| 摘要: | 
			 
		     | 目的观察大鼠惊厥持续状态后海马中 Toll 样受体 4(TLR4)、NF-κB 和半胱氨酸蛋白酶 -3(caspase-3)的动态表 达及神经细胞凋亡的变化,探讨吡咯烷二硫代氨基甲酸盐(PDTC)对惊厥后脑损伤的可能保护机制。 方法    将 106 只 SD 大鼠随机 分为 0.9%氯化钠组(A 组)、SC 组(B 组)和 PDTC 组(C 组),B 组根据大鼠惊厥后处死时间(4、24、48 和 72h),分为 B1~B4 组,B 组和 C 组大鼠惊厥持续状态模型的制作采用氯化锂 - 匹罗卡品法,C 组在大鼠制模成功后,每天腹腔注射 PDTC(100mg/kg)1 次,连用 3d,于惊厥后 72h 处死。电镜观察海马超微结构改变;免疫组化法测定大鼠海马 NF-κB/p65 的表达;RT-PCR 法检测海马 TLR4、 caspase-3 mRNA 表达的动态变化;TUNEL 法检测神经细胞凋亡数的变化。 结果    B 组大鼠海马神经元超微结构损伤存在动态变 化,72h 内病变进行性加重;C 组大鼠病理改变较 B4 组减轻。B1~B4 组海马神经元胞核内有不同程度 NF-кB/p65 的表达,且较 A 组 明显升高(P<0.05 或 0.01)。C 组较 B4 组 NF-κB/p65 表达明显下降(P<0.01)。B1~B4 组 TLR4、caspase-3 mRNA 的表达量均高 于 A 组 (P<0.05 或 0.01),且随时间延长逐渐升高,72h 达到高峰;C 组 TLR4、caspase-3 mRNA 的表达较 B4 组明显降低 (P< 0.05)。B 组在惊厥 24h 后海马 CA1 区 TUNEL 阳性细胞数已明显高于 A 组(P<0.01),72h 达高峰,而 C 组 TUNEL 阳性细胞数较 B4 组明显下降(P<0.01)。 结论    惊厥持续状态后大鼠海马 TLR4、NF-κB/p65 和 caspase-3 的表达增强。NF-κB 抑制剂 PDTC 可 以下调 TLR4 和 caspase-3 的表达,并使神经细胞凋亡减轻;提示 TLR4/NF-κB 信号通路在惊厥后海马细胞凋亡的发生、发展过程 中起促进作用。 | 
			
	         
				| 关键词:  惊厥    凋亡    Toll 样受体 4    NF-κB    半胱氨酸蛋白酶 -3    吡咯烷二硫代氨基甲酸盐 | 
			 
                | DOI: | 
            
                | 分类号: | 
			 
             
                | 基金项目:浙江省中医药科学研究基金计划 | 
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                | Effects  of  PDTC  on  expression  of  Toll-like  receptor  4,  caspase-3  and   neuron  apoptosis  in  hippocampus  of  status  convulsion  rats | 
           
			
                | ZHOU Qin,ZHANG Qin,LI Guangqian,ZHOU Suya | 
           
		   
		   
                | Zhejiang Provincial People’s Hospital | 
		   
             
                | Abstract: | 
			
                | Objective    To investigate the effects of pirrolidine dithiocarbamate  (PDTC) on expression of TLR4, NF-кB, caspase-3 and the change of neuron apoptosis in hippocampus of status convulsion rats.    Methods    One hundred and six male Sprague-Dawley(SD)rats were randomly divided into control group (A), convulsion group (B) and PDTC group (C). then group B were  randomly  divided  into  four  subset  groups   (B1-B4),  which  would  be  executed  at  4h,  24h,  48h,  72h  after  convulsion discontinued. Continuous epilepticus was induced by injecting lithium chloride and pilocarpine, and rats in group C were daily injected with 100mg/kg PDTC 30 min after convulsion discontinued for 3 days. The histopathological  changes in hippocampus were observed with electron microscope, NF-κB/p65 protein was detected by immunohistochemistry  (IHC), the expression of TLR4 and caspase-3 mRNA was detected by RT-PCR. The neuron apoptosis was examined by TUNEL.    Results    Neuronal injury was observed in group B with electron microscope, and the change was increased gradually after seizure induced; neuronal injury in  group C  was  milder  than  that  in  group  B  at  72h.  IHC  staining  showed  that  more  positive  expression  of  NF-кB/p65  was observed  in  nuclei  of  hippocampal  neurons  in  group  B,  compared  with  group  A   (P <0.05),  and  the  protein  expression  of NF-кB/p65 in group C was much lower than that in group B4  (P<0.01). The mRNA expression of TLR4 and caspase-3 in rat hippocampus of group B was significantly elevated than that in group A  (P<0.05); and the tendency was increased gradually reaching the peak at 72 h after seizure, and that in group C was much lower than that in B4 group  (P<0.01). The TUNEL positive cells in hippocampus CAl of groupB were more than those of group A at 24h after seizure  (P<0.01) reaching the peak at 72h; and the TUNEL positive cells in group C were lower than those in B4 group  (P<0.01).    Conclusion    The expression of TLR4, NF-кB and caspase-3 increased after SC in rats. PDTC can down-regulate the expression of TLR4 and caspase-3 and inhibit neuronal apoptosis in hippocampus of rats with pilocarpine-induced seizures.These results suggest that TLR4/NF-κB may have protec- tive effect on the development of the hippocampus apoptosis caused by status convulsion. | 
	       
                | Key words:  Convulsion    Apoptosis    Toll like receptor4    NF-κB    Caspase-3    PDTC |