目的:探讨盘状结构域受体酪氨酸激酶(discoidin domain recetor1,DDRl)蛋白在局灶性脑缺血致血脑屏障损伤中的作用机制及其病理性意义。方法:成年雄性sD大鼠80只,体重280—320g,采用随机数字表法,将其随机分为假手术组、缺血再灌注组、siRNA处理组和siRNA错配组,每组5只。采用大鼠大脑中动脉线栓法制备局灶性脑缺血再灌注模型,缺血120min再灌注24h时进行神经行为学评分,随后处死大鼠取脑,分别采用TIC(2,3,5-triphenyl tetrazolium chloride)染色法、干湿比重法、伊文思蓝法测定脑梗死体积、脑组织含水量及血脑屏障的通透性。结果:与假手术组比较,脑缺血再灌注组神经行为学评分降低(P〈0.05),脑梗死体积百分比增加,缺血侧脑组织含水量增多(P〈0.05),血脑屏障的通透性增大(P〈0.01);与局灶性脑缺血再灌注组比较,DDR1-siRNA处理组神经行为学评分升高,脑梗死体积百分比减少,脑组织含水量减少(P〈0.05),血脑屏障通透性降低(P〈0.01)。结论:DDR1蛋白可能参与了脑缺血再灌注损伤后血脑屏障的破坏,抑制DDRl的表达可降低血脑屏障的通透性;另外,检测DDR1的表达可作为脑卒中早期诊断和判断预后的分子指标之一。
Objective: To explore the effect and mechanism of discoidin domain receptor 1 (DDR1) on blood brain barrier impairment after focal cerebral ischemia-reperfusion in rats. Methods: 80 adult male SD rats, weighing 280 N 320 g, were randomly divided into the sham group, the middle cerebral artery occlusion (MCAO) group, the DDRI-siRNA group and the scramble siRNA group ( n = 5 ). Focal cerebral ischemia was induced by MCAO in rats. At 24 h after the reperfusion following 120 min ischemia, TI'C staining, dry/wet weight method and Evans blue dye extravasation were applied to quantify infarction volume, brain water content and blood-brain barrier impairment, respectively. Neurological deficit scores were also evaluated. Results: The neurological score was significantly lower in the MCAO group than in the sham group ( P 〈 0.05 ). The focal cerebral infarction volume percentage, brain water content and blood-brain barrier impairment were significantly higher in the MCAO group than in the sham group(P 〈0.05, P 〈0.01 ). Compared with the MCAO group, The focal cerebral infarction volume percentage, brain water content and blood-brain barrier impairment were significantly lower in the DDRI-siRNA group(P 〈0.05, P 〈 0.01 ) ; while the neurological score was significantly higher in the DDRI-siRNA group than in the MCAO group ( P 〈 0.05 ). Conclusion: DDR1 may be involved in bloodbrain barrier impairment after focal cerebral ischemia-reperfusion in rats, inhibiting the expression of DDR1 can reduce the blood-brain barrier permeability. In addition, the detection of DDR1 may contribute to diagnosis for stroke in early stage and may act as one of biological indicators of prognosis.