RRx-001对吉兰-巴雷综合征大鼠模型的保护作用及机制研究
作者:
作者单位:

1.蚌埠医学院第一附属医院神经内科,安徽 蚌埠 233004;2.蚌埠医学院检验医学院核医学教研室,安徽 蚌埠 233030

作者简介:

高远(1993―),男,主治医师,主要从事神经脑血管病的研究,Email:770574659@qq.com。

通信作者:

时鹏(1981―),男,副教授,主要从事神经自身免疫性疾病的研究,Email:niandi07@sohu.com。

基金项目:

安徽省高校自然科学研究重点项目(KJ2020A0570);安徽省高校自然科学研究重大项目(KJ2021ZD0084);蚌埠医学院自然科学基金重点项目(2021byzd049);安徽省临床医学转化项目(202304295107020075);蚌埠医学院大学生创新创业训练计划项目(S202210367057)。


Protective effect of RRx-001 on a rat model of Guillain-Barré syndrome and related mechanism
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Affiliation:

1.Department of Neurology, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China;2.Department of Nuclear Medicine, College of Laboratory Medicine, Bengbu Medical College, Bengbu, Anhui 233030, China

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    摘要:

    目的 探讨RRx-001对实验性自身免疫性神经炎(EAN)的保护作用及机制的影响。方法 采用人工合成P253~78肽段与完全弗氏佐剂混合免疫Lewis大鼠建立EAN模型,RRx-001腹腔注射给药。实验分为3组:对照组、模型组和实验组。通过检测大鼠体重和临床评分,评估病情进展。采用透射电镜观察坐骨神经脱髓鞘变化。检测血液异硫氰酸荧光素―右旋糖酐,评估肠道屏障通透性。检测肠道一氧化氮(NO)、谷胱甘肽(GSH)和超氧化物歧化酶(SOD),评估氧化应激水平。采用ELISA试剂盒检测白细胞介素(IL)-1β、IL-18和肿瘤坏死因子α(TNF-α)表达情况。采用流式细胞术分析CD3+ T细胞、CD3+CD4+ T细胞、CD3+CD8+ T细胞、CD4+CD44H+ T细胞、CD4+CD62L+ T细胞和CD11b+F4/80+巨噬细胞。结果 与模型组相比,RRx-001可以减少EAN大鼠体重丢失、降低临床评分(P<0.05);缓解坐骨神经脱髓鞘;提高SOD活力,降低IL-1β和TNF-α表达水平,减轻肠道损伤而改善肠通透性(P<0.001);降低CD4+ T/CD8+ T淋巴细胞和CD11b+F4/80+ 巨噬细胞比例,提升CD3+ T淋巴细胞的比例(P<0.05)。结论 RRx-001可以改善EAN大鼠临床症状,其机制可能与调节免疫细胞活化和抑制炎症因子释放有关,发挥对EAN大鼠的保护作用。国际神经病学神经外科学杂志, 2023, 50(6): 1-6]

    Abstract:

    Objective To investigate the protective effect of RRx-001 on experimental autoimmune neuritis (EAN) and related mechanism.Methods Lewis rats were immunized with a synthetic P253-78 peptide mixed with complete Freund’s adjuvant to establish a model of EAN, and RRx-001 was administered by intraperitoneal injection. The rats were divided into control group, model group, and experimental group. Body weight and clinical score were determined to assess disease progression; transmission electron microscopy was used to observe the demyelination of sciatic nerve; blood fluorescein isothiocyanate (FITC)-dextran level was measured to assess intestinal barrier permeability; the levels of nitric oxide (NO), glutathione (GSH), and superoxide dismutase (SOD) in the intestinal tract were measured to assess the level of oxidative stress; ELISA kits were used to measure the expression levels of interleukin-1β (IL-1β), interleukin-18 (IL-18), and tumor necrosis factor-α (TNF-α); flow cytometry was used to analyze CD3+ T cells, CD3+CD4+ T cells, CD3+CD8+ T cells, CD4+CD44H+ T cells, CD4+CD62L+ T cells, and CD11b+F4/80+ macrophages.Results Compared with the model group, RRx-001 reduced the weight loss and clinical score of EAN rats (P<0.05), alleviated sciatic nerve demyelination, and improved intestinal permeability by increasing the activity of SOD, reducing the expression levels of IL-1β and TNF-α, and alleviating intestinal damage (P<0.001); it also reduced the percentages of CD4+ T/CD8+ T lymphocytes and CD11b+F4/80+ macrophages and increased the percentage of CD3+ T lymphocytes (P<0.05).Conclusions RRx-001 can improve the clinical symptoms of EAN rats and exert a protective effect on EAN rats possibly by regulating the activation of immune cells and inhibiting the release of inflammatory factors. [Journal of International Neurology and Neurosurgery, 2023, 50(6): 1-6]

    表 4 脾脏流式细胞术检测Table 4
    表 1 血液FITC-Dextran水平Table 1
    表 2 肠道组织SOD、NO、GSH水平Table 2
    图1 RRx-001处理对大鼠体重和临床评分的影响Fig.1
    图2 大鼠坐骨神经透射电镜检测(上图为坐骨神经纤维轴突;红色箭头指示处为髓鞘板层;放大倍数:3.0 K。)Fig.2
    Fig.
    图1 RRx-001处理对大鼠体重和临床评分的影响Fig.1
    图2 大鼠坐骨神经透射电镜检测(上图为坐骨神经纤维轴突;红色箭头指示处为髓鞘板层;放大倍数:3.0 K。)Fig.2
    Fig.
    表 3 肠道组织炎症因子水平 [(x-±s);(pg/mL)]Table 3
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高远,李煜,武心语,杨慧,朱正杨,年娣,时鹏456. RRx-001对吉兰-巴雷综合征大鼠模型的保护作用及机制研究[J].国际神经病学神经外科学杂志,2023,50(6):1-6111GAO Yuan, LI Yu, WU Xinyu, YANG Hui, ZHU Zhengyang, NIAN Di, SHI Peng222. Protective effect of RRx-001 on a rat model of Guillain-Barré syndrome and related mechanism[J]. Journal of International Neurology and Neurosurgery,2023,50(6):1-6

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  • 收稿日期:2023-06-29
  • 最后修改日期:2023-11-14
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  • 在线发布日期: 2024-06-20
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