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400016 重庆, 重庆医科大学附属第一医院麻醉科
[闵苏,E-mail:ms89011068@163.com MIN Su, E-mail: ms89011068@163.com
收稿:2018-12-13,
修回:2019-02-15,
纸质出版:2019-06-30
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吕碧霄, 闵苏, 杨俊. 聚集蛋白对脓毒症大鼠骨骼肌烟碱型乙酰胆碱受体亚型异化表达的影响[J]. 第三军医大学学报, 2019,41(12):1125-1130, 1135.
Bixiao LYU, Su MIN, Jun YANG. Agrin reduces heterogenous expression of nicotinic acetylcholine receptors in skeletal muscles of septic rats[J]. Journal of Third Military Medical University, 2019, 41(12): 1125-1130, 1135.
吕碧霄, 闵苏, 杨俊. 聚集蛋白对脓毒症大鼠骨骼肌烟碱型乙酰胆碱受体亚型异化表达的影响[J]. 第三军医大学学报, 2019,41(12):1125-1130, 1135. DOI: 10.16016/j.1000-5404.201812109.
Bixiao LYU, Su MIN, Jun YANG. Agrin reduces heterogenous expression of nicotinic acetylcholine receptors in skeletal muscles of septic rats[J]. Journal of Third Military Medical University, 2019, 41(12): 1125-1130, 1135. DOI: 10.16016/j.1000-5404.201812109.
目的
2
探讨聚集蛋白(agrin)对脓毒症大鼠骨骼肌烟碱型乙酰胆碱受体(nicotinic acetylcholine receptor
nAChR)亚型异化表达的作用。
方法
2
采用盲肠结扎穿孔(cecal ligation and puncture
CLP)建立脓毒症大鼠模型。48只2月龄健康雄性SD大鼠采用随机数字表法分为假手术组(Sham组)、假手术+agrin组(ShamA组)、脓毒症组(CLP组)和脓毒症+agrin组(CLPA组),每组12只。假手术组仅暴露腹腔不进行盲肠结扎穿孔手术,ShamA组和CLPA组在建模后胫前肌内注射100 μg/mL agrin溶液0.1 mL。建模后第48小时取大鼠血液样品,检测血浆中炎症因子IL-6水平。行复合肌动作电位(compound muscle action potential
CMAP)检测其振幅、时程、潜伏期及神经传导速度。Western blot和免疫荧光检测大鼠胫前肌组织γ-nAChR和α7-nAChR蛋白表达。
结果
2
Sham组和ShamA组血浆IL-6水平明显低于CLP组和CLPA组(
P
<
0.05)。与Sham组和ShamA组比较,CLP组与CLPA组CMAP时程、潜伏期延长(
P
<
0.05),γ-nAChR和α7-nAChR蛋白表达升高(
P
<
0.05),而CMAP振幅及传导速度降低(
P
<
0.05)。与CLP组比较,CLPA组的CMAP时程、潜伏期缩短(
P
<
0.05),γ-nAChR和α7-nAChR蛋白表达降低(
P
<
0.05),而CMAP振幅及传导速度升高(
P
<
0.05)。
结论
2
Agrin可以减轻脓毒症导致的神经肌肉功能障碍并减少异质化烟碱型乙酰胆碱受体的表达。
Objective
2
To explore the effect of agrin on the heterogenous expression of nicotinic acetylcholine receptors (nAChRs) in the skeletal muscles of rats with sepsis.
Methods
2
Forty-eight 2-month-old healthy SD rats were randomized equally into sham-operated group
sham+agrin group (ShamA group)
cecal ligation and puncture (CLP) group
and CLP+agrin group (CLPA group) and received either CLP to establish models of sepsis or a sham operation of laparotomy without CLP as indicated. In ShamA group and CLPA group
the rats were given an intramuscular injection of 0.1 mL agrin (100 μg/mL) into the anterior tibial muscle after the operation. At 48 h after the modeling
blood samples were collected from the rats for measurement of plasma interleukin-6 (IL-6) level
and the compound muscle action potentials (CMAP) were detected to assess the neuromuscular conduction. The protein expression levels of type γ-nAChR and α7-nAChR in the anterior tibial muscle were detected using Western blotting and immunofluorescence staining.
Results
2
The plasma IL-6 levels were significantly lower in the sham-operated and ShamA group than in CLP and CLPA groups (
P
<
0.05) and were comparable between the latter 2 groups (
P
>
0.05). Compared with those in the 2 sham-operated groups
the duration and latency of CMAP were increased significantly while the amplitude and nerve conduction velocity were decreased obviously in CLP group (
P
<
0.05). Compared with those in CLP group
the duration and latency of CMAP were decreased and the amplitude and nerve conduction velocity were increased significantly in CLPA group (
P
<
0.05). In the anterior tibial muscle
the protein expression levels of γ-nAChR and α7-nAChR were significantly higher in CLP and CLPA groups than in the 2 sham-operated groups (
P
<
0.05)
and their levels were the highest in CLP group (
P
<
0.05).
Conclusion
2
Agrin can improve neuromuscular function in rats with sepsis
which is likely attributed to down-regulated heterogeneous expression of γ-nAChR and α7-nAChR in the skeletal muscles.
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