不同年龄大鼠血清抗中肾旁管激素水平与卵巢储备功能的关系

目的探讨不同年龄组雌性大鼠血清抗中肾旁管激素（AMH）变化的规律和原因,探讨AMH在预测卵巢储备功能方面的作用。方法SD雌性大鼠分为幼年组、成年组和老年组。运用ELISA和免疫荧光化学方法,检测血清和卵巢中AMH的表达。结果血清AMH水平,幼年组5.26±0.13 ng/mL,成年组2.34±0.11 ng/mL,老年组0.69±0.04 ng/mL,随年龄增长显著降低（P〈0.001）。卵巢中AMH阳性卵泡的数量,幼年组19.5±1.3,成年组10.8±1.5,老年组3.8±0.6,随年龄增长显著降低（P〈0.001）。结论随着大鼠年龄增长,卵巢中分泌AMH的生长卵泡数量减少,使血清AMH水平下降,提示卵巢储备功能下降。AMH是一个较好的检测卵巢储备功能的指标。     

红毛五加多糖单一组分AHP-Ⅲ对巨噬细胞的免疫调节作用及其机制

探讨红毛五加多糖(Acanthopanax giraldii Hams polysaccharide)单一组分AHP-Ⅲ(Acanthopanax giraldii Hams polysaccharideⅢ)对小鼠巨噬细胞RAW 264.7的激活作用及机制。不同浓度AHP-Ⅲ作用RAW 264.7细胞,中性红试验检测细胞吞噬能力;ELISA和Griess法检测其IL-6、TNF-α和NO的释放量;RT-qPCR检测iNOS、TNF-α和IL-6 mRNA相对表达水平;Western blot检测NF-κB信号通路相关蛋白磷酸化水平。在实验浓度范围内,AHP-Ⅲ可显著增强RAW 264.7细胞的吞噬能力(P<0.05);促进RAW 264.7分泌NO、TNF-α和IL-6(P<0.05或P<0.001);并显著增加RAW 264.7细胞中IL-6、TNF-α和iNOS mRNA的表达量,呈剂量依赖性;Western blot结果表明,AHP-Ⅲ作用RAW 264.7细胞后,NF-κB中的p65、IKKβ、IκBα磷酸化水平明显升高。结果显示红毛五加多糖AHP-Ⅲ对小鼠巨噬细胞RAW 264.7具有显著激活作用。     

骨形成蛋白9对人膀胱癌BIU-87细胞增殖和迁移的影响

目的:人骨形成蛋白9(bone morphogenetic protein 9,BMP9)对人膀胱癌BIU-87细胞增殖和迁移的影响。方法:使用过表达BMP9基因的腺病毒(AdBMP9)感染BIU-87细胞,采用定量PCR检测BMP9 mRNA的表达,Western blot检测BMP9蛋白及BMP9下游相关信号通路蛋白的表达;MTT及集落形成实验检测BIU-87细胞增殖能力;划痕愈合实验及Transwell ^TM小室迁移实验检测BIU-87细胞迁移能力。结果:感染AdBMP9后,BIU-87细胞中BMP9的mRNA水平和蛋白质水平均显著增加;过表达BMP9后,BIU-87细胞的体外增殖和迁移能力明显增加;Western blot结果显示BMP9可明显激活AKT信号通路。结论:高表达BMP9可能通过激活AKT信号通路促进人膀胱癌BIU-87细胞的增殖和迁移。     

藁本内酯衍生物抑制大鼠软骨细胞凋亡和炎症的作用及机制

该研究探究藁本内酯衍生物(LIGc)对IL-1β(10 ng/mL)诱导大鼠软骨细胞凋亡和炎症的作用及机制。将大鼠软骨细胞分为Control组、IL-1β组及LIGc高、中、低剂量组。除Control组外,其余组均采用IL-1β诱导建立软骨细胞炎症模型, LIGc高、中、低剂量组分别加入0.4、0.2、0.1μmol/mL的LIGc干预24 h。CCK-8检测LIGc对大鼠软骨细胞活性的影响; Hoechst 33258染色观察大鼠软骨细胞凋亡情况; Western blot检测细胞中Bcl-2、Caspase-3、TLR4、NF-κB p65蛋白表达情况; RTq PCR检测COX-2、HMGB1 mRNA的表达水平。研究发现不同浓度LIGc对大鼠软骨细胞的存活率无显著影响;与Control组相比, IL-1β组细胞凋亡水平明显升高; Caspase-3蛋白表达水平显著升高(P<0.01), Bcl-2蛋白表达水平显著降低(P<0.01)。COX-2、HMGB1 mRNA表达水平均显著升高(P<0.01); TLR4、NF-κB p65蛋白表达水平显著升高(P<...     

卵巢癌患者阴道微生物群变化及其与抗缪勒管激素和唾液酸水平的相关性

目的 探讨卵巢癌患者阴道微生物群变化特征及其与抗缪勒管激素（anti-Müllerian hormone,AMH）和唾液酸（SA）水平的相关性。方法 选取我院73例卵巢癌患者为肿瘤组,56例卵巢良性肿瘤患者为良性组,另选取同期50名健康体检者为对照组。对各组对象阴道微生物群、血清人附睾蛋白4(HE4)、AMH、SA进行检测并比较分析,同时对阴道菌群与HE4、AMH、SA水平之间的相关性进行分析。结果 肿瘤组患者除淋病奈瑟菌外,滴虫、乳杆菌阴性、真菌检出率均高于良性组和对照组（均P<0.05）。肿瘤组患者免疫功能显著低于良性组和对照组,同时良性组显著低于对照组（均P<0.05）。肿瘤组患者HE4、SA水平显著高于良性组和对照组,AMH水平显著低于良性组和对照组（均P<0.05）,而良性组和对照组间上述指标水平差异无统计学意义（均P>0.05）。Pearson检验显示,卵巢癌患者阴道微生物群失调与HE4、SA水平呈正相关,与AMH水平呈负相关（均P<0.05）。结论 卵巢癌患者阴道微生物群显著失调,阴道感染率高;患者HE4、SA水平越高,AMH水平越低,其阴道...     

水苏碱调节CXCL12/CXCR4轴对子宫内膜癌细胞增殖、迁移和侵袭的影响

该研究主要探讨水苏碱(STA)对子宫内膜癌(EC)细胞增殖、侵袭和迁移的影响以及对CXCL12/CXCR4轴的调节机制。将EC细胞分为对照组(Control组)、CXCL12/CXCR4抑制剂组(AMD 3100组)、STA-L组(STA-L)、STA-H组(STA-H)、STA-H+CXCL12组。采用CCK-8检测细胞增殖情况;克隆形成实验检测细胞克隆能力;流式细胞术检测细胞凋亡情况; Transwell实验检测细胞的迁移和侵袭能力; Western blot检测细胞中上皮钙黏蛋白(E-cadherin)、波形蛋白(Vimentin)、CXCL12、CXCR4蛋白的表达情况;建立小鼠EC移植瘤模型并观察各组小鼠的肿瘤生长情况。结果发现与Control组相比, AMD 3100组和STA处理组细胞增殖活性、克隆数量、迁移和侵袭数以及Vimentin、CXCL12、CXCR4蛋白表达水平降低,细胞凋亡率和E-cadherin蛋白表达水平升高(P<0.05);与STA-H组相比, STA-H+CXCL12组细胞的增殖活性、克隆数量、迁移和侵袭数以及Vimentin、CXCL12、C...     

Nanog 基因在卵巢癌和卵巢肿瘤干细胞中的表达及意义

目的:探讨胚胎干细胞关键因子Nanog基因mRNA及其蛋白在卵巢癌和卵巢癌肿瘤干细胞中的表达及意义。方法:选取10例正常卵巢上皮组织、10例卵巢良性肿瘤及60例卵巢癌组织,采用逆转录酶-聚合酶链反应(RT-PCR)方法和免疫组织化学PV-6000两步法检测Nanog mRNA和蛋白表达水平;采用无血清悬浮培养法从SKOV-3卵巢癌细胞株中分离培养肿瘤干细胞,流式细胞术鉴定肿瘤干细胞CD117表达,采用RT-PCR和Western Blot方法检测SKOV-3卵巢癌细胞及肿瘤干细胞中NanogmRNA及其蛋白的表达水平。结果:Nanog mRNA在卵巢癌组织中的表达水平均高于正常卵巢组织和卵巢良性肿瘤组织(P<0.05);Nanog mRNA在不同分化程度及临床分期的卵巢癌组织中表达水平不同,低分化组高于高分化组(P<0.05);III-IV期高于I-II期(P<0.05);免疫组化结果同RT-PCR。从SKOV-3卵巢癌细胞株中成功分离出肿瘤干细胞,SKOV-3卵巢癌细胞和肿瘤干细胞Nanog mRNA相对含量分别为0.6044±0.0368,0.8736±0.0537,差异具有统计学意义(P<0.05),两种细胞Nanog蛋白相对含量分别为0.6364±0.0169 1.2788±0.0314,差别具有统计学意义(P<0.05)。结论:Nanog基因在卵巢癌组织和SKOV-3细胞系中均高表达,其在组织中的表达强度与临床分期及病理分级关系密切,且在肿瘤干细胞中表达高于一般卵巢癌细胞,其与卵巢癌的发生发展关系密切,可能是卵巢癌干细胞的表面标志物,有望成为新的标志物。     

Caspase-4非经典炎症小体对问号钩体诱导THP-1细胞炎症因子分泌水平的影响

目的 了解Caspase-4非经典炎症小体在问号钩体诱导THP-1细胞炎性细胞因子分泌过程中的作用。方法 采用问号钩体感染THP-1细胞(预先经佛波酯刺激分化为巨噬细胞)建立细胞模型,用实时荧光PCR扩增检测caspase-4、IL-18、IL-1β和IL-1αmRNA水平,Western blotting检测Caspase-4蛋白表达,ELISA定量检测细胞上清中IL-18、IL-1β和IL-1α分泌情况。结果 实时荧光PCR和Western blotting显示,与未感染细胞比较,THP-1细胞Caspase-4 mRNA及蛋白表达水平均升高(t=46.03、29.36,均P<0.05),Caspase-4 siRNA转染后,Caspase-4 mRNA及蛋白表达水平显著下降(t=32.48、30.77,均P<0.01);钩体感染后,IL-18、IL-1β和IL-1αmRNA水平显著升高(t=25.70、26.13、19.94,均P<0.05),在Caspase-4特异性阻断后显著下降(t=11.55、44.68、15.68,均P<0.05);ELISA检测...     

环磷酰胺辅助化疗对不同年龄乳腺癌患者卵巢功能的损伤情况及机制研究

目的:以月经变化情况及血清激素水平为观察指标,探讨环磷酰胺辅助化疗方案对绝经前不同年龄段乳腺癌患者卵巢功能的损伤情况及可能的机制研究.方法:收集2017年1月至2018年12月期间在我院接受环磷酰胺辅助化疗的绝经前乳腺癌患者77例.患者年龄范围为26-48岁,并按年龄分为两组:≤ 35岁组为16例;＞35岁组为61例....     

脐带间充质干细胞对卵巢早衰家兔的治疗效果及机制研究

摘要 目的：分析脐带间充质干细胞对卵巢早衰家兔的治疗效果及机制研究。方法：经腹腔连续注射 2 d 环磷酰胺50 mg/（kg?d）建立卵巢早衰家兔模型。将建模成功的10只家兔随机分成模型组和治疗组,每组5只。建模一周后,治疗组家兔每天经耳缘静脉注射5×10⁶/mL脐带间充质干细胞混悬液2 mL,连续注射3 d。模型组家兔经耳缘静脉注射等量无菌生理盐水。于治疗后 0 d、7 d、14 d和28 d,取家兔静脉血检查血清激素表达水平。于治疗后28 d,检测家兔卵巢中生长卵泡数、封闭卵泡数、黄体数、富半胱氨酸蛋白61（CYR61）和结缔组织生长因子（CTGF）mRNA及蛋白质相对表达量。结果：治疗前,模型组和治疗组家兔血清雌二醇（E₂）、促卵泡生成素（FSH）、FSH/黄体生成素（LH）、抑制素B（INHB）和抗苗勒管激素（AMH）、均无显著差异（P＞0.05）。与模型组相比,治疗后治疗组家兔血清E₂和INHB水平显著上升（P＜0.05）,FSH水平显著下降（P＜0.05）,FSH/LH均无显著差异（P＞0.05）。随着治疗时间延长,治疗组家兔血清E₂和FSH水平周期性波动。治疗28 d后,与模型组相比,治疗组家兔血清AMH水平显著升高（P＜0.05）;卵巢组织中CYR61和CTGF mRNA及蛋白质相对表达量均显著升高（P＜0.05）;生长卵泡数显著升高（P＜0.05）;封闭卵泡数和黄体数均显著降低（P＜0.05）。结论：静脉注射脐带间充质干细胞可通过上调CYR61和CTGF的表达,促进卵泡生成,恢复卵巢功能,达到治疗卵巢早衰的临床效应。     

Vitamin D regulates anti-Mullerian hormone expression in granulosa cells of the hen

Anti-Mullerian hormone (AMH) is involved in the regression of the Mullerian ducts in mammalian and avian male embryos as well as the right oviduct in avian female embryos. AMH is expressed by granulosa cells of adult hens and mammals and is thought to be involved in the recruitment of follicles from the primordial pool as well as in regulating follicle-stimulating hormone (FSH) sensitivity. We have shown that AMH expression by the granulosa layer of hens is high in the small follicles but decreased in the larger hierarchical follicles. The decline in expression of AMH with increasing follicle size is associated with an increase in expression of the receptor for FSH (FSHR) in the granulosa layer, although the mechanism is not known. In this study, we tested whether vitamin D (1,25-dihydroxyvitamin D3) regulates expression of AMH mRNA in granulosa cells of the hen. Granulosa cell layers were removed from follicles 3-5 mm and 6-8 mm in size, dispersed, and cultured for 24 h in Medium 199 + 5% fetal bovine serum (n = 7). The medium was removed and replaced with Medium 199 + 0.1% bovine serum albumin and vitamin D (at doses of 0, 10, and 100 nM) and cultured for 24 h. Cells were harvested and RNA was extracted for use in quantitative PCR. Parallel 96-well plates were set up to examine cell proliferation. AMH and FSHR mRNA expressions were evaluated, and all values were standardized to 18S reactions. There was a significant (P < 0.05) dose-related decrease in the expression of AMH mRNA in granulosa cells of 3- to 5-mm and 6- to 8-mm follicles in response to vitamin D. Additionally, FSHR mRNA and cell proliferation were significantly (P < 0.05) increased by vitamin D in both groups. Western blot analysis for the vitamin D receptor (VDR) showed doublet bands at the expected sizes (58 and 60 kDa) in protein isolated from the chicken granulosa layer. Immunohistochemistry was used to identify VDR within the follicle, and it predominantly localized to the nucleus of granulosa cells. VDR mRNA expression in the granulosa layer, relative to follicle development, was increased (n = 4; P < 0.05) with follicle development, with greatest expression in the F1 follicle. There was no evidence for expression (mRNA or protein) of the calcium-binding protein, calbindin (CALB1), in the ovary or granulosa layer. Overall, these results suggest that vitamin D regulates AMH expression, and thereby may influence follicle selection in the hen.     

人参皂苷Rg1对游离脂肪酸诱导非酒精性脂肪肝细胞炎症的改善作用及机制研究

该研究探讨人参皂苷Rg1对非酒精性脂肪性肝细胞炎症反应的作用及其分子机制。用1 mmol/L游离脂肪酸处理HepG2和L02细胞24 h,再用20μg/mL或40μg/mL人参皂苷Rg1处理6 h;设置对照组、模型组、低剂量Rg1组、高剂量Rg1组。全自动生化仪检测各组细胞上清谷丙转氨酶(alanine aminotransferase,ALT)、谷草转氨酶(aspartate aminotransferase,AST)的含量;酶联免疫吸附法测定细胞上清IL-1β、IL-6、TNF-α。RT-qPCR及Western blot检测NF-κB通路相关基因及蛋白的改变。免疫荧光染色观察NF-κB核转移;Western blot检测各组胞质与胞核内的NF-κB P65蛋白的表达。与对照组相比,模型组培养上清炎症指标明显增加(P<0.05);Rg1能降低炎症指标的表达(P<0.05)。Rg1能减少游离脂肪酸诱导的NF-κB磷酸化及其下游IL-1β、IL-6、TNF-α的表达,减少NF-κB P65从胞质向胞核的转移(P<0.05)。Rg1可通过抑制NF-κB活化减少NASH细胞模型炎症反应,为非酒精性脂肪性肝炎的治疗提供了可能的靶点。     

Mechanisms of DHEA-induced AMH increase in the ovarian tissues of PCOS rat

The present study aimed to build a DHEA-induced polycystic ovary syndrome (PCOS) rat model to evaluate the potential mechanism of DHEA-induced AMH rise in these rat ovarian tissues. A total of 36 female 3-week-old rats were allocated into two groups at random. The control group received merely the same amount of sesame oil for 20 days while the experimental group received 0.2 mL of sesame oil Plus DHEA 6 mg/100 g daily. Both groups' vaginal opening times were noted, and vaginal smears were taken. By using RT-qPCR and Western blot, the mRNA and protein expression of AMH, GATA4, SF1, and SOX9 in the ovarian tissues of the two groups was investigated.The rats in the experimental group appeared to have obvious disorders of the estrus cycle, as evidenced by the ratio of estrus being significantly higher than that in the control group (P < 0.05); HE staining revealed that the ovarian volume, follicular vacuoles, and follicular lumen of the rats in the experimental group increased significantly.The ELISA results revealed that T and AMH in the experimental group were higher than those in the control group at day 15 and 20. AMH、GATA4 and SF1 mRNA and protein expression were higher in the experimental group than in the control group on day 15 and 20 (P < 0.05). On day 20, the experimental group outperformed the control group (P < 0.05). In the DHEA-induced PCOS rat model, androgen may have enhanced AMH expression via increasing the expression of genes associated to the AMH promoter binding site (GATA4, SF1, SOX9).     

Ovarian response in sheep superovulated after pretreatment with growth hormone and GnRH antagonists is weakened by failures in oocyte maturation

The administration of growth hormone (GH) or GH plus GnRH antagonists (GnRHa) in sheep allows the enhancement of the pool of gonadotrophin-responsive follicles present in the ovaries and may be useful to increase yields obtained in embryo programmes. The objective of the current study was to evaluate the ability of follicles recruited in response to treatment with GH and GnRHa to grow in response to exogenous follicle stimulating hormone (FSH) and the competence of their oocytes to resume meiosis. Seven females were treated with two doses of GnRHa (days 0 and 3) and three doses of 15 mg of GH (days 3, 4 and 5). Thereafter, this group and a second group (n = 7) were treated with three doses of 1.5 ml of FSH 12 h apart. A third group (control; n = 4) did not receive GH/GnRHa or FSH. The mean number of follicles aspirated on day 7 was higher in ewes treated with GH and GnRHa prior to the stimulation with exogenous FSH than in ewes treated with FSH without pretreatment and in untreated control sheep (20.4 +/- 2.6 vs 17.7 +/- 3.9 and 11.5 +/- 0.8, p < 0.05 and p < 0.01, respectively). The number of recovered cumulus-oocyte complexes after follicular aspiration was higher in the GH/GnRHa + FSH group (8.7 +/- 0.9 vs 6.8 +/- 1.3 in FSH group, n.s., and 4.5 +/- 0.8 in control, p < 0.05), but there were no differences found in the resumption of meiosis (63.1 +/- 9.5% for GH/GnRHa + FSH vs 79.5 +/- 6.3% for FSH and 60.0 +/- 8.8% for control). These results indicate that GH and GnRHa would be useful to increase the number of gonadotrophin-responsive follicles in the ovary, but adjustment of later FSH treatment allowing further development of follicles may be necessary prior to its use in superovulatory protocols.     

干扰素诱导的跨膜蛋白1在宫颈鳞癌中的表达及其生物学作用

目的:探讨干扰素诱导的跨膜蛋白1(IFITM1)在宫颈鳞癌中的表达及其生物学作用。方法:通过免疫组化、RT-PCR和Western blot检测宫颈鳞癌组织和癌旁组织中IFITM1的表达。使用靶向IFITM1的si RNA(si-IFITM1组)和高表达IFITM1基因的重组pcDNA3.1质粒(pcDNA3.1-si-IFITM1组)转染Si Ha细胞下调或上调IFITM1的表达。通过伤口愈合实验、Transwells迁移实验和基质胶侵袭实验检测细胞迁移和侵袭能力。细胞计数试剂盒-8 (CCK-8)检测细胞增殖;流式细胞术测定细胞凋亡。Western blot检测PTEN、PI3K和AKT的表达。通过对BALB/c Nude裸鼠接种Si Ha细胞来考察IFITM1在体外对肿瘤生长的影响。结果:癌组织中IFITM1的表达水平明显高于癌旁组织(P<0.05)。与对照组比较,si-IFITM1组的迁移和侵袭能力明显增强,而pcDNA3.1-si-IFITM1组明显降低(P<0.05)。细胞转染48 h和72 h后,与对照组比较,si-IFITM1组的细胞增殖明显增强,而pcDNA3.1-si-IFITM1组明显减弱(P<0.05)。与对照组比较,si-IFITM1组的细胞凋亡率明显降低,而pcDNA3.1-si-IFITM1组明显升高(P<0.05)。与对照组比较,si-IFITM1组的PTEN被下调,而PI3K和AKT被上调(P<0.05);pcDNA3.1-si-IFITM1组的PTEN的被上调,而PI3K和AKT被下调(P<0.05)。与对照组比较,si-IFITM1组裸鼠的肿瘤体积显著增大,而pcDNA3.1-si-IFITM1组显著减小(P<0.05)。结论:IFITM1过表达抑制人宫颈鳞癌细胞Si Ha的生长和转移能力,并在体外抑制肿瘤的形成,从而发挥抗癌作用。IFITM1可能通过调控PTEN/PI3K/AKT信号通路发挥抗癌作用。     

缓释型促性腺激素释放激素与生长激素治疗儿童中枢性性早熟的疗效观察

目的用生长激素与促性腺激素释放激素类似物(Gonadotropin-releasing hormone analogues,GHA)联合治疗中枢性性早熟女性患儿对其最终成人身高的影响.方法生长激素(GH)与促性腺激素释放激素类似物(GHA)联合治疗4例中枢性性早熟女性患儿半年,对比治疗前后患儿的第二性征,骨龄发育,性激素及最终成人身高的变化.结果第二性征的发育停止,骨龄发育被控制,实际生活年龄与骨年龄的比值提高(平均0.79→0.84);血LH对促性腺激素释放激素的反应及血浆雌激素水平平均已降至青春期前,分别为(平均25.79±10.60mlu/ml→1.13±0.21mlu/ml)及(平均64.87±27.51pg/ml→3.03±1.87pg/ml);预测最终成人身高增加(平均149.60±4.31cm→156.75±3.84cm)差异具有显著性(P＜0.05).结论生长激素与GHA联合治疗中枢性性早熟患儿,不仅能抑制第二性征发育,而且能有效改善最终成人身高,无任何毒付作用.     

Cav1.2在顺铂诱导C57BL/6J小鼠耳蜗螺旋神经元凋亡中的作用*

目的: 探究顺铂(CDDP)诱导C57BL/6J小鼠耳蜗螺旋神经元(SGNs)凋亡过程中Cav1.2的作用及其可能的机制。方法: 动物实验:选取8周龄雄性C57BL/6J小鼠分为以下两组(10只/组):生理盐水组(Control组)和顺铂给药组(Cisplatin组)。Control组每天腹腔注射生理盐水,Cisplatin组每周期前4 d以3 mg/kg的剂量进行顺铂腹腔注射,后10 d每日注射生理盐水,重复三个周期。给药结束后,听性脑干反应(ABR) 检测小鼠听力阈值变化; 小鼠内眦采血,并断颈取耳蜗,超氧化物歧化酶(SOD)以及丙二醛(MDA)试剂盒检测血清及耳蜗组织的SOD活性和MDA含量;免疫印迹法(Western blot)检测耳蜗组织相关凋亡蛋白表达;苏木精-伊红HE染色观察小鼠耳蜗螺旋神经节形态学变化; TUNEL 染色观察小鼠耳蜗SGNs凋亡情况;免疫荧光观察耳蜗SGNs上Cav1.2的分布和表达。细胞实验:原代培养SGNs,根据CCK8选择顺铂5 μmol/L干预12 h并随机分为:对照组(Control)、溶剂组(DMSO)、Cav1.2阻断剂组(N)、顺铂组(Cisplatin)、顺铂与Cav1.2阻断剂共同孵育组(Cisplatin+N)。Western blot检测Cav1.2蛋白表达;Hoechst33342染色观察各组SGNs凋亡情况,流式细胞术检测各组SGNs凋亡率,Western blot检测相关凋亡蛋白的表达,CA²⁺探针检测细胞内钙离子浓度变化,线粒体膜电位检测试剂盒(JC-1)检测膜电位变化,线粒体超氧化物指示剂(MitoSOX^TM-red)检测线粒体释放ROS情况。结果: 动物实验:与Control组相比,Cisplatin组小鼠听力阈值升高(P<0.01), 血清及耳蜗组织MDA含量、耳蜗组织凋亡蛋白 Cleaved-caspase-3、Bax 蛋白水平和TUNEL阳性率、Cav1.2蛋白表达水平等均明显升高(P<0.05, P<0.01);血清及耳蜗组织SOD活性、耳蜗组织抗凋亡蛋白 Bcl-2 蛋白水平和SGCs密度均明显降低(P<0.05,P<0.01)。细胞实验:与Control组相比,Cisplatin组的Cav1.2表达、细胞凋亡率、Cleaved-caspase-3、Bax蛋白水平、细胞内钙离子浓度以及ROS释放均明显增加(P<0.05,P<0.01);而细胞的Bcl-2蛋白水平和线粒体膜电位则明显降低(P<0.01);Cav1.2阻断剂可部分逆转上述改变(P<0.05)。 结论: 顺铂可能通过上调Cav1.2促进钙内流,进而使线粒体ROS增多,引起SGNs氧化应激损伤从而诱导线粒体途径的细胞凋亡。