文章摘要
利多卡因对糖尿病大鼠脊髓神经元的损伤作用
Injury effect of lidocaine on spinal cord neurons of diabetic rats
  
DOI:10.12089/jca.2023.03.013
中文关键词: 利多卡因  糖尿病  脊髓神经元  损伤
英文关键词: Lidocaine  Diabetes mellitus  Spinal cord neurons  Injury
基金项目:江西省自然科学基金资助项目(20192BAB205041);江西省教育厅科学技术研究项目(180135)
作者单位E-mail
樊晨璐 330006,南昌大学第一附属医院麻醉科  
陈陵 330006,南昌大学第一附属医院应急处  
张学康 330006,南昌大学第一附属医院麻醉科  
陈世彪 330006,南昌大学第一附属医院麻醉科  
郑小兰 330006,南昌大学第一附属医院麻醉科 615833628@qq.com 
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中文摘要:
      
目的 探讨利多卡因对糖尿病大鼠脊髓神经元的损伤作用。
方法 选择健康SPF级雄性SD大鼠30只、GK大鼠30只,12周龄,体重180~200 g。取大鼠脊髓神经元进行体外分离培养。采用随机数字表法将大鼠脊髓神经元分为四组:SD大鼠脊髓神经元组(C组)、SD大鼠脊髓神经元+利多卡因组(CL组)、GK大鼠脊髓神经元组(GK组)和GK大鼠脊髓神经元+利多卡因组(GKL组)。C组和GK组置于DMEM高糖培养基中,在37℃,5%CO2O培养箱内培养24 h,CL组和GKL组在相同条件下加入浓度为2 mmol/L的利多卡因培养24 h。采用Western blot法检测脊髓神经元中自噬相关蛋白PINK1、mTORC1、AMPK、p-AMPK、LC3Ⅱ和LC3Ⅰ含量,DCFH-DA法检测脊髓神经元中活性氧(ROS)含量,免疫荧光法检测脊髓神经元中PINK1和LC3含量。
结果 与C组比较,CL组、GK组和GKL组脊髓神经元PINK1、LC3含量和p-AMPK/AMPK、LC3Ⅱ/Ⅰ比值均明显升高(P<0.05),mTORC1含量明显降低(P<0.05),ROS含量明显升高(P<0.05)。与GK组比较,GKL组脊髓神经元PINK1、LC3含量和p-AMPK/AMPK、LC3Ⅱ/Ⅰ比值明显升高(P<0.05),mTORC1含量明显降低(P<0.05),ROS含量明显升高(P<0.05)。
结论 利多卡因诱导GK大鼠脊髓神经元的自噬相关蛋白的表达及ROS的释放,加重对GK大鼠脊髓神经元的损伤。
英文摘要:
      
Ojective To explore the injury effect of lidocaine in spinal cord neurons of diabetic rats.
Methods Thirty SPF healthy SD rats and thirty GK rats, aged 12 weeks, weighing 180-200 g were selected. The spinal cord neurons of rats were isolated and cultured in vitro, and randomly divided into four groups: spinal cord neurons of SD rats group (group C), spinal cord neurons of SD rats + lidocaine group(group CL), spinal cord neurons of GK rats group(group GK), and spinal cord neurons of GK rats + lidocaine group (group GKL). Spinal cord neurons in groups C and GK were placed in DMEM high glucose medium and cultured in an incubator with 5% CO2O at 37 ℃ for 24 hours. Lidocaine at a concentration of 2 mmol/L was added to groups CL and GKL, and then neurons in groups CL and GKL were cultured for 24 hours under the same conditions as groups C and GK. The content of autophagy-related proteins PINK1, mTORC1, AMPK, p-AMPK, LC3Ⅱ, and LC3Ⅰ in spinal cord neurons was measured by Western blot. The content of reactive oxygen species (ROS) in spinal cord neurons was detected by DCFH-DA. The content of PINK1 and LC3 in spinal cord neurons was measured by immunofluorescence.
Results Compared with group C, the content of PINK1, LC3, and p-AMPK/AMPK, LC3Ⅱ/Ⅰ level in groups CL, GK and GKL were significantly increased (P < 0.05), the content of mTORC1 was significantly decreased (P < 0.05), and the content of ROS was significantly increased (P < 0.05). Compared with group GK, the content of PINK1, LC3, and p-AMPK/AMPK,LC3Ⅱ/Ⅰ level in the group GKL were significantly increased (P < 0.05), the content of mTORC1 was significantly decreased (P < 0.05), and the content of ROS was significantly increased (P < 0.05).
Conclusion Lidocaine aggravates the damage to spinal cord neurons of GK rats by promoting the expression of autophagy-related proteins and the release of ROS.
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