目的:探讨吡格列酮对间歇性低氧大鼠氧化应激与胰岛素抵抗的干预作用。方法:建立OS-AHS模型,将SD雄性大鼠36只随机分为常氧对照组、模型组、吡格列酮干预组,每组12只。干预组给予吡格列酮10ml·kg-1·d-1灌胃,模型、对照组均予等量生理盐水灌胃。于实验8周终点处死大鼠,硫代巴比妥酸法、酶联免疫吸附法、比色法、蛋白免疫印迹等方法观察各组大鼠血清TNF-α、MDA、GsH-Px、H(JMA-IR及胰腺组织NF-KB蛋白的表达情况。结果:与对照组比较,模型、干预组大鼠血清TNF-α、MDA、FBG、FlNS、HOMA-IR及胰腺组织NF-KB蛋白表达均升高,GSH-Px水平降低(P〈O.05);与模型组比较,干预组血清TNF-α、MDA、FBG、FINS、HOMA-IR及胰腺组织NF-KB蛋白表达均降低,GSH-Px水平升高(P〈0.05)。结论:吡格列酮可通过抑制NF-κB核转位降低慢性间歇行低氧氧化应激水平,改善胰岛素抵抗状态。
Objective: To investigate the intervention effect of pioglitazone on the oxidative stress lev el and insulin resistance of chronic intermittent hypoxia rats. Methods: Obstructive sleep aponea- hypopnea syndrorne(OSAHS) models in rats were established. 36 male Sprague-Dawley(SD) rats were randomized into 3 groups: the normoxic control group, the model group, and the pioglitazone intervention group. Each group had 12 rats. Rats in the intervention group were gavaged with piogl- itazone (10 ml·kg-1·d-1), and those in the model and control group were treated with isovalent normal saline by gavage. The rats were sacrificed at the end of 8 weeks and changes were detected a.bout the serum TNF-α, MDA, GSH-Px, FBG, FINS, HOMA-IR, and the expression of, pancreas tissue NF-κB protein as well by TBA test, ELISA, colorimetry and western blotting. Results: Compared with the control group, the serum TNF-a, MDA, FBG, FINS, HOMA-IR, and the ex pression of pancreas tissue NF-κB protein in the model and intervention group increased, while GSH-Px level declined(P〈0.05); Compared with the model group, the serum TNF-a, MDA, FBG, FINS, HOMA-IR and pancreas tissue NF-κB protein expression in the intervention rats declined, while GSH-Px level rised(P〈0.05). Conclusion: Pioglitazone can degrade the oxidative stress level and improve the insulin resistance state in chronic intermittent hypoxia rats through inhibiting the NF-κB translocation.