中国神经再生研究(英文版) ›› 2014, Vol. 9 ›› Issue (6): 622-629.doi: 10.4103/1673-5374.130107

• 原著:脑损伤修复保护与再生 • 上一篇    下一篇

血管加压素在心肺复苏过程中

  

  • 收稿日期:2014-01-10 出版日期:2014-03-22 发布日期:2014-03-22

Vasopressin decreases neuronal apoptosis during cardiopulmonary resuscitation

Chi Ma 1, Zhe Zhu 2, Xu Wang 3, Gang Zhao 1, Xiaoliang Liu 4, Rui Li 2   

  1. 1 Department of Neurosurgery, the First Hospital, Jilin University, Changchun, Jilin Province, China
    2 Center for Hand and Foot Surgery and Reparative and Reconstructive Surgery, Orthopedics Hospital, the Second Hospital, Jilin University, Changchun, Jilin Province, China
    3 Department of Neurology, the First Hospital, Jilin University, Changchun, Jilin Province, China
    4 Emergency Medicine, the First Hospital, Jilin University, Changchun, Jilin Province, China
  • Received:2014-01-10 Online:2014-03-22 Published:2014-03-22
  • Contact: Xiaoliang Liu, M.D., Emergency Medicine, the First Hospital, Jilin University, Changchun 130021, Jilin Province, China, xiaoliangliu2005@163.com. Rui Li, M.D., Center for Hand and Foot Surgery and Reparative and Reconstructive Surgery, Orthopedics Hospital, the Second Hospital, Jilin University, Changchun 130041, Jilin Province, China, 13304321102@qq.com.

摘要:

美国心脏协会和欧洲复苏学会近来推荐血管加压素取代肾上腺素作为心肺复苏用药。但血管加压素在脑复苏中的作用如何,指南中没有说明。实验对窒息心脏骤停模型大鼠进行心肺复苏过程中腹腔注射肾上腺素和/或血管加压素。结果发现,与单独使用肾上腺素治疗相比,血管加压素单独或联合肾上腺素治疗大鼠大脑组织中神经细胞的病理损害减轻,海马组织中JNK和P38表达明显降低;而血管加压素单独与其联合肾上腺素治疗的复苏效果无明显差异。提示血管加压素单独或联合肾上腺素更能够抑制心肺复苏过程中MAPK信号通路以及JNK信号通路的激活,减少脑神经元的凋亡。

关键词: 神经再生, 脑损伤, 心肺复苏, 肾上腺素, 血管加压素, 氨基末端激酶, P38丝裂原活化蛋白酶, 心脏骤停

Abstract:

The American Heart Association and the European Resuscitation Council recently recommended that vasopressin can be used for cardiopulmonary resuscitation, instead of epinephrine. However, the guidelines do not discuss the effects of vasopressin during cerebral resuscitation. In this study, we intraperitoneally injected epinephrine and/or vasopressin during cardiopulmonary resuscitation in a rat model of asphyxial cardiac arrest. The results demonstrated that, compared with epinephrine alone, the pathological damage to nerve cells was lessened, and the levels of c-Jun N-terminal kinase and p38 expression were significantly decreased in the hippocampus after treatment with vasopressin alone or the vasopressin and epinephrine combination. No significant difference in resuscitation effects was detected between vasopressin alone and the vasopressin and epinephrine combination. These results suggest that vasopressin alone or the vasopressin and epinephrine combination suppress the activation of mitogen-activated protein kinase and c-Jun N-terminal kinase signaling pathways and reduce neuronal apoptosis during cardiopulmonary resuscitation.

Key words: nerve regeneration, brain injury, cardiopulmonary resuscitation, epinephrine, vasopressin, c-Jun N-terminal kinase, p38 mitogen activated protein kinase, cardiac arrest, neural regeneration