国际麻醉学与复苏杂志   2025, Issue (1): 0-0
    
丙泊酚对小鼠原位移植胶质瘤生长的影响及GAS5在其中的作用
程彦1()
1.山西省人民医院
Effect of propofol on the growth of orthotopic glioma in mice and the role of growth arrest‑specific transcript factor 5
 全文:
摘要:

目的 评价丙泊酚对小鼠原位移植胶质瘤生长的影响及生长阻滞特异性转录因子5(GAS5)在其中的作用。 方法 SPF级成年健康C57BL/6小鼠90只,按照随机数字表法分为5组(每组18只):对照组(C组)、脂肪乳处理组(L组)、丙泊酚处理组(P组)、GAS5‑短发夹RNA(shRNA)转染后丙泊酚处理组(GP组)和阴性shRNA转染后丙泊酚处理组(NP组)。C组小鼠接受正常GL261细胞颅内移植,L组小鼠接受正常GL261细胞颅内移植和20%脂肪乳注射干预,P组小鼠接受正常GL261细胞颅内移植和丙泊酚腹腔注射干预,GP组和NP组小鼠分别接受经GAS5‑shRNA和阴性shRNA转染的GL261细胞颅内移植和丙泊酚药物干预。注药期间监测小鼠收缩压、舒张压、心率和呼吸频率;观察并记录小鼠40 d内生存情况;观察期结束后取小鼠脑组织制作石蜡切片,苏木精‑伊红染色观察脑组织内GL261细胞成瘤情况及大小,脱氧核糖核苷酸末端转移酶介导的缺口末端标记法(TUNEL)检测瘤组织细胞凋亡情况,实时定量反转录聚合酶链反应(qRT‑PCR)检测瘤组织内GAS5水平,免疫荧光染色检测瘤组织中Ki67、c‑Myc和谷胱甘肽‑S‑转移酶Mu3(GSTM3)阳性细胞率。 结果 5组小鼠注药期间收缩压、舒张压、心率和呼吸频率差异均无统计学意义(均P>0.05)。5组小鼠全脑冠状位石蜡切片证实成瘤率100%,其中C组和L组小鼠移植瘤较大,越过中线生长,且可见较多坏死灶。与C组比较,L组小鼠40 d内生存率、中位生存时间、凋亡指数、GAS5水平及Ki67、c‑Myc和GSTM3阳性细胞率差异无统计学意义(均P>0.05);P组、NP组、GP组小鼠40 d内生存率较高,中位生存时间较长,凋亡指数较高,瘤组织内GAS5水平较高,Ki67、c‑Myc和GSTM3阳性细胞率较低(均P<0.05)。与P组比较,GP组小鼠40 d内生存率较低,中位生存时间较短,凋亡指数较低,瘤组织内GAS5水平较低,Ki67、c‑Myc和GSTM3阳性细胞率较高(均P<0.05)。 结论 丙泊酚能够抑制小鼠原位移植胶质瘤的生长,GAS5参与了这一过程。

关键词: 丙泊酚; 胶质瘤; 生长阻滞特异性转录因子5; 原位移植
Abstract:

Objective To evaluate the effect of propofol on the growth of orthotopic glioma in mice and the role of growth arrest‑specific transcript factor 5 (GAS5) in this process. Methods A total of 90 SPF‑grade healthy adult C57BL/6 mice were divided into five groups (n=18) using the random number table method: a control group (group C), a lipid emulsion treatment group (group L), a propofol treatment group (group P), a GAS5‑short hairpin RNA (shRNA) transfection followed by propofol treatment group (group GP), and a negative shRNA transfection followed by propofol treatment group (group NP). Mice in group C were intracranially transplanted with normal GL261 cells. Those in group L were intracranially transplanted with normal GL261 cells before injection of 20% lipid emulsion. Mice in group P were intracranially transplanted with normal GL261 cells before intraperitoneal injection of propofol. Groups GP and NP were intracranially transplanted with GL261 cells transfected with GAS5‑shRNA or negative shRNA before propofol intervention, respectively. During drug administration, systolic blood pressure, diastolic blood pressure, heart rate, and respiratory rate were monitored. Their survival within 40 d was recorded. After the observation period, mouse brain tissue was collected for paraffin embedding, and hematoxylin‑eosin staining was used to assess tumor formation and size of GL261 cells. Apoptosis of tumor cells was detected by terminal deoxynucleotidyl transferase‑mediated dUTP‑biotin nick end labeling (TUNEL) assay. The levels of GAS5 in tumor tissue were measured by real‑time quantitative reverse transcription polymerase chain reaction (qRT‑PCR). Ki67, c‑Myc, and glutathione‑S‑transferase Mu3 (GSTM3) positive rates in tumor tissue were determined by immunofluorescence. Results There were no statistical differences in systolic blood pressure, diastolic blood pressure, heart rate, or respiratory rate among the five groups during drug administration (all P>0.05). Tumor formation rate was 100% in all groups as confirmed by whole‑brain coronal paraffin sections. In groups C and L, the transplanted tumors were large, and crossed the midline, with numerous necrotic foci. Compared with group C, group L showed no statistical differences in 40‑day survival rate, median survival time, apoptosis indices, GAS5 levels in tumor tissue, or Ki67, c‑Myc, and GSTM3 positive rates (all P>0.05). In groups P, NP, and GP, 40‑day survival rates increased, median survival times were extended, apoptosis indices increased, GAS5 levels in tumor tissue were elevated, and Ki67, c‑Myc, and GSTM3 positive rates were reduced (all P<0.05). Compared with group P, group GP exhibited decreases in 40‑day survival rates, median survival times, apoptosis indices, GAS5 levels in tumor tissue, and increases in Ki67, c‑Myc, and GSTM3 positive rates (all P<0.05). Conclusions Propofol can inhibit the growth of orthotopic glioma in mice, and GAS5 is involved in this process.

Key words: Propofol; Glioma; Growth arrest‑specific transcription factor 5; Orthotopic transplantation