparison of the contents of MDA, SOD and CAT in the brain tissues of the three groups of rats showed statistically significant differences (F=331.94, 473.27, 275.82, P<0.05). The expression of caspase-3 mRNA in the brain tissues of rats in groups A, B and C were (0.63±0.11), (1.42±0.26), (0.77±0.19), respectively, and the difference was statistically significant (F=46.04, P<0.001). The expression of caspase-3 protein in the brain tissues of rats in groups A, B and C were (0.32±0.08), (0.72±0.13), (0.39±0.09), respectively, and the difference was statistically significant (F=43.60, P< 0.001).【Conclusion】 NP-PFC has neuroprotective effect on the morphology of brain tissue in SAH rats. And it can decrease the quantity of apoptotic cells through oxidative stress inhibition.
王传宝, 刘晶晶. 蛛网膜下腔出血大鼠鼻咽全氟化合物处理对其神经保护作用研究[J]. 医学临床研究, 2021, 38(4): 579-582.
WANG Chuan-Bao, LIU Jing-jing. Neuroprotective Effect and Mechanism of NP-PFC Treatment in Rats with Subarachnoid Hemorrhage. JOURNAL OF CLINICAL RESEARCH, 2021, 38(4): 579-582.
[1] 张光绪,马骏,王成斌,等.自发性蛛网膜下腔出血后早期脑损伤发生机制及实验性治疗研究进展[J].临床神经外科杂志,2016,13(6):474.
[2] CUI J B,CHEN Q Q,LIU T T, et al. Risk factors for early-onset ventilator-associated pneumonia in aneurysmal subarachnoid hemorrhage patients[J].Braz J Med Biol Res,2018,51(7):25.
[3] WOLFSON M R,MALONE D J,WU J, et al. Intranasal perfluorochemical spray for preferential brain cooling in sheep[J].Neurocrit Care,2008,8(3):437-447.
[4] WANG K C,TANG S C,LEE J E,et al. Impaired microcirculation after subarachnoid hemorrhage in an in vivo animal model[J].Sci Rep,2018,8(1):133.
[5] LI R,LIU W,YIN J,et al.TSG-6 attenuates inflammation-induced brain injury via modulation of microglial polarization in SAH rats through the SOCS3/STAT3 pathway[J].J Neuroinflammation,2018,15(1):231.
[6] HU Q, LI T, WANG L, et al. Neuroprotective effects of a smoothened receptor agonist against early brain injury after experimental subarachnoid hemorrhage in rats[J].Front Cell Neurosci,2016,10:306.
[7] 涂盛,邵安文,盛吉芳.富氢盐水对蛛网膜下腔出血大鼠神经保护作用的机制研究[J].浙江医学,2018,40(8):803.
[8] MA J. Pramipexole-induced hypothermia reduces early brain injury via PI3K/AKT/GSK3β pathway in subarachnoid hemorrhage rats[J].Sci Rep,2016,6:23817.
[9] AN H, DUAN Y,WU D, et al. Phenothiazines enhance mild hypothermia-induced neuroprotection via PI3K/Akt regulation in experimental stroke[J].Sci Rep,2017,7(1):7469.
[10] FU P,HU Q. 3,4-dihydroxyphenylethanol alleviates early brain injury by modulating oxidative stress and Akt and nuclear factor-κB pathways in a rat model of subarachnoid hemorrhage[J].Exp Ther Med,2016,11(5):1999-2004.
[11] DONG Y S,WANG J L,FENG D Y, et al. Protective effect of quercetin against oxidative stress and brain edema in an experimental rat model of subarachnoid hemorrhage[J].Int J Med Sci,2014,11(3):282-290.
[12] LI H,LV B,KONG L,et al.Nova1 mediates resistance of rat pheochromocytoma cells to hypoxia-induced apoptosis via the Bax/Bcl-2/caspase-3 pathway[J].Int J Mol Med,2017,40(4):1125-1133.