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血红素结合蛋白对脑出血后自由基生成和脑水肿形成的影响

The Effects of the Hemopexin on Generation of Free Radicals and Brain Edema after Intracerebral Hemorrhage

  • 摘要: 目的 探讨血红素结合蛋白(Hx)对脑出血(ICH)后自由基生成和脑水肿形成的影响。方法 100只SD大鼠随机分为假手术组、ICH对照组、Hx去除组、Hx干预组,每组25只,分为术后1 d、3 d、7 d、14 d、21 d等5个观察点,每个时间点均为5只大鼠;采用立体定向注射技术,向大鼠右侧尾状核注射去除或外加Hx后的自体全血制作ICH模型。ICH对照组注入自体全血50 μL;Hx去除组注入采用亲和层析法去除Hx后的自体全血50 μL;Hx干预组注入外加0.25 mg(5 μg/μL)Hx后的自体全血50 μL;假手术组注入等量生理盐水。按照Bederson评定方法进行模型成功评价,并对造模失败的模型以备用大鼠补充;采用Garcia法进行神经功能障碍评分;采用干湿法测定血肿周围脑组织含水量;采用黄嘌呤氧化酶法测定超氧化物岐化酶(SOD)活力;采用硫代巴比妥酸法测定丙二醛(MDA)含量;光镜观察各时间点ICH后血肿周围脑组织Hx免疫组织化学染色结果,采用双评半定量法进行免疫组化评分,观察其表达情况。结果 术后3~21 d,与假手术组相比,ICH对照组、Hx去除组及Hx干预组神经功能障碍评分、脑组织含水量、Hx蛋白免疫组化评分差异均有统计学意义( P<0.05)。术后1~21 d,与假手术组相比,ICH对照组、Hx去除组和Hx干预组SOD活力、MDA含量差异均有统计学意义( P<0.05)。Hx去除组上述指标均差于ICH对照组( P<0.05),Hx干预组均优于ICH对照组( P<0.05)。结论 血红素结合蛋白对脑出血后血肿周围组织自由基生成和脑水肿的形成具有抑制作用。

     

    Abstract: Objective To explore the effects of the Hemopexin (Hx) on the generation of free radicals and brain edema after intracerebral hemorrhage (ICH). Methods One hundred SD rats were randomly and evenly divided into four groups (25 rats in each group) which named Sham group, ICH control group, Hx removal group and Hx intervention group respectively. There were five observation points (1 d, 3 d, 7 d, 14 d, 21 d) and which contain five rats for each. The stereotactic injection technique was used to make the ICH model, which adopted rat autologous whole blood that was removed or mixed with Hx and then injected to the right caudate nucleus of the brain. Sham group were only injected with 50 μL saline to the right caudate nucleus and ICH control group were injected with 50 μL autologous whole blood; Hx removal group were injected 50 μL autologous whole blood of removal Hx and Hx intervention group were injected 50 μL autologous whole blood which contain 0.25 mg (5 μg/μL) Hx. Bederson’s method was applied to evaluate whether the model was established successfully or not. Garcia’s method was used to estimate the neurological dysfunction scores by. Water contents of brain tissue around the hematoma was detected by dry-wet weigh method .The superoxide dismutase (SOD) activity were measured with the xanthine oxidase method. The content of the malonyldialdehyde (MDA) was measured by the thiobarbituric acid method. Pathological changes of brain tissue around the hematoma were detected by immunohistochemical method at each observation time points; and the immunohistochemical scores result was judged by the double semiquantitative evaluation method. Results Compared with Sham group, at 3-21 d, there were statistically significant differences ( P<0.05) in the neurological disorders and water content of the brain tissue and immunohistochemistry scores within ICH control group, Hx intervention group and Hx removal group. Compared with Sham group, at 1-21 d, there were statistically significant differences ( P<0.05) in SOD activity and the content of the MDA within ICH control group, Hx intervention group and Hx removal group. All the indexes above were superior in Hx intervention group to ICH control group ( P<0.05), and inferior in Hx removal group to ICH control group ( P<0.05). Conclusion The Hemopexinmay attenuate the generation of the free radicals and encephalaedema in the brain tissue around the hematoma after intracerebral hemorrhage.

     

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