临床儿科杂志 ›› 2015, Vol. 33 ›› Issue (10): 883-.doi: 10.3969 j.issn.1000-3606.2015.10.011

• 实验研究 • 上一篇    下一篇

缺氧时间对脑白质损伤程度影响的实验研究

杨印祥,索磊,杜庆安,栾佐   

  1. 海军总医院儿科(北京 100048)
  • 收稿日期:2015-10-15 出版日期:2015-10-15 发布日期:2015-10-15
  • 通讯作者: 栾佐 E-mail:luanzuo@aliyun.com

The effect of different hypoxic duration on the degree of brain white matter injury 

YANG Yinxiang, SUO Lei, DU Qing'an, LUAN Zuo   

  1. Department of Pediatrics, Navy General Hospital, Beijing 100048, China
  • Received:2015-10-15 Online:2015-10-15 Published:2015-10-15

摘要:  目的 探讨不同缺氧时间对3日龄SD大鼠脑白质损伤程度的影响。方法 新生大鼠随机分为正常组(n=24)、模型组(n=45),其中模型组再根据缺氧时间50、70、90 min分为3个亚组(n=15);模型组采用单侧结扎颈总动脉的方法制作脑白质损伤动物模型。经过不同时间缺氧后,统计造模死亡率,苏木精-伊红(HE)染色观察脑病理形态改变,免疫荧光染色检测脑白质特异性标志物髓鞘碱性蛋白(MBP)变化,爬坡试验检测运动功能。结果 随着缺氧时间延长造模死亡率明显升高,90 min组死亡率高达60%;HE染色结果显示,50 min组白质和海马基本无损伤,70 min组手术侧选择性白质损伤,而90 min组白质、海马、皮质均发生大范围梗死。MBP半定量白质损伤评分显示,70 min组(3.89±0.47)和90 min组(4.72±0.57)明显高于正常组(0.06±0.24),差异有统计学意义(P<0.05)。爬坡实验,模型组各亚组大鼠均出现不同程度的患侧运动功能障碍,以90 min组较为严重。结论 采用单侧结扎颈总动脉法成功制作脑白质损伤模型;不同缺氧时间对模型病变范围以及损伤程度具有重要影响。

Abstract:  Objective To explore the effect of different hypoxic duration on the brain white matter injury. Methods  Newborn rats were randomly divided into two groups, normal group (n=24) and model group (n=45). The model group was divided into 3 subgroups (n=15) according to the time of hypoxia (50 min, 70 min, and 90 min). The animal model of white matter injury was established by unilateral carotid artery ligation in model group. After different duration of hypoxia, the mortality rate was recorded, the morphological changes of brain pathology was observed by hematoxylin eosin (HE) staining, myelin basic protein (MPB) of white matter was detected by immunofluorescence staining and motor function was evaluated by climbing slope test. Results The mortality rates significantly increased with prolonged hypoxia. The mortality rate was as high as 60% in 90 min subgroup. The HE staining showed that there were no obvious injury in 50 min subgroup, selective white matter injury on the operative side appeared in 70 min subgroup, and a wide range of infarction of white matter, hippocampus, and cortex appeared in 90 min subgroup. MBP semi-quantitative scores of white matter injury were higher in 70 min subgroup (3.89 ± 0.47) and 90 min subgroup (4.72 ± 0.57) than that in the normal group (0.06 ± 0.24), the difference was statistically significant (P <0.05). In climbing slope test, the subgroups had different degrees of motor dysfunction on affected side with 90 min subgroup being the most serious. Conclusions White matter injury model could be established by unilateral carotid artery ligation, and different hypoxic duration significantly affects the range and degree of injury.