国际麻醉学与复苏杂志   2024, Issue (9): 0-0
    
维生素D在改善七氟醚麻醉致老年小鼠认知功能障碍中的作用
张佳雷, 武杰, 杨永妍, 于泳浩1()
1.山西医科大学附属长治市人民医院
The role of vitamin D in improving cognitive dysfunction caused by sevoflurane anesthesia in aged mice
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摘要:

目的 探讨维生素D(VD)在改善七氟醚麻醉致老年小鼠认知功能障碍中的作用。 方法 清洁级健康12月龄C57BL/6J小鼠40只,采用随机数字表法分为4组(每组10只):对照组(C组)、正常老年小鼠+七氟醚组(S组)、VD(+)老年小鼠+七氟醚组[VD(+)组]和VD(−)老年小鼠+七氟醚组[VD(−)组]。采用骨化三醇灌胃构建VD(+)老年小鼠,采用避光及特殊饲料饲养构建VD(−)老年小鼠。S组、VD(+)组、VD(−)组小鼠在密闭环境中每日吸入60% O2与3%七氟醚混合气体,连续3 d;C组小鼠每日吸入60%O2,连续3 d。模型建立成功后第3天进行连续6 d的水迷宫实验,记录4组小鼠逃避潜伏期(第1~5天)与穿越平台次数(第6天)。取小鼠脑海马组织,采用酶联免疫吸附测定法检测VD含量,羟胺法测定超氧化物歧化酶(SOD)活性,钼酸铵比色法测定过氧化物酶(CAT)活性,硫代巴比妥酸法测定丙二醛(MDA)含量,采用免疫印迹法(Western blot)测定突触素(SYN)、突触后致密蛋白‑95(PSD‑95)的表达情况。 结果 与C组比较:VD(+)组小鼠海马组织中VD含量较高(P<0.05),VD(−)组小鼠海马组织中VD含量则较低(P<0.05),S组小鼠海马组织中VD含量差异无统计学意义(P>0.05);S组与VD(−)组小鼠水迷宫实验中第2~5天逃避潜伏期较长(均P<0.05),穿越平台次数较少(均P<0.05);VD(+)组小鼠第2天逃避潜伏期较长(P<0.05),第3~5天逃避潜伏期和穿越平台次数差异无统计学意义(均P>0.05);S组、VD(+)组和VD(−)组小鼠海马组织中MDA含量较高(均P<0.05),CAT和SOD活性较低(均P<0.05),SYN和PSD‑95表达均较低(均P<0.05)。与S组比较:VD(+)组小鼠第3~5天逃避潜伏期较短(均P<0.05),穿越平台次数较多(P<0.05),小鼠海马组织中MDA含量较低(P<0.05),CAT和SOD活性较高(均P<0.05),SYN和PSD‑95表达较高(均P<0.05);VD(−)组小鼠第2~5天逃避潜伏期较长(均P<0.05),穿越平台次数较少(P<0.05),小鼠海马组织中MDA含量较高(P<0.05),CAT和SOD活性较低(均P<0.05),SYN和PSD‑95表达较低(均P<0.05)。与VD(+)组比较:VD(−)组小鼠第2~5天逃避潜伏期较长(均P<0.05),穿越平台次数较少(P<0.05),小鼠海马组织中MDA含量较高(均P<0.05),CAT和SOD活性较低(均P<0.05),SYN和PSD‑95表达较低(均P<0.05)。 结论 VD通过减轻海马组织氧化应激,增强突触可塑性,改善七氟醚麻醉后老年小鼠认知功能障碍。

关键词: 维生素D; 七氟醚; 认知功能障碍; 小鼠
Abstract:

Objective To investigate the role of vitamin D (VD) in improving cognitive dysfunction caused by sevoflurane anesthesia in aged mice Methods A total of 40 clean‑grade healthy 12‑month‑old C57BL/6J mice were utilized. According to the random number table method, they were divided into four groups (n=10): a control group (group C), a normal aged mice + sevoflurane group (group S), a VD(+) aged mice + sevoflurane group [group VD(+) ] and a VD(−) aged mice + sevoflurane group [group VD(−) ]. The VD(+) aged mice were established by gavage with osteotriol, while the VD(−) aged mice were constructed by feeding with special feeds, without light. Mice in groups S, VD(+), and VD(−) inhaled a mixture of 60% O2 and 3% sevoflurane daily in an airtight environment for three consecutive days, while those in group C inhaled 60% O2 daily for three consecutive days. On day 3 after successful modeling, the water maze test was conducted for six consecutive days. The escape latency (day 1 to day 5) and the number of platform crossings (day 6) were recorded for the four groups of mice. Mouse hippocampal tissues were taken, and the VD content was detected by enzyme‑linked immunosorbent assay, the activity of superoxide dismutase (SOD) was measured by hydroxylamine method, the activity of catalase (CAT) was measured by sodium molybdate colorimetry, the content of malondialdehyde (MDA) was measured by thiobarbituric acid method, the expression of synaptophysin (SYN) and post‑synaptic density‑95 (PSD‑95) were measured by Western blot. Results Compared with group C: group VD(+) showed increased VD content in hippocampal tissues of mice (P<0.05), while decreased VD content was seen in group VD(−) (P<0.05); there was no statistical difference in VD content in group S (P>0.05); group S and group VD(−) presented prolonged escape latency on days 2 to 5 (all P<0.05), with a reduced number of platform crossings (all P<0.05); group VD(+) showed a prolonged escape latency on day 2 (P<0.05), without statistical differences in escape latency and the number of platform crossings on days 3 to 5 (all P>0.05); the S, VD(+) and VD(−) groups presented increased MDA content (all P<0.05), decreased CAT and SOD activities (all P<0.05), and reduced SYN and PSD‑95 expression (both P<0.05). Compared with group S, group VD(+) showed shorten escape latency on days 3 to 5 (all P<0.05), with a increased number of platform crossings (P<0.05), reduced MDA content (all P<0.05), increased CAT and SOD activities (all P<0.05), and increased SYN and PSD‑95 expression (all P<0.05); group VD(−) showed prolonged escape latency on days 2 to 5 (all P<0.05), with a reduced number of platform crossings (P<0.05), increased MDA content (all P<0.05), decreased CAT and SOD activities (all P<0.05), and reduced SYN and PSD‑95 expression (all P<0.05). Compared with group VD(+), group VD(−) showed prolonged escape latency on days 2 to 5 (all P<0.05), with a reduced number of platform crossings (P<0.05), increased MDA content (all P<0.05), decreased CAT and SOD activities (all P<0.05), and reduced SYN and PSD‑95 expression (all P<0.05). Conclusions VD improves cognitive dysfunction in aged mice after sevoflurane anesthesia by reducing oxidative stress in the hippocampus and enhancing synaptic plasticity.

Key words: Vitamin D; Sevoflurane; Cognitive dysfunction; Mouse