白藜芦醇保护缺血性脑卒中大鼠神经功能的作用机制研究*
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(1. 中国人民解放军第八二医院,江苏 淮安 223001;2. 徐州医科大学附属医院,江苏 徐州 221000;3. 海门市中医院 ,江苏 海门 226100)

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R285.5

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收稿日期: 2018 - 05- 07 *
基金项目: 江苏省自然科学基金项目(BK2011382)
第一作者简介: 江海洋(1982-),男,硕士,主治医师,研究方向:老年病学。
△通信作者: 顾中华,E-mail:755234101@qq.com


Protective Effect Mechanism of Resveratrol on Neurological Function in Rats with Ischemic Stroke
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(1. The Eighth Second Hospital of Chinese People's Liberation Army, Huai'an 223001, China; 2. Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, China; 3. Haimen Traditional Chinese Medicine Hospital, Haimen 226100, China)

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    摘要:

    目的探讨白藜芦醇对缺血性脑卒中大鼠神经功能保护作用机制。方法选择清洁级健康雄性SD大鼠75只,将其分为对 照组、模型组、白藜芦醇低剂量(10 mg/kg)、白藜芦醇中剂量(20 mg/kg)以及白藜芦醇高剂量组(30 mg/kg),造模 后比较各组大鼠神经功能障碍评分、脑梗死体积、脑组织含水量、脑组织p53及Notch1蛋白表达情况。结果白藜芦醇可显著 降低缺血性脑卒中大鼠神经功能障碍评分(P<0.05),随着白藜芦醇浓度的升高大鼠神经功能障碍评分明显降低(P<0.05 )。各手术组大鼠脑梗死体积及脑组织含水量较假手术组明显升高(P<0.05),而白藜芦醇各组大鼠脑梗死体积及脑组织 含水量较模型组明显降低(P<0.05),随着白藜芦醇浓度的升高,大鼠脑梗死体积及脑组织含水量明显降低(P<0.05)。 各手术组大鼠脑组织p53及Notch1蛋白表达量均较假手术组明显升高(P<0.05),白藜芦醇大鼠脑组织p53及Notch1蛋白表 达量较模型组明显降低(P<0.05),且白藜芦醇浓度升高大鼠脑组织p53及Notch1蛋白表达量明显降低(P<0.05)。结论白 藜芦醇对缺血性脑卒中大鼠具有着显著的神经功能保护作用,可有效改善大鼠脑梗死面积及脑水肿程度,其神经保护作用 机制可能与白藜芦醇对p53介导的凋亡通路及Notch1介导的炎症反应通路抑制作用有关。

    Abstract:

    Objective To investigate the neuroprotective effect of resveratrol on ischemic stroke in rats and its mechanism. Methods 75 healthy male SD rats of clean grade were divided into control group, model group, low dose of resveratrol(10 mg/kg), middle dose of resveratrol(20 mg/kg) and high dose of resveratrol(30 mg/kg). The neurological impairment score, cerebral infarction volume, water content of brain tissue were compared after modeling. The expression of p53 and Notch1 protein in brain tissue. Results Resveratrol significantly decreased the neurological impairment score of ischemic stroke rats (P<0.05), and decreased the neurological impairment score with the increase of resveratrol concentration (P<0.05). The volume of cerebral infarction and water content of brain tissue in each operation group were significantly higher than those in sham operation group(P<0.05), while the volume of cerebral infarction and water content of brain tissue in resveratrol groups were significantly lower than those in model group(P<0.05), and the volume of cerebral infarction and water content of brain tissue were significantly decreased with the increase of resveratrol concentration(P<0.05). The expression of p53 and Notch1 protein in brain tissue of rats in each operation group was significantly higher than that in sham operation group(P<0.05), and the expression of p53 and Notch1 protein in resveratrol group was significantly lower than that in model group(P<0.05), and the expression of p53 and Notch1 protein in brain tissue of rats with resveratrol concentration increased significantly(P<0.05). Conclusion Resveratrol has significant neuroprotective effect on ischemic stroke rats, and can effectively improve the area of cerebral infarction and the degree of cerebral edema in rats. The neuroprotective mechanism may be related to the inhibition of resveratrol on p53-mediated apoptosis pathway and Notch1-mediated inflammatory response pathway.

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