IGF-1对缺血性脑损伤大鼠脑内神经发生的影响

目的:建立大鼠单侧局灶脑缺血模型,观察胰岛素样生长因子-1(IGF-1)对局灶脑缺血后的鼠脑神经发生及增殖后细胞生存的影响.方法:用健康雄性SD大鼠建立大脑中动脉阻塞(MCAO)模型,随机分成假手术组,缺血对照组和IGF-1治疗组.各组再按不同的治疗时间分为7d、14d、28d、42d组.免疫组化法观察BrdU、PSA-NCAM的变化,免疫双标法观察BrdU/PSA-NCAM、BrdU/MAP2和BrdU/GFAP的共同表达变化.结果:BrdU标记细胞和PSA-NCAM标记细胞计数均在缺血后第7d最多,分别是缺血对照组的4.0倍和1.8倍,是假手术组的9.9倍和5.4倍.BrdU和PSA-NCAM双标细胞在缺血发生后双侧SVZ和DG区可以检测到,于第7d计数最多,之后逐渐降低;而BrdU和MAP2以及BrdU和GFAP双标细胞却从第14d开始逐渐增多,直到第42d.随着BrdU/PSA-NCAM双标阳性表达的逐渐降低,BrdU/MAP2双标阳性表达逐渐增高,呈现此消彼涨的变化.结论:IGF-1侧脑室注射后,在早期(7d内)诱导了缺血性脑损伤后神经细胞的增殖;在中期(7d-14d)诱导了新生细胞的迁移;在后期(14d后)伴随着迁移的进行新生细胞逐渐发生了分化.     

IGF-1对不同年龄缺血性脑损伤大鼠神经发生的影响

目的:检测胰岛素样生长因子-1(IGF-1)对青年和老年大鼠局灶脑缺血后神经发生及其后细胞生存的影响.方法:健康雄性SD青年鼠(3-4个月)和老年鼠(1年)随机分组,侧脑室注入IGF-1,1天后进行大鼠大脑中动脉阻塞(MCAO),对照组由生理盐水取代.采用BrdU标记方法鉴定MCAO后7d和28d的增殖细胞.BrdU于MCAO后第6d由腹腔注入.免疫组化法检测7天后BrdU、PSA-NCAM标记细胞和28天后BrdU、BrdU/MAP2双标细胞.结果:老年组中BrdU阳性细胞的数目7d后较对照组增加5.1倍;青年纽中BrdU阳性细胞的数目7d后较对照组增加5.5倍.28d后,BrdU阳性细胞的残留率在青年IGF-1处理组和老年IGF-1处理组中分别是79.2%和75.1%,分别相对于对照组的77.1%和52.3%.老年组中PSA-NCAM阳性细胞的数目7d后较对照组增加3.2倍;青年组中PSA-NCAM阳性细胞的数目7d后较对照组增加3.7倍.28d后,BrdU/MAP2阳性细胞在青年IGF-1处理组较对照组增加7.0倍,在老年IGF-1处理组较对照组增加4.9倍.结论:此结果提示局部应用IGF-1进行缺血前预处理,在青年鼠和老年鼠中均能诱导神经发生,且在老年鼠中能明显提高神经发生后的增殖细胞的生存率和向神经元分化的能力.这一研究结果将有助于研究IGF-1在中老年脑损伤病人中的治疗性应用.     

强制运动促进成年大鼠海马齿状回神经发生并提高学习能力

为了探讨强制运动对成年大鼠海马齿状回（dentate gyrus,DG）神经发生的影响,强制大鼠在马达驱动的转轮中跑步,用5-溴-2-脱氧尿苷（5-bromo-2-deoxyuridine,BrdU）标记增殖细胞,巢蛋白（neuroepthelial stem cell protein,nestin）标记神经干细胞／前体细胞,然后用免疫细胞化学技术检测大鼠DG中BrdU及nestin阳性细胞。为了解强制运动后DG增殖细胞的功能意义,采用Y-迷宫检测大鼠的学习能力。结果表明,强制运动组DG中BrdU及nestin阳性细胞数均日月显多于对照组（P〈0．05）：强制运动对DG神经发生的效应有强度依赖性。Y-迷宫检测结果显示,强制运动能明显改善大鼠的学习能力。结果提示,在转轮中进行强制跑步能促进成年火鼠DG的神经发生,并改善学习能力。     

人胚不同脑区神经前体细胞的分离培养及分化特性的比较

目的研究人胚不同脑区神经前体细胞(neural progenitor cells,NPCs)培养及增殖分化特性。方法取14-17周人胚脑区组织,分为新皮质、纹状体、间脑、中脑、后脑和延髓组,悬浮培养。鉴定细胞球巢蛋白抗原的表达,分化及自我更新能力。观察各脑区培养细胞的生长、增殖状况。新皮质、纹状体及间脑来源的神经球分化后,运用免疫荧光细胞化学法比较神经元及星形胶质细胞的比例。结果各脑区培养出的悬浮细胞球巢蛋白抗原阳性,可分化为MAP2或GFAP阳性细胞,且BrdU掺入实验阳性。体外培养第3d,纹状体及间脑组均可见大量神经球,且纹状体组明显多于间脑组;新皮质组传代后可见较多神经球;其它组仅见个别神经球。新皮质、纹状体、间脑来源的NPCs诱导分化后,MAP2或GFAP阳性细胞率各组间比较差异无显著性。结论人胚不同脑区均可培养出NPCs,从易到难依次为纹状体、间脑、新皮质及其它脑区。新皮质、纹状体、间脑来源的NPCs体外分化比例一致。     

大鼠局灶脑缺血/再灌注后骨髓内皮祖细胞动员轨迹的追踪

目的观察大鼠局灶脑缺血/再灌注后骨髓内皮祖细胞(EPCs)能否动员至外周血进而归巢到缺血脑区。方法线栓法制备局灶脑缺血/再灌注模型。130只SD雄性大鼠完全随机分为模型+生理盐水组、模型+DIL-acLDL组。荧光共聚焦技术观察1d后骨髓腔内细胞摄取DIL-acLDL的情况;1d、2d、3d、7d观察骨髓、外周血CD34+DIL-acLDL+双阳性细胞及缺血大脑皮质区DIL-acLDL+阳性细胞情况;免疫组织化学法比较各组大鼠大脑缺血侧及未缺血侧皮质区CD34+血管表达;荧光定量PCR法比较各组大鼠大脑缺血侧及未缺血侧皮质区CD34mRNA表达。结果生理盐水组荧光共聚焦结果为阴性,DIL-acLDL组1d后骨髓腔内观察到红色标记的DIL-acLDL+阳性细胞,并分别于1d、2d、3d、7d后在骨髓及外周血中观察到CD34+DIL-acLDL+双阳性细胞,在缺血大脑皮质区未检测到DIL-acLD L+阳性细胞,但3d、7d缺血大脑皮质侧CD34+血管及CD34m RNA的表达明显高于未缺血侧(P0.01,P0.05),且表达量均随时间的推移而增多(P0.01)。结论DIL-acLDL可标记活体大鼠骨髓腔内细胞,且骨髓腔内EPCs可动员至外周血并促大脑缺血皮质区血管再生。     

跑台训练通过bFGF/Caveolin-1/VEGF信号通路促进大鼠缺血半暗区神经血管再生

该文探讨跑台训练经b FGF/Caveolin-1/VEGF通路促进大鼠缺血半暗区神经血管再生的作用机制,为跑台训练在脑卒中类疾病中的应用提供实验依据及理论基础。动物分为假手术组(sham-operated,S)、模型组(model,M)、运动模型组(exercise model,EM)、b FGF模型组(b FGF model,b M)及b FGF运动模型组(b FGF exercise model,b EM)。大鼠局灶性脑缺血再灌损伤模型(MCAO)参照Belayev报道的线栓法复制。选取脑缺血半暗区组织,免疫荧光观察VEGFR-2/CD34、Brd U/Nestin双标阳性细胞数;Western blot检测Caveolin-1、VEGF和b FGF的表达。神经行为学评分显示,b EM组较同期EM、b M、M组为低(P0.05);免疫结果显示,缺血半暗区VEGFR-2/CD34、Brd U/Nestin双标阳性细胞数组内28 d组较7 d组阳性细胞数为低(P0.05),b EM7d组阳性细胞数较EM7d、b M7d、M7d组明显增高(P0.05);Western blot检测结果显示,缺血半暗区EM组较M组b FGF表达增多(P0.05),其中b EM7d组Caveolin-1、VEGF的Western blot图像灰度比值较EM7d、b M7d、M7d组明显增高(P0.05)。结果证明,外源性b FGF可上调脑缺血半暗区Caveolin-1和VEGF的表达;跑台训练经b FGF/Caveolin-1/VEGF通路促进脑缺血半暗区神经血管再生。     

PEP-1超氧化物歧化酶对大鼠脑缺血再灌注后Bcl-2的影响

目的：观察细胞穿透肽-铜,锌超氧化物歧化酶（PEP-1-SOD1）预处理对大鼠局灶性脑缺血再灌注损伤的改善作用及其脑保护机制。方法：线栓法建立大鼠局灶性脑缺血6h后再灌注损伤模型,进行神经行为评分,并通过HE染色在光镜下观察神经细胞损伤变化,免疫组化法检测B细胞淋巴瘤基因-2（B—celllymphoma-2,Bcl-2）蛋白的阳性表达。结果：盐水对照组（缺血再灌注组或模型组）神经障碍显著高于假手术组（P〈0．05）,与模型组相比,PEP-1-SOD1预处理组可降低神经障碍评分（P〈0．05）;光镜下,假手术组神经细胞结构正常,PEP-1-SDO1预处理组和缺血再灌注组均有不同程度的缺血再灌注损伤,PEP-1-SOD1预处理组较缺血再灌注组损伤轻;假手术组Bcl-2蛋白表达极弱,缺血再灌注组和PEP-1-SOD1预处理组在脑缺血再灌注后6h在缺血半暗带周围出现Bcl-2蛋白阳性表达,24h达到高峰,48h表达开始减少。与假手术组相比,PEP-1-SOD1预处理组和缺血再灌注组Bcl-2蛋白阳性细胞数显著增多（P〈0．05）;与缺血再灌注组相比,PEP-1-SOD1预处理组Bcl-2蛋白阳性细胞数显著增多（P〈0．05）。结论：PEP-1-SOD1对大鼠局灶性脑缺血再灌注损伤有保护作用,PEP-1-SOD1可通过上调Bcl-2蛋白的表达发挥脑保护作用。     

厄贝沙坦对局灶脑缺血作用的实验研究

目的：研究1型血管紧张素Ⅱ受体阻滞剂厄贝沙坦对局灶性脑缺血的神经保护作用及其可能的细胞机制。方法：在激光多谱勒脑血流监测仪对局部脑血流的监测下,应用线栓法建立大鼠大脑中动脉阻塞模型。药物经侧脑室内微泵持续灌注雄性正常血压大鼠,术后行神经功能评分,测定梗死体积,并运用免疫组化染色观察活性Caspase-3及其下游多聚ADP-核糖聚合酶（PARP）p85裂解片断的改变,结合TUNEL,比较各组细胞凋亡情况。结果：厄贝沙坦明显改善大鼠的神经功能评分,第7d的梗死体积较对照组减少了42％,用药后缺血区的TUNEL阳性细胞数．荧光标记的活性Caspase-3以及PARP p85裂解片断表达均明显减少。结论：厄贝沙坦可改善局灶脑缺血的神经功能,抑制细胞凋亡可能是其神经保护机制之一。     

惊厥后大鼠海马神经再生与凋亡的动态变化

探讨惊厥持续状态(status convulsion,SC)后大鼠海马神经再生与凋亡的动态变化。建立成年Wistar鼠30minSC模型,在SC后1天至56天的6个时间点上处死动物,处死前1天均腹腔注射5-溴2-脱氧尿嘧啶核苷(5-bromo-2-deoxyuridine,BrdU);采用免疫组织化学方法动态检测BrdU、nestin的表达,确定神经干细胞增殖水平;双重荧光染色标记nestin/TUNEL,确定新生神经干细胞存活时间。与对照组相比,BrdU阳性细胞数目于SC后第7天在CA1区达增殖高峰,28天降至正常水平;于SC后第28天在齿状回达增殖高峰,56天降至正常水平;在SC后第7天,CA3区有大量的BrdU阳性细胞;BrdU和nestin阳性细胞数目无统计学差异。在SC后的前3天,CA1区新增殖的神经细胞呈TUNEL阳性;齿状回新增殖细胞始终表现TUNEL阴性。上述结果提示:SC后能激活自体神经干细胞原位增殖,并且部分新生细胞向损伤区域迁移。     

大鼠局灶性脑缺血后不同时间点磷酸化Rb蛋白与凋亡神经元的共定位研究

目的探讨大鼠局灶性脑缺血后磷酸化Rb蛋白(p-Rb,ser 795)的表达定位与神经元凋亡的时空关系。方法制备大鼠大脑中动脉梗塞(MCAO)模型,分为假手术对照组、缺血1h再灌注12h,1d,3d,7d组。利用TUNEL法检测缺血周边区细胞凋亡情况;TUNEL与p-Rb荧光双标观察神经元凋亡与p-Rb表达、定位的关系。结果缺血半暗带内大部分TUNEL阳性细胞为神经元;大鼠MCAO再灌注12h和1d,TUNEL与p-Rb分别以重叠和镶嵌的方式共定位;再灌注3d,7d发生p-Rb核浆转移的神经元与TUNEL染色细胞仍然分别维持在高水平,但是两者却没有明显的共定位关系。结论 p-Rb可能参与短暂局灶脑缺血后神经元早期凋亡过程,间接或者不参与神经元晚期凋亡过程。     

Neurotransmitter synthesis in poststroke cortical neurogenesis in adult rats

Neurogenesis occurs in the cerebral cortex of adult rats after focal cerebral ischemia. Whether or not the newborn neurons could synthesize neurotransmitters is unknown. To elucidate such a possibility, a photothrombotic ring stroke model with spontaneous reperfusion was induced in adult male Wistar rats. The DNA duplication marker BrdU was repeatedly injected, and the rats were sacrificed at various times after stroke. To detect BrdU nuclear incorporation and various neurotransmitters, brain sections were processed for single/double immunocytochemistry and single/double/triple immunofluorescence. Stereological cell counting was performed to assess the final cell populations. At 48 h, 5 days, 7 days, 30 days, 60 days and 90 days after stroke, numerous cells were BrdU-immunolabeled in the penumbral cortex. Some of these were doubly immunopositive to the cholinergic neuron-specific marker ChAT or GABAergic neuron-specific marker GAD. As analyzed by 3-D confocal microscopy, the neurotransmitters acetylcholine and GABA were colocalized with BrdU in the same cortical cells. In addition, GABA was colocalized with the neuron-specific marker Neu N in the BrdU triple-immunolabeled cortical cells. This study suggests that the newborn neurons are capable of synthesizing the neurotransmitters acetylcholine and GABA in the penumbral cortex, which is one of the fundamental requisites for these neurons to function in the poststroke recovery.     

The HDAC inhibitor, sodium butyrate, stimulates neurogenesis in the ischemic brain

In the healthy adult brain, neurogenesis normally occurs in the subventricular zone (SVZ) and hippocampal dentate gyrus (DG). Cerebral ischemia enhances neurogenesis in neurogenic and non-neurogenic regions of the ischemic brain of adult rodents. This study demonstrated that post-insult treatment with a histone deacetylase inhibitor, sodium butyrate (SB), stimulated the incorporation of bromo-2'-deoxyuridine (BrdU) in the SVZ, DG, striatum, and frontal cortex in the ischemic brain of rats subjected to permanent cerebral ischemia. SB treatment also increased the number of cells expressing polysialic acid–neural cell adhesion molecule, nestin, glial fibrillary acidic protein, phospho-cAMP response element-binding protein (CREB), and brain-derived neurotrophic factor (BDNF) in various brain regions after cerebral ischemia. Furthermore, extensive co-localization of BrdU and polysialic acid–neural cell adhesion molecule was observed in multiple regions after ischemia, and SB treatment up-regulated protein levels of BDNF, phospho-CREB, and glial fibrillary acidic protein. Intraventricular injection of K252a, a tyrosine kinase B receptor antagonist, markedly reduced SB-induced cell proliferation detected by BrdU and Ki67 in the ipsilateral SVZ, DG, and other brain regions, blocked SB-induced nestin expression and CREB activation, and attenuated the long-lasting behavioral benefits of SB. Together, these results suggest that histone deacetylase inhibitor-induced cell proliferation, migration and differentiation require BDNF–tyrosine kinase B signaling and may contribute to long-term beneficial effects of SB after ischemic injury.     

Regional differences in enhanced neurogenesis in the dentate gyrus of adult rats after transient forebrain ischemia

Neurogenesis in the dentate gyrus occurs throughout life. We observed regional differences in neurogenesis in the dentate gyrus of adult rats following transient forebrain ischemia. Nine days after ischemic-reperfusion or sham manipulation, rats were given 5-bromo-2'-deoxyuridine-5'-monophosphate (BrdU), a marker for dividing cells. They were killed 1 or 28 days later to distinguish between cell proliferation and survival. Neurogenesis was evaluated by BrdU incorporation as well by identifying neuronal and glial markers in six regions of the dentate gyrus: rostral, middle and caudal along the rostrocaudal axis, each further divided into suprapyramidal and infrapyramidal blade subregions. In control rats BrdU-positive cells in the rostral subregions were significantly lower in the suprapyramidal than in the infrapyramidal blades at both 1 and 28 days after BrdU injection. One day after injection, BrdU-positive cells had increased more in five of the subregions in the ischemic rats than in the controls, the exception being the suprapyramidal blade of the rostral subregion. At 28 days after BrdU injection, numbers of BrdU-positive cells were higher in four subregions in the ischemic group, the exceptions being the rostral suprapyramidal and middle infrapyramidal blades. At 28 days after BrdU injection, the percentages of BrdU positive cells that expressed a neuronal marker (NeuN) were the same in the dentate granule cell layers of ischemic and control rats. Our data thus demonstrate regional differences in enhanced neurogenesis in the dentate gyrus of adult rats after transient forebrain ischemia.     

Ischemia-induced neurogenesis is preserved but reduced in the aged rodent brain

The adult mammalian brain retains the capacity for neurogenesis, by which new neurons may be generated to replace those lost through physiological or pathological processes. However, neurogenesis diminishes with aging, and this casts doubt on its feasibility as a therapeutic target for cell replacement therapy in stroke and neurodegenerative disorders, which disproportionately affect the aged brain. In previous studies, neurogenesis was stimulated by cerebral ischemia in young rodents, and the neurogenesis response of the aged rodent brain to physiological stimuli, such as hormonal manipulation and growth factors, was preserved. To investigate the effect of aging on ischemia-induced neurogenesis, transient (60 min) middle cerebral artery occlusion was induced in young adult (3-month) and aged (24-month) rats, who were also given bromodeoxyuridine to label newborn cells. As found in prior studies, basal neurogenesis in control, nonischemic rats was reduced with aging. Ischemia failed to stimulate neurogenesis in the dentate gyrus (DG) subgranular zone (SGZ), in contrast to results obtained previously after more prolonged (90-120 min) middle cerebral artery occlusion, but increased the number of BrdU-labeled cells in the forebrain subventricular zone (SVZ). This effect was less prominent in aged than in young adult rats, with fold-stimulation of BrdU incorporation reduced by approximately 20% and the total number of cells generated diminished by approximately 50%. BrdU-labeled cells in SVZ coexpressed neuronal lineage markers, consistent with newborn neurons. We conclude that ischemia-induced neurogenesis occurs in the aged brain, and that measures designed to augment this phenomenon might have therapeutic applications.     

Stroke-induced progenitor cell proliferation in adult spontaneously hypertensive rat brain: effect of exogenous IGF-1 and GDNF

Progenitor cells in the dentate gyrus of hippocampus (DG) and the subventricular zone of lateral ventricles (SVZ) generate new neurons throughout the life of mammals. Cerebral ischemia increases this basal progenitor cell proliferation. The present study evaluated the time frame of proliferation, length of survival and the phenotypes of the new cells formed after transient middle cerebral artery occlusion (MCAO) in adult spontaneously hypertensive rats. Compared to sham controls, ischemic rats showed a significantly higher number of newly proliferated cells (as defined by BrdU immunostaining) in both the DG (by fourfold, p < 0.05) and the SVZ (by twofold, p < 0.05). DG showed increased proliferation only in the first week of reperfusion and 49% of the cells formed in this period survived to the end of third week. Whereas, SVZ showed a continuous proliferation up to 3 weeks after MCAO, but the cells formed survived for less than a week. In both DG and SVZ, at the end of the first week of reperfusion, majority of the BrdU-positive (BrdU+) cells were immature neurons (DCX positive). In the DG, 28% of the cells formed in the first week after MCAO mature into neurons (NeuN positive). The ischemic cortex and striatum showed several BrdU+ cells which were ED-1 positive microglia/macrophages. At 1 week of reperfusion, MCAO-induced progenitor cell proliferation in the ipsilateral DG was significantly increased by i.c.v. infusion of IGF-1 (by 127 +/- 14%, p < 0.05) and GDNF (by 91 +/- 5%, p < 0.05), compared to vehicle. In the growth factor treated rats subjected to transient MCAO, several BrdU+ cells formed in the first week survived up to the third week.     

Chloride Co-transporter NKCC1 Inhibitor Bumetanide Enhances Neurogenesis and Behavioral Recovery in Rats After Experimental Stroke

Bumetanide, a selective Na⁺-K⁺-Cl^?-co-transporter inhibitor, is widely used in clinical practice as a loop diuretic. In addition, bumetanide has been reported to attenuate ischemia-induced cerebral edema and reduce neuronal injury. This study examined whether bumetanide could influence neurogenesis and behavioral recovery in rats after experimentally induced stroke. Adult male Wistar rats were randomly assigned to four groups: sham, sham treated with bumetanide, ischemia, and ischemia treated with bumetanide. Focal cerebral ischemia was induced by injection of endothelin-1. Bumetanide (0.2 mg/kg/day) was infused into the lateral ventricle with drug administration being initiated 1 week after ischemia and continued for 3 weeks. Behavioral impairment and recovery were evaluated by tapered/ledged beam-walking test on post-stroke days 28. Then, the rats were perfused for BrdU/DCX (neuroblast marker), BrdU/NeuN (neuronal marker), BrdU/GFAP (astrocyte marker), and BrdU/Iba-1 (microglia marker) immunohistochemistry. The numbers of neuroblasts in the subventricular zone (SVZ) were significantly increased after the experimentally induced stroke. Bumetanide treatment increased migration of neuroblasts in the SVZ towards the infarct area, enhanced long-term survival of newborn neurons, and improved sensorimotor recovery, but it did not exert any effects on inflammation. In conclusion, our results demonstrated that chronic bumetanide treatment enhances neurogenesis and behavioral recovery after experimentally induced stroke in rats.     

Folic acid stimulates proliferation of transplanted neural stem cells after focal cerebral ischemia in rats

Folic acid (FA) stimulates neural stem cell (NSC) proliferation in vitro and enhances hippocampal neurogenesis in rats after middle cerebral artery occlusion (MCAO). The effect of FA supplementation on exogenous NSCs transplanted in MCAO rats was observed to determine if FA can stimulate NSC replacement after focal cerebral ischemia. Rats were randomly assigned to 3 groups: MCAO; MCAO and exogenous NSC transplantation (MCAO+NSCs); and MCAO, NSC transplantation and FA (MCAO+NSCs+FA). FA (0.8 mg/kg) or vehicle was administered by gavage daily for 28 days before MCAO and 23 days afterward. NSCs were labeled with superparamagnetic iron oxide (SPIO) and bromodeoxyuridine (BrdU) prior to transplantation into the striatum, contralateral to the ischemic zone, at 2 days post-MCAO. Magnetic resonance imaging tracking and fluorescent immunohistochemistry, as well as measurement of serum folate concentration, were performed at intervals up to 21 days after transplantation. FA supplementation caused sustained increases of 400–600% in serum folate concentration. Magnetic resonance images indicated that SPIO-labeled NSCs were more abundant at the transplantation and ischemic brain sites in MCAO+NSCs+FA rats than in MCAO+NSCs rats. Similarly, immunohistochemistry showed that the numbers of Sox-2/BrdU double positive cells at the transplantation and ischemic sites were higher in the rats that received FA. In conclusion, after focal cerebral ischemia, FA supplementation stimulates transplanted NSCs to proliferate and migrate to ischemic sites.     

大鼠局灶性脑皮质缺血/再灌注对脑神经元损伤作用及瘦素受体表达的改变

目的:研究脑缺血/再灌注(I/R)损伤后瘦素受体(OB-R)表达的变化情况.方法:雄性成年Wistar大鼠20只,随机分成4组:假手术24 h、72 h对照组及I/R 24 h、72 h实验组.线栓法制备大鼠局灶性脑皮质I/R损伤模型,在脑I/R后相应时间点分别处死大鼠,采用免疫组织化学、免疫电镜方法观察大脑皮质OB-R的表达,在光镜及电镜下观察神经元损伤改变.结果:左顶叶皮质锥体细胞、血管内皮、脉络丛发现有OB-R阳性表达;与假手术对照组相比,I/R 24 h(I/R早期)锥体细胞OB-R免疫反应阳性细胞表达减少(P＜0.05),I/R 72 h(I/R晚期)锥体细胞OB-R免疫反应阳性细胞减少更明显(P＜0.001);光镜及电镜对缺血中心区神经元的观察均显示I/R晚期的神经元损伤明显重于早期.结论:脑I/R损伤后早期神经元损害和迟发性神经元损害均伴随有OB-R的表达减少,且迟发性神经元损害表达减少更明显,因此在脑梗塞的防治中有必要对瘦素及其OB-R的作用进一步研究.