论文部分内容阅读
【目的】研究血红素氧合酶‐1(HO‐1)和线粒体ATP敏感性钾(Mitochondrial KATP ,mitoKATP )通道与吗啡预处理的延迟性心肌保护作用的关系。【方法】雄性Wistar大鼠随机分为5组。IR组(A组),腹腔注射生理盐水5 mL ,24 h后行心肌缺血再灌注(IR);Mor组(B组),腹腔注射吗啡3 mg/kg(用生理盐水稀释至5 mL),24 h后行心肌IR;HO‐1阻滞剂(ZnPP‐IX)+ Mor组(C组),腹腔注射ZnPP‐IX 20μg/kg ,30 min后腹腔注射吗啡3 mg/kg ,24 h后行心肌IR;mitoKATP通道阻滞剂(5‐HD)+Mor组(D组),腹腔注射5‐HD 5 mg/kg ,20 min后腹腔注射吗啡3 mg/kg ,24 h后行心肌IR;Mor+5‐HD组(E组),腹腔注射吗啡3 mg/kg ,24 h后行IR ,但在缺血前10 min腹腔注射5‐HD 5 mg/kg。各组于缺血前、缺血25 min、再灌注30、60、120 min记录大鼠心率(HR )、平均动脉压(MAP)。心肌缺血再灌注结束即刻采用 EB /TTC双重染色,称重法测定心肌梗死面积,比较各组心肌梗死面积发生情况。【结果】和A组相比,B组心肌梗死面积明显减小,且差异有显著性( P<0.05);C组、D组和E组心肌梗死面积无明显差异( P >0.05)。【结论】HO‐1和mitoKATP通道参与了吗啡预处理的延迟性心肌保护作用;mitoKATP通道既是启动因子又是效应器。“,”[Objective] To explore whether heme oxygenase‐1 (HO‐1) and mitochondrial ATP sensitive potas‐sium (mitoKATP ) channel are involved in morphine‐induced delayed cardioprotection .[Methods] Wistar rats were randomly divided into 5 groups .And 25 min regional ischemia plus 2 h reperfusion (IR) at 24 h post‐treatment of 0 .9% sodium chloride 5 mL in group IR;morphine 3mg/kg in group Mor ;HO‐1inhibitor ZnPP‐IX 20μg/kg plus morphine 3 mg/kg in group ZnPP+ Mor;mitoKATP channel antagonist 5‐hydroxydecanoic acid (5‐HD) 5 mg/kg plus morphine 3 mg/kg in group 5‐HD+Mor .In group Mor+5‐HD ,IR 24 h after morphine 3mg/kg and 10 min after 5‐HD 5 mg/kg .Heart rate (HR) and mean arterial blood pressure (MAP) were recorded at pre‐ischemia , 30 ,60 ,120 min post‐reperfusion .Infarct size (percentage area at risk) was assessed at the end of reperfusion .[Results] No statistical differences in HR or MAP existed among five groups .Infarct size was 60 .0% ± 10 .5% in group IR .Pretreatment with morphine reduced infarct size to 27 .4% ± 8 .2% after 24 h in group Mor .The reduc‐tion of infarct size by morphine was abolished by 5‐HD given either before morphine application or before ischemia . And cardioprotection was abolished by ZnPP‐IX given before morphine in group ZnPP+Mor .[Conclusion]Both HO‐1 and mitoKATP are probably involved in delayed cardioprotection evoked by morphine .And mitoKATP channel may serve as both a trigger and a effector in cardioprotection .