实用医学杂志 ›› 2020, Vol. 36 ›› Issue (22): 3059-3064.doi: 10.3969/j.issn.1006⁃5725.2020.22.006

• 基础研究 • 上一篇    下一篇

mTOR抑制剂雷帕霉素对癫痫后脑损伤保护机制研究

周弟弥,甘露,周成芳,陈琳   

  1. 南华大学附属第二医院神经内科(湖南衡阳421001)
  • 出版日期:2020-11-25 发布日期:2020-12-14
  • 通讯作者: 甘露E⁃mail:ganuu1768@126.com
  • 基金资助:
    湖南省卫生健康委2019 年度科研计划课题项目(编号:B2019109);衡阳市科技局2018 年指导性项目(编号:S2018P9C31022243)

Protective mechanism of mTOR inhibitor Rapamycin on post ⁃ epileptic brain injury

ZHOU Dimi,GAN Lu,ZHOU Chengfang,CHEN Lin#br#   

  1. Department of Neurology,the Second Hospital,University of South China,Hengyang 421001,China
  • Online:2020-11-25 Published:2020-12-14
  • Contact: GAN Lu E⁃mail:ganuu1768@126.com

摘要:

目的 探讨mTOR 抑制剂雷帕霉素(Rapamycin,RAPA)对癫痫后脑损伤的保护作用及对PI3K/AKt 信号通路的调控机制。方法 40 只6~8 周龄SD 雄性大鼠随机分为4 组:Control 组、KA 组、KA+RAPA 5 mg/kg 组及KA+ RAPA 10 mg/kg 组,通过腹腔注射海人酸(Kanic acid,KA)制作大鼠癫痫模型,Control 组仅注射生理盐水。RAPA 在KA 诱导癫痫前2 h 腹腔注射给药。癫痫后24 h 处死大鼠,Westernblot和qRT⁃PCR 检测大脑皮层PI3K、AKt 和mTOR 蛋白和mRNA 表达;免疫组化染色观察小胶质细胞活化情况;Western blot检测炎症通路NF⁃kB和IL⁃6的表达。结果 (1)KA组大脑皮层中PI3K、AKt和mTOR蛋白和mRNA 的表达均较对照组显著增高;而RAPA 治疗后能抑制蛋白和mRNA 表达水平的增高(P < 0.05);(2)免疫组化染色可见KA组活化的小胶质细胞明显增多,而RAPA治疗后能减少活化的小胶质细胞;(3)KA 组大脑皮层中NF⁃kB 和IL⁃6 的蛋白表达显著增高,而RAPA 治疗后能抑制蛋白水平的增高;且RAPA10 mg/kg治疗作用更明显。结论 mTOR抑制剂RAPA能抑制癫痫后PI3K/AKt信号通路、小胶质细胞活化及减少炎症反应,从而对癫痫后脑损伤有保护作用。

关键词: 雷帕霉素, 癫痫, PI3K, AKt, 小胶质细胞

Abstract:

Objective To investigate the protective effect of mTOR inhibitor Rapamycin(RAPA)on post⁃epileptic brain injury and the regulation mechanism of PI3K/AKt signaling pathway. Methods 40 male Sprague⁃Dawley(SD)rats were randomly divided into 4 groups:control group,KA group,KA+RAPA 5 mg/kg group andKA+RAPA 10 mg/kg group. A model of epilepsy in rats was made by intraperitoneal injection of kanic acid(KA).The control group was injected with normal saline only. RAPA was administered intraperitoneally 2 h beforeKA⁃induced epilepsy. Rats were sacrificed 24 h after epilepsy and the cerebral cortex was removed. Western blotand qRT⁃ PCR was used to detect PI3K,AKt and mTOR protein and mRNA expression,Immunohistochemicalstaining was used to observe microglia activation;Western blot was used to detect the protein expression of NF⁃kBand IL⁃6 in the inflammation pathway. Results The protein and mRNA levels of PI3K、AKt and mTOR,theprotein levels of NF⁃kB and IL⁃6,microglia activation significantly increased after KA⁃induced epilepsy,but theseeffects were inhibited by RAPA treatment. Further analysis found the effect of RAPA dose 10 mg/kg is more obvious.Conclusions The mTOR inhibitor RAPA can decrease the PI3K/AKt signaling pathway,microglia activation andreduce inflammatory response after epilepsy,thus protecting brain damage after epilepsy.

Key words: RAPA, epilepsy, PI3K, AKt, microglia