国际麻醉学与复苏杂志   2025, Issue (4): 0-0
    
基于大鼠DRG转录组整合分析探索芬太尼蛛网膜下腔应用的麻醉机制
杨亚宁, 周小红, 马婷, 顾英花, 陈嘉鑫, 叶青山, 海克蓉, 刘文勋1()
1.宁夏回族自治区人民医院
To explore the anesthesia mechanism of subarachnoid application of fentanyl based on DRG transcriptome integration analysis in rats
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摘要:

目的 通过观察芬太尼蛛网膜下腔麻醉对大鼠脊髓背根神经节(DRG)转录组表达的影响,探讨其可能的麻醉机制。方法 选择5~6周龄雄性SD大鼠6只,采用随机数字表法分为生理盐水组(N组),芬太尼组(F组),每组3只。分别蛛网膜下腔注射生理盐水20ul或等体积芬太尼后,提取脊髓背根神经节进行mRNA测序(mRNA sequencing, RNAseq),筛选差异表达基因。根据测序结果进行miRNAs筛选、聚类分析,在此基础上通过韦恩图筛选出芬太尼蛛网膜下腔注射对DRG作用的关键miRNAs,并对关键miRNAs进行基因本体(GO)分析、京都基因和基因组百科全书(KEGG)通路分析等进行靶基因预测。结果 在确定样本质量合格后,高通量测序检测出芬太尼蛛网膜下腔麻醉后大鼠脊髓背根神经节中58种基因显著上调,54种基因显著下调。通过GO、KEGG分析发现,芬太尼蛛网膜下腔麻醉过程中发生显著变化的通路主要与离子跨膜运输、钙通道释放活性、囊泡运输中的 SNARE(与CGRP分泌相关)有关。结论 芬太尼蛛网膜下腔麻醉后大鼠脊髓背根神经节miRNA表达显著改变。相关的功能变化分析提示,离子跨膜运输、钙通道释放活性、囊泡运输中的 SNARE(与CGRP分泌相关)等相关miRNA靶向基因可能参与了芬太尼蛛网膜下腔的麻醉调控。

关键词: 芬太尼;蛛网膜下腔麻醉;miRNA测序;麻醉机制
Abstract:

Objective By observing the effect of subarachnoid anesthesia of fentanyl on the transcriptomic expression of spinal dorsal root ganglion (DRG) in rats, the possible anesthesia mechanism was investigated. Methods Six male SD rats aged 5 to 6 weeks were selected and divided into normal saline group (group N) and fentanyl group (group F) by random number table method, with 3 rats in each group.After injection of 20ul of normal saline or equal volume of fentanyl into the subarachnoid space, extract the dorsal root ganglion of the spinal cord for mRNA sequencing (RNAseq) and screen for differentially expressed genes.According to the sequencing results, miRNAs were screened and cluster analysis was performed. On this basis, key miRNAs with subarachnoid injection of fentanyl on DRG were screened through Wayne diagram, and target genes were predicted by gene ontology (GO) analysis, Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis, etc. Results After determining the quality of the samples, high-throughput sequencing detected that 58 genes were significantly up-regulated and 54 genes were significantly down-regulated in spinal dorsal root ganglia of rats after subarachnoid anesthesia of fentanyl.By GO and KEGG analysis, it was found that the pathway with significant changes during subarachnoid anesthesia of fentanyl was mainly related to ion transmembrane transport, calcium channel release activity, SNARE(related to CGRP secretion) in vesicle transport. Conclusion After subarachnoid anesthesia with fentanyl, the expression of miRNA in dorsal root ganglia of spinal cord was significantly changed.Analysis of relevant functional changes suggested that related mirNA-targeting genes such as ion transmembrane transport, calcium channel release activity, SNARE(related to CGRP secretion) in vesicle transport may be involved in the anesthesia regulation of fentanyl subarachnoid space.

Key words: Fentanyl; Subarachnoid anesthesia; miRNA sequencing;Anesthesia mechanism