目的 探讨白介素-1β(IL-1β)、肿瘤坏死因子α(TNF-α)和细胞间黏附分子1(ICAM-1)在脑缺血一再灌注不同时期的基因表达。方法 将Wistar大鼠随机分为假手术组和脑缺血30 min再灌注6 h(IR6h)、12h(IR12h)、24 h(IR24h)、48 h(IR48h)组。动物模型采用线栓法制备大鼠中动脉栓塞法,用RT-PCR法检测脑缺血一再灌注不同时间点IL-1β、TNF-α及ICAM-1的表达。结果 IL-1β、TNF-α及ICAM-1在假手术组脑组织内低水平表达。IL-1βmRNA的表达在脑缺血—再灌注6 h后即明显增高,12 b后表达开始减弱,24~48 h呈低水平增高。TNF-α在脑缺血—再灌注6 h表达开始上升,24 h达到高峰,48 h后开始下降。ICAM-1脑缺血—再灌注6 h表达开始升高,24 h达到高峰,48 h后仍维持较高水平。结论 炎症因子参与了脑缺血—再灌注性损伤,且具有明显的时间规律。
Objective To explore the gene expression of pro-inflammatory cytokines after different durations of cerebral ischemia reperfusion. Methods Rats were randomly divided into five groups:sham group, 30min of cerebral ischemia after 6h, 12h, 24h and 48h groups. Transient focal ischemia/reperfusion model in male Wistar rats were induced by middle cerebral artery occlusion(MCAO) according to the intraluminal filament technique as described. The expression of pro-inflammatory cytokines including interleukin-1β(IL-1β), tumor necrosis factor-α (TNF-α) and intercellular adhesion molecule-1 (ICAM-1) were measured using RT-PCR. Results The gene expression of IL-1β, TNF-α, ICAM-1 was low in sham group. The mRNA expression of IL-1β was significantly increased and reached the peak after 6h,but began a decrease after 12h and kept the low level at 24h and 48h. The mRNA expression of TNF-α gradually increased after 6 h,and reached the highest levels at 24h, then began to decrease at 48h. The mRNA expression of ICAM-1 gradually increased following cerebral ischemia, and reached the peak at 24h and 48h. Conclusion Our results demonstrated that cerebral ischemia reperfusion could induce the up- regulation of IL-1β,TNF-α and ICAM-1 in a time-dependent way.