目的观察Apelin-13对大鼠脑缺血-再灌注损伤(CIRI)的保护作用并探讨其机制。方法 50只SD雄性大鼠随机分为假手术组、CIRI模型组及低剂量(0.1μg/kg)、中剂量(1.0μg/kg)和高剂量(10.0μg/kg)Apelin-13处理组。线栓法建立大鼠脑CIRI模型,在缺血2 h后再灌注72 h,Apelin-13处理组于再灌注前30 min侧脑室注射Apelin-13。对各组大鼠神经功能进行评分,TTC染色观察并计算脑梗死体积百分比,Western blot检测损伤侧大脑皮质中内质网应激标志蛋白葡萄糖调节蛋白78(GRP78)和C/EBP同源蛋白(CHOP)的表达。结果与假手术组比较,CIRI模型组大鼠神经功能评分显著增加(P〈0.05),脑梗死体积百分比达到(47.63±5.81)%;损伤侧大脑皮质中GRP78和CHOP的表达量显著升高(均P〈0.05)。与CIRI模型组相比,低剂量组差异无统计学意义(P〉0.05);中剂量和高剂量Apelin-13处理组大鼠神经功能缺损明显改善,肌力明显增强,脑梗死体积百分比显著降低,损伤侧大脑皮质中GRP78和CHOP的表达显著降低(均P〈0.05)。结论 Apelin-13对大鼠CIRI有保护作用,其机制可能与抑制内质网应激有关。
Objective To observe the protective effect of Apelin-13 on the cerebral ischemia-reperfusion injury(CIRI),and to explore the possible mechanism in rat model.Methods Fifty male SD rats were randomly divided into fivegroups:sham group,CIRI model group and Apelin-13(0.1,1.0 and 10.0 μg/kg) treatment groups.The model of CIRI was es-tablished by filament.After 2 h ischemia,the focal middle cerebral artery was followed by 72 h reperfusion.Apelin-13 wasadministrated by intracerebroventricular injection 30 minutes before reperfusion.The score of neural function was estimatedin different time points.The 2,3,5-triphenyl tetrazolium chloride(TTC) dye was used to calculate the volume and percent-age of cerebral infarction.The endoplasmic reticulum stress(ERS) protein markers including glucose-regulated protein 78(GRP78) and CCAAT/enhancer binding protein homologous protein(CHOP) in cerebral cortex were measured by Westernblot assay.Results Compared with the sham group,the score of neural function was significantly increased,the infarct ratewas reached(47.63 ± 5.81)% and the protein expressions of GRP78 and CHOP were significantly up-regulated in CIRI mod-el group(P〈0.05).There were no significant differences in these data between the CIRI model group and 0.1 μg/kg Apelin-13 treatment group(P〉0.05).Compared with the CIRI group,the neural function defect was significantly improved,the mus-cle strength was significantly enhanced and the infarct rate was significantly decreased,and the protein expressions ofGRP78 and CHOP were significantly down-regulated in the 1.0 and 10.0 μg/kg Apelin-13 treatment groups(P〈0.05).Conclusion Apelin-13 protects the cerebral ischemia-reperfusion injury in rat model,which may be related with the inhibitionof endoplasmic reticulum stress.