目的:观察依托咪酯(ET)对成年大鼠视神经切断后视网膜神经节细胞(RGC)存活的作用。 方法:成年雌性SD大鼠42只,眶内距视神经根部1mm处切断左侧视神经,残端留置浸有荧光金(50g/L)的明胶海绵逆行标记RGC。术后大鼠随机分为ET(4mg/kg,ip,1次/d)治疗组、1,2-丙二醇(PG)溶剂对照组、生理盐水对照组和正常对照组。再根据术后不同存活时间将前3组动物分为7d和14d两个亚组,正常对照组动物则存活2d。于相应存活时间点处死动物,取出各组大鼠左侧视网膜平铺后计数存活RGC并得出RGC的平均密度。 结果:术后7dET治疗组存活RGC平均密度为1307±55/mm^2,显著高于PG对照组(1128±75/mm^2)和生理盐水对照组(1068±75/mm^2,P〈0.001)。然而,未能在术后14d观察到ET的这种保护作用,因为ET治疗组存活RGC平均密度(210±36/mm^2)与PG对照组(215±20/mm^2)和生理盐水对照(208±19/mm^2)间无显著差异(P〉0.05)。 结论:ET在视神经切断后一定时期内对RGC具有神经保护作用。
AIM: To investigate the effects of etomidate on the survival of retinal ganglion cell (RGC) following intraorbital optic nerve (ON) transection in adult rats. METHODS: The left ONs of 42 adult female SD rats were transected at 1mm from the optic disc. The animals were divided into the etomidate-treated (4mg/kg, ip, once a day), propylene glycol (PG)-treated, saline-treated and normal control groups. Animals in the first three groups were allowed to survive for 7 or 14 days, and those in the normal control group for 2 days. After the animals were killed, retrogradely labeled surviving RGCs were counted in the fiat-mounted retinas and the mean RGC density was estimated. RESULTS: Etomidate significantly promoted the mean density of surviving RGC (1 307±55/mm^2, P〈0.001) 7 days after ON transection, when compared with those in PG- (1 128±75/mm^2) and saline- (1 068±75/mm^2) treated control animals. This neu roprotective effect of etomidate, however, was not detected at 14 day because the mean density (210±36/mm^2) in etomidate-treated group was similar to those in the PG- (215±20/mm^2) and saline-treated (208±19/mm^2) animals (P〉0.05). CONCLUSION: Etomidate has a marked neuroprotective effect on the axotomized RGC at certain period after ON transection.