二甲双胍对小鼠脑缺血后血管再生的影响
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Effects of metformin on vascular regeneration after cerebral ischemia in mice
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    摘要:

    目的 探究二甲双胍处理对小鼠脑缺血的保护作用及其发生机制。方法 将30只C57/BL6 小鼠分为对照组和二甲双胍组,通过 MCAO 手术对小鼠进行脑缺血造模,在术后 1~7 d,二甲双胍组小 鼠腹腔给予 50 mg/kg 二甲双胍处理,对照组给予等量生理盐水。术后的第 1、3、5、7 天,采用神经系统 严重程度评分(NSS)量表进行神经功能评估,通过 Rotarod 检测脑缺血后小鼠在转棒上的停留时间;在 术后第 7 天,通过 Western blot 检测脑组织 pAMPK/AMPK、ALK1、HIF-1α 和 BCL-2 蛋白的表达水平,免 疫组织化学染色检测小鼠半暗带区域血管再生情况。结果 脑缺血后给予 50 mg/kg 二甲双胍处理,引 起的梗死体积相比对照组显著降低[(14.20±2.23)% 比(37.80±1.77)%],在给予二甲双胍后,血管的 数量相比对照组显著增加[(103.60±1.66)条比(57.70±1.01)条]。给药第 7 天时,二甲双胍组小鼠的 NSS 评分显著低于对照组[(5.85±1.23)分比(3.33±0.57 分)],其余时间点对比差异无统计学意义。二 甲双胍组的 pAMPK/AMPK 比值为(1.79±0.24),明显高于对照组(1.00±0.33);对照组 ALK1 的表达水 平为(2.01±0.52),明显低于二甲双胍组的(3.09±0.64),差异均有统计学意义(P< 0.05)。二甲双胍可 以显著增加 BCL-2 的表达[(1.06±0.25)比(0.53±0.07)],降低 HIF-1α 蛋白表达水平[(0.71±0.12)比 (2.24±0.69)]。给药第7天结束后,二甲双胍组小鼠在转棒上的停留时间相比对照组显著增加(均P<0.05)。 结论 二甲双胍可以降低脑梗死体积,改善神经功能症状和运动功能,促进血管再生,其机制可能与增 加 AMPK 磷酸化水平和 ALK1 表达有关。

    Abstract:

    Objective To investigate the protective effect of metformin treatment on cerebral ischemia in mice and its mechanism. Methods Thirty C57/BL6 mice were divided into control group and metformin group. Cerebral ischemia was modeled by MCAO surgery. 1-7 days after the surgery, mice in the metformin group were given metformin treatment at 50mg/kg intraperitoneally, while those in the control group were given the same amount of normal saline. On the 1st, 3rd, 5th and 7th day after surgery, the neurological function was assessed by Neurological severity scores (NSS) scale, and the residence time of mice on the rotating rod after cerebral ischemia was measured by Rotarod. On the 7th day after surgery, the expression levels of AMPK, pAMPK, HIF-1α, BCL-2 and ALK1 in the penumbra region of the two groups were detected by Western blot. On the 7th day after the operation, hemidark zone angiogenesis in the two groups of mice was detected by immunohistochemical staining. Results After treatment with metformin (50 mg/kg) after cerebral ischemia, the volume of infarction caused by metformin was significantly lower than that of the control group [(14.2±2.23)% vs (37.8±1.77)%]. After administration of metformin, the number of blood vessels increased significantly compared with the control group [(103.6±1.66) vs (57.7±1.01)]. On the 7th day, the NSS of mice in metformin group was significantly lower than that of control group [(5.85±1.23) vs (3.33±0.57)]. There was no significant difference at other time points. The pAMPK/AMPK ratio in the metformin group was (1.79±0.24), and the control group was normalized to (1.00±0.33). The expression level of ALK1 was (2.01±0.52) in the control group, and (3.09±0.64) in the metformin group. Metformin could significantly increase the expression of BCL-2 [(1.06±0.25) vs (0.53±0.07)] and decrease the expression of HIF-1 α [(0.71±0.12) vs (2.24±0.69)]. After the end of the 7th day of administration, the stay time of mice in the metformin group on the rod was significantly increased compared with that in the control group (all P < 0.05). Conclusions Metformin can reduce the volume of cerebral infarction, improve neurological symptoms and motor function, and promote vascular regeneration, which may relate to the increase of AMPK phosphorylation and ALK1 expression

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沈晓娟 杜芳 李伟旺 安升.二甲双胍对小鼠脑缺血后血管再生的影响[J].神经疾病与精神卫生,2019,19(8):
DOI :10.3969/j. issn.1009-6574.2019.08.007.

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  • 在线发布日期: 2020-01-12