Cdk5与大鼠脑缺血再灌注损伤时细胞凋亡的关系

目的利用大鼠可逆性大脑中动脉栓塞模型（MCAO）,研究周期素依赖性蛋白激酶5（cyclin dependent kinase5,Cdk5）对视网膜母细胞瘤蛋白（Rb）的磷酸化作用与细胞凋亡的关系。方法线栓法制作大鼠MCAO模型,随机分为再灌注0、3、6、9、24h组。通过免疫组化染色观察缺血侧大脑Cdk5和磷酸化Rb的数量和变化,TUNEL标记法检测凋亡神经元数量和变化,Western blot检测不同再灌注时间Cdk5蛋白水平的表达。结果缺血侧cdk5随再灌注时间增加而增加,24h达到高峰;再灌注6h出现磷酸化的视网膜母细胞瘤蛋白（pRb）,并随再灌注时间增加而增加,24h达到高峰。缺血侧凋亡阳性细胞变化趋势与Cdk5基本一致。缺血侧Cdk5蛋白的表达随再灌注时间增加而增加,缺血对侧无明显变化。结论大鼠局限性脑缺血再灌注损伤可以诱导Cdk5数量和激酶活性增加,通过底物磷酸化作用引起神经细胞凋亡。     

高压氧对肾脏缺血再灌注损伤的保护作用及其机制研究

目的:观察高压氧(hyperbaric oxygen,HBO)对肾脏缺血再灌注损伤的保护作用并探讨其作用机制.方法:56只SD大鼠被随机分为三组,假手术组(n=8);I/R组(n=24),夹闭双肾动脉45分钟后恢复血流灌注;I/R+HBO组(n=24),夹闭双肾动脉45分钟并在恢复血流后1h、24 h、48 h行HBO治疗,每次HBO后采血并取双肾,比色法测定血浆尿素氮(BUN)、肌酐(Cr)值,原位末端标记(TUNEL)法检测肾小管上皮细胞凋亡情况,实时定量PCR法检测促凋亡基因Bax的mRNA含量.结果:与sham组(BUN值为9.563± 1.384 mmol/L;Cr值为45.912±2.685 mmo1/L,TUNEL值为2.088％)比较,I/R组大鼠再灌注1小时尿素氮(12.5±1.487 mmol/L)和血肌酐水平(51.388±3.092 mmol/L)升高,但差异无统计学意义,而TUNEL阳性细胞数(9.775％)和Bax的mR-NA(3.219± 0.427)表达水平均显著升高(P＜0.05),再灌注24小时及48小时后尿素氮(28.087± 2.012 mmol/L、41.225± 1.397mmol/L)和血肌酐(241.75± 11.853 mmol/L、278.75± 12.578 mmol/L)水平、TUNEL阳性细胞数(12.512％、14.413％)和Bax的mRNA(5.541±0.227、6.407± 0.291)表达水平均显著升高(P＜0.05);而HBO治疗可显著降低再灌注24小时及48小时的大鼠尿素氮(14.15±1.397 mmol/L、25.962± 2.497 mmol/L)和血肌酐(146.375± 8.782 mmolL、210.125± 11.519 mmol/L)水平(P＜0.05),但仍显著高于假手术组(P＜0.05).结论:HBO治疗可以改善I/R后肾功能,其作用机制可能与在早期明显降低Bax的mRNA表达,减轻肾小管上皮细胞凋亡有关.     

ERK介导的炎性反应参与肾缺血再灌注损伤

目的研究小鼠肾缺血再灌注损伤的发病机制。方法建立小鼠肾缺血再灌注损伤模型。12只雄性C57BL／6随机分为2个组（n=6）,分别为假手术组（Sham）,肾缺血再灌注损伤模型组（IRI）。IRI组血管夹夹闭左肾动脉,置于32℃温箱后1h松开血管夹,去除右肾。Sham组操作同上,但不夹闭左肾动脉。再灌注24h后处死小鼠,收集血清和肾脏标本。测定血清肌酐（Cr）和血尿素氮（BUN）。PAS染色后显微镜下观察肾脏形态学变化,Western印迹分析ERK、p-ERK的表达,PCR检测MCP-1、IFN-γ。结果与假手术组（Sham）相比,IRI组血清肌酐、血尿素氮明显升高,病理检查可见肾脏内肾小管上皮细胞明显肿胀坏死、蛋白管型形成明显,还可观察到炎性细胞浸润明显增加。ERK、p-ERKWestern印迹结果PCR显示MCP-1、TNF-α也明显上调,但ERK表达不变。结论在肾缺血再灌注中,ERK激活介导的炎性后府可能参与了肾扣伤。     

TLR7在1型糖尿病大鼠肾缺血再灌注损伤中的作用研究

目的:探讨Toll样受体7(TLR7)介导的My D88/NF-κB信号通路在1型糖尿病大鼠肾缺血再灌注损伤中的作用。方法:雄性SD大鼠随机分为3组(n=6),糖尿病假手术组(DS),糖尿病缺血再灌注组(DIR),糖尿病缺血再灌注+氯喹预处理组(DIR+CQ)。采用腹腔注射链尿佐菌素65 mg/kg建立糖尿病模型,TLR7抑制剂氯喹预处理于糖尿病模型成功后第3周0.5%氯喹40 mg/kg进行腹腔注射,连续给药7天。于第四周采用双侧肾蒂夹闭25 min,再灌注48 h建立肾缺血再灌注损伤模型。取大鼠肾脏HE染色观察大鼠病理学结果,血标本测定血尿素氮(BUN)和血肌酐(Scr)水平,ELISA法检测白细胞介素6(IL-6)和肿瘤坏死因子-α(TNF-α),TUNEL法检测细胞凋亡,Western blot检测TLR7,My D88和NF-κB蛋白表达。结果:与DS组相比,DIR组肾小管肿胀,间质水肿,刷状缘丢失,空泡变性坏死,Paller评分升高(P0.01)。与DIR组相比,氯喹预处理可以改善肾损伤(P=0.017);与DS组相比,DIR组BUN,Scr,IL-6,TNF-α,细胞调亡指数(Apoptosis%),TLR7,My D88,NF-κB增高(P0.05);与DIR组相比,DIR+CQ组BUN,Scr,IL-6,TNF-α,Apoptosis%,TLR7,My D88,NF-κB降低(P0.05)。结论:TLR7介导的My D88/NF-κB信号通路参与糖尿病肾缺血再灌注损伤,氯喹通过抑制TLR7表达,阻断My D88/NF-κB信号通路,降低炎症反应,从而减轻1型糖尿病大鼠肾缺血再灌注损伤。     

褪黑素通过激活SIRT1信号通路发挥抗肺缺血再灌注损伤作用

目的:研究褪黑素(Melatonin,Mel)在肺缺血再灌注损伤中的作用,明确沉默信息调控因子1(Silent information regulator 1,SIRT1)信号通路在这一过程中的关键作用。方法:建立大鼠肺缺血再灌注损伤(IR)模型,实验分为Control、IR、IR+10 mg/Kg Mel、IR+20 mg/Kg Mel、IR+30 mg/Kg Mel五组,通过检测支气管肺泡灌洗液中白细胞数目、蛋白含量和肺组织中丙二醛(MDA)水平、干湿重比等指标明确肺组织损伤程度,Western blot检测SIRT1通路相关分子及凋亡相关蛋白的表达水平,研究其作用机制。结果:与IR组相比,Mel处理显著降低了支气管肺泡灌洗液中白细胞数量、蛋白含量和肺组织MDA含量、干湿重比(P0.05);Mel还显著上调了SIRT1表达,降低了Ac-FOXO1表达(P0.05);此外,Mel显著提高了抗凋亡蛋白Bcl-2表达,下调了凋亡蛋白Bax表达(P0.05)。结论:Mel具有明确的抗肺缺血再灌注损伤的作用,SIRT1信号通路在该过程中可能扮演重要角色。     

Deterioration of ischemia/reperfusion-induced acute renal failure in SOD1-deficient mice

Reactive oxygen species (ROS) are likely candidates for involvement in ischemia/reperfusion-induced acute renal failure (ARF). In this study, the issue of whether superoxide dismutase (SOD1)-deficiency exacerbates the ischemia/reperfusion-induced ARF was examined. At two weeks after a right nephrectomy of mice, the left renal vessels were clipped to induce renal ischemia and were then released after 45 min. The severe renal damage observed at one day was partially recovered at seven days after the induction of ischemia. SOD1^- / -  mice suffer from severe ARF compared with SOD1^+/ -  and SOD1^+/+ mice. The damage was more evident in aged animals (24-28 week old) than younger ones (10-12 week old). The expression of major antioxidative and redox enzymes, except for CuZnSOD, were substantially unchanged. Thus, the increased ARF in SOD1^- / -  mice appears to be mainly attributable to a deficiency in CuZnSOD. These data support the view that ROS are exacerbating factors in ischemia/reperfusion-induced ARF.     

Deterioration of ischemia/reperfusion-induced acute renal failure in SOD1-deficient mice

Reactive oxygen species (ROS) are likely candidates for involvement in ischemia/reperfusion-induced acute renal failure (ARF). In this study, the issue of whether superoxide dismutase (SOD1)-deficiency exacerbates the ischemia/reperfusion-induced ARF was examined. At two weeks after a right nephrectomy of mice, the left renal vessels were clipped to induce renal ischemia and were then released after 45 min. The severe renal damage observed at one day was partially recovered at seven days after the induction of ischemia. SOD1^{? / ?} mice suffer from severe ARF compared with SOD1^{+/ ?} and SOD1^+/+ mice. The damage was more evident in aged animals (24–28 week old) than younger ones (10–12 week old). The expression of major antioxidative and redox enzymes, except for CuZnSOD, were substantially unchanged. Thus, the increased ARF in SOD1^{? / ?} mice appears to be mainly attributable to a deficiency in CuZnSOD. These data support the view that ROS are exacerbating factors in ischemia/reperfusion-induced ARF.     

Protective Effect of Grape Seed Proanthocyanidins against Liver Ischemic Reperfusion Injury: Particularly in Diet-Induced Obese Mice

Background: Hepatic ischemia and reperfusion injury (IRI) is a major complication in liver surgery, and hepatic steatosis is a primary factor aggravating cellular injury during IRI. Both pro-inflammatory cytokines and reactive oxygen species (ROS) are key mediators of hepatic IRI. Ischemic preconditioning (IpreC), remote ischemia preconditioning (RIPC) and ischemic postconditioning (IpostC) have offered protections on hepatic IRI, but all these methods have their own shortcomings. Grape seed proanthocyanidins (GSP) has a broad spectrum of pharmacological properties against oxidative stress. Thus, GSP has potential protective effects against hepatic IRI.Methods: C57BL/6 mice suffering 30mins hepatic ischemia process were sacrificed after 1h reperfusion to build murine warm hepatic IRI model. The mice were injected GSP intraperitoneally 10, 20, 40mg/kg/day for 3 weeks as pharmacological preconditioning. Obese mice fed with high-fat diet for 24 weeks before used. Three pathways related to IRI, including ROS elimination, pro-inflammatory cytokines release and hypoxia responses were examined.Results: Our data show that GSP could significantly reduce hepatic IRI by protecting hepatocyte function and increasing the activity of ROS scavengers, as well as decreasing cytokines levels. At the same time, GSP also enhance the hypoxia tolerance response. Combined GSP and postconditioning can provided synergistic protection. In the obese mice suffering hepatic IRI group, GSP was more effective than postconditioning on protecting liver against IRI, and the combined strategy was obviously superior to the solo treatment.Conclusion: GSP could protect liver against IRI: particularly in high-fat diet induced obese mice. GSP used as pharmacological preconditioning and combined with other protocols have huge potential to be used in clinical.     

三七皂苷Rg1对大鼠脑缺血再灌注损伤海马部位保护作用机制的研究

本文探讨三七皂苷Rg1对局灶性脑缺血再灌注损伤大鼠海马部位的脑源性神经营养因子(brain-derivedneurotrophic factor,BDNF)阳性蛋白的含量和阳性神经元数目是否具有上调作用。实验结果表明三七皂苷Rg1高、中、低剂量组和阳性对照组均能明显改善脑缺血的神经缺失症状,并能上调大鼠脑缺血再灌注损伤海马部位的BDNF阳性蛋白的含量和阳性神经元数量(P<0.05);与阳性对照组(尼莫地平1 mg/kg)相比,用药7 d时,Rg1中剂量组(100 mg/kg)在改善脑缺血的神经缺失症状以及上调大鼠脑缺血再灌注损伤海马部位的BDNF阳性蛋白的含量和阳性神经元数量方面,作用上强于尼莫地平(P<0.05)。三七皂苷Rg1能上调BDNF阳性蛋白的表达,通过BDNF对脑缺血再灌注神经元损伤所起的保护作用,从而发挥其对脑缺血的治疗作用,这可能是三七皂苷Rg1对脑缺血保护作用的机制之一。     

姜黄素后处理通过SIRT1/FOXO1信号通路拮抗小鼠脑缺血再灌注损伤

目的:探究姜黄素后处理是否通过激活SIRT1/FOXO1信号通路抵抗小鼠脑缺血再灌注损伤。方法:小鼠脑缺血30 min,再灌注24 h建立脑缺血再灌注模型。手术前脑室内注射SIRT1特异性抑制剂EX527。再灌注后腹腔注射姜黄素。小鼠随机分为以下6组:假手术组;单纯姜黄素后处理组;缺血再灌注组;缺血再灌注+姜黄素后处理组;EX527预处理+缺血再灌注+姜黄素后处理组;EX527预处理+脑缺血再灌注组。再灌注24 h检测脑梗体积、Complex I活性、ROS含量以及SIRT1、Ac-FOXO1、Bax、Bcl-2、Caspase-3蛋白表达情况。结果:与手术组相比,姜黄素后处理组梗死区脑组织SIRT1的表达量及活性明显增加,脑梗体积降低,ROS含量降低而Complex I活性增高,Bcl-2的表达增高而Bax和Caspase-3的表达量降低(均P0.05)。阻断SIRT1信号通路后上述姜黄素脑保护作用均减弱(P0.05)。结论:我们的研究首次证实姜黄素后处理通过激活SIRT1/FOXO1信号通路,进而降低氧化应激与凋亡,最终减轻脑缺血再灌注损伤。     

运动性急性肾损伤与新型肾功能生物标志物

大强度运动中,非创伤性急性肾损伤（acute kindey injury, AKI）经常发生,表现为血尿、蛋白尿、血红蛋白尿等。一般认为,中低程度的运动性急性肾损伤是可逆的,可完全恢复。但动物实验与人类研究均发现,严重的运动性肾损伤会导致“功能性”急性肾损伤发展为“结构性”急性肾损伤,并增加慢性肾病的风险。运动性急性肾损伤对机体的潜在健康威胁已引起国内外相关领域学者的广泛关注。血清肌酐 (serum creatinine, Scr)和尿量作为肾功能的传统经典标志物,不能特异性反映早期肾损伤,而新型肾损伤标志物可进一步明确损伤的位置及严重程度。在运动领域,利用新型生物标志物进行无创性检查,识别早期运动性急性肾损伤非常必要。本文综述了反映肾小球或肾小管损伤、细胞周期停滞和肾损伤修复的新型生物标志物,着重论述了尿中性粒细胞明胶酶相关脂质运载蛋白（NGAL)和肾损伤分子-1（KIM-1)与肾功能的关系,以及长时间耐力运动、急性运动和高强度间歇阻力运动3种运动形式对肾功能的影响,旨在引起重视,精准识别风险,及时进行早干预。     

运动性急性肾损伤与新型肾功能生物标志物

大强度运动中,非创伤性急性肾损伤（acute kindey injury, AKI）经常发生,表现为血尿、蛋白尿、血红蛋白尿等。一般认为,中低程度的运动性急性肾损伤是可逆的,可完全恢复。但动物实验与人类研究均发现,严重的运动性肾损伤会导致“功能性”急性肾损伤发展为“结构性”急性肾损伤,并增加慢性肾病的风险。运动性急性肾损伤对机体的潜在健康威胁已引起国内外相关领域学者的广泛关注。血清肌酐 (serum creatinine, Scr)和尿量作为肾功能的传统经典标志物,不能特异性反映早期肾损伤,而新型肾损伤标志物可进一步明确损伤的位置及严重程度。在运动领域,利用新型生物标志物进行无创性检查,识别早期运动性急性肾损伤非常必要。本文综述了反映肾小球或肾小管损伤、细胞周期停滞和肾损伤修复的新型生物标志物,着重论述了尿中性粒细胞明胶酶相关脂质运载蛋白（NGAL)和肾损伤分子-1（KIM-1)与肾功能的关系,以及长时间耐力运动、急性运动和高强度间歇阻力运动3种运动形式对肾功能的影响,旨在引起重视,精准识别风险,及时进行早干预。     

血清及尿中Kim-1 及CysC 联合监测对急性肾衰竭的诊断意义

目的:探讨血清及尿中Kim-1及CysC联合监测在临床诊断急性肾衰竭中的意义及价值。方法:选取我院重症监护病房的泌尿系统疾病患者108例根据急性肾衰竭诊断标准将其分为两组:58例符合急性肾衰竭诊断标准为ARF组,50例非急性肾衰竭为非ARF组,另取正常体检的健康人5 0例为正常对照组,检测三组患者的血清肌酐浓度、血清尿素氮、血清和尿KIM-1及Cys-C浓度,进而对血清和尿KIM-1及Cys-C水平进行分析。结果:与对照组和非ARF组相比,ARF组血清肌酐浓度、血清尿素氮、血清和尿KIM-1及Cys-C水平较高(P0.05)。与血清和尿KIM-1及Cys-C水平的单独检测相比,两者联合检测敏感性以及特异性较高(P0.05)。结论:血清及尿中Kim-1及CysC水平升高可作为急性肾衰竭的评估指标,两者联合监测对急性肾衰竭患者的诊断具有重要意义,对疾病预后有重要指导价值。     

Neuronal Nitric Oxide Synthase Immunopositivity in Motoneurons of the Rabbit's Spinal Cord After Transient Ischemia/Reperfusion Injury

Summary 1. Motoneurons in the spinal cord are especially vulnerable to ischemic injury and selectively destroyed after transient ischemia. To evaluate the role of nitric oxide (NO) in the pathophysiology of the spinal cord ischemia, the expression of neuronal nitric oxide synthase (nNOS) in the motoneurons of the lumbosacral spinal cord was examined in the rabbit model of transient abdominal aorta occlusion.2. The aim of the present study was to find if there is any consensus between the duration of transient abdominal aorta occlusion, nNOS positivity of the motoneurons and neurological hind limb impairment.3. According to the degree of neurological damage (i.e., from the group with almost no sign of damage to a group with fully developed paraplegia), the experimental animals were divided into three groups. The respective spinal cord segments of each experimental group were compared to the control group.4. Spinal cord ischemia (15 min) was induced by Fogarty arterial embolectomy catheter occlusion of abdominal aorta with a reperfusion period of 7 days. On seventh day, the sections of lumbosacral segments were immunohistochemically treated and L1–L7, and S1–S2 segment sections were monitored using light microscopy.     

SIRT6在缺血再灌注损伤中的作用机制及研究进展

缺血性损伤后恢复血液供应会导致缺血再灌注（ischemia reperfusion, IR）损伤,这会导致组织损伤进一步加剧。IR损伤伴随着一系列机制,包括谷氨酸兴奋性毒性、钙超载、氧化应激、炎症和细胞凋亡,最终导致细胞死亡。IR损伤过程均由Sirtuins家族调控,在Sirtuins家族中,特异性定位于细胞核中的SIRT6可以促进对DNA损伤和氧化应激的抵抗,抑制基因组的不稳定性,在代谢稳态中发挥作用,同时SIRT6在人重要脏器中处于高度表达状态。但SIRT6在IR损伤中研究较少,结合国内外最新的研究进展,对SIRT6在IR损伤中的作用进行了回顾性的总结和分析,希望对国内外学者对于SIRT6在IR损伤中的研究提供一些参考依据。     

Use of a Hanging-weight System for Isolated Renal Artery Occlusion

In hospitalized patients, over 50% of cases of acute kidney injury (AKI) are caused by renal ischemia ^1-3. A recent study of hospitalized patients revealed that only a mild increase in serum creatinine levels (0.3 to 0.4 mg/dl) is associated with a 70% greater risk of death than in persons without any increase ¹. Along these lines, surgical procedures requiring cross-clamping of the aorta and renal vessels are associated with a renal failure rates of up to 30% ⁴. Similarly, AKI after cardiac surgery occurs in over 10% of patients under normal circumstances and is associated with dramatic increases in mortality. AKI are also common complications after liver transplantation. At least 8-17% of patients end up requiring renal replacement therapy ⁵. Moreover, delayed graft function due to tubule cell injury during kidney transplantation is frequently related to ischemia-associated AKI ⁶. Moreover, AKI occurs in approximately 20% of patients suffering from sepsis ⁶.The occurrence of AKI is associated with dramatic increases of morbidity and mortality ¹. Therapeutic approaches are very limited and the majority of interventional trials in AKI have failed in humans. Therefore, additional therapeutic modalities to prevent renal injury from ischemia are urgently needed ^{3, 7-9}. To elucidate mechanisms of renal injury due to ischemia and possible therapeutic strategies murine models are intensively required ^7-13. Mouse models provide the possibility of utilizing different genetic models including gene-targeted mice and tissue specific gene-targeted mice (cre-flox system). However, murine renal ischemia is technically challenging and experimental details significantly influence results. We performed a systematic evaluation of a novel model for isolated renal artery occlusion in mice, which specifically avoids the use of clamping or suturing the renal pedicle ¹⁴. This model requires a nephrectomy of the right kidney since ischemia can be only performed in one kidney due to the experimental setting. In fact, by using a hanging-weight system, the renal artery is only instrumented once throughout the surgical procedure. In addition, no venous or urethral obstruction occurs with this technique. We could demonstrate time-dose-dependent and highly reproducible renal injury with ischemia by measuring serum creatinine. Moreover, when comparing this new model with conventional clamping of the whole pedicle, renal protection by ischemic preconditioning is more profound and more reliable. Therefore his new technique might be useful for other researchers who are working in the field of acute kidney injury.     

葛根素对甘油致急性肾功能衰竭兔血液流变学和肾血流量的影响

目的 肌注甘油复制急性肾功能衰竭(ARF)兔模型,观察葛根素(Pue)对ARF兔血液流变学和肾血流量的影响.方法 健康雄性日本大耳白兔30只,随机分为正常组、ARF模型组、Pue 1组(20 mg/kg)、Pue 2组(40mg/kg)、Pue 3组(80 mg/kg).各组于不同时间点测量其肾血流量、血液流变学指标和肾功能指标(Cr、BUN),并观察肾组织形态学改变.结果 与模型组比较,Pue 2组和Pue 3组治疗后各时间点Cr、BUN降低(P＜0.05),血液流变学指标降低明显(P＜0.05),肾血流量增加差异具有统计学意义(P＜0.05).Pue 2组和Pue 3组肾小管上皮细胞肿胀减轻,管型少见.结论 葛根素可明显改善急性肾功能衰竭兔血液流变性,增加肾血流量,进而达到改善、减轻肾小管损害的作用.     

Role of CDK5/cyclin complexes in ischemia-induced death and survival of renal tubular cells

Ischemia reperfusion processes induce damage in renal tubules and compromise the viability of kidney transplants. Understanding the molecular events responsible for tubule damage and recovery would help to develop new strategies for organ preservation. CDK5 has been traditionally considered a neuronal kinase with dual roles in cell death and survival. Here, we demonstrate that CDK5 and their regulators p35/p25 and cyclin I are also expressed in renal tubular cells. We show that treatment with CDK inhibitors promotes the formation of pro-survival CDK5/cyclin I complexes and enhances cell survival upon an ischemia reperfusion pro-apoptotic insult. These findings support the benefit of treating with CDK inhibitors for renal preservation, assisting renal tubule protection.     

Homer1a基因敲除对小鼠局灶性脑缺血再灌注损伤的作用

目的:通过研究homer1a基因敲除小鼠脑缺血再灌注损伤及海马区星形胶质细胞活化、数目形态变化,探讨homer1a基因在脑缺血损伤中的作用及机制。方法:取雄性homer1a基因敲除(Knock Out,KO)小鼠及同窝野生型(Wild Type,WT)小鼠各15只,分为基因敲除假手术组(Sham Knock Out,SKO,n=3)、基因敲除型缺血2 h再灌注24 h组(Model Knock Out,MKO,n=12)、野生型假手术组(Sham Wild Type,SWT,n=3)及野生型缺血2 h再灌24h组(Model Wild Type,MWT,n=12)。线栓法闭塞小鼠大脑中动脉制作脑缺血再灌注损伤模型(middle cerebral artery occlusion and reperfusion,MCAO/R),在缺血再灌注损伤前(0 h)及缺血再灌注后3 h、6 h、12 h、24 h后进行改良版神经损伤严重性评分(modified Neurological severity scores,m NSS)、2,3,5—氯化三苯基四氮唑(2,3,5triphenyltetrazolium chloride,TTC)染色、苏木素—伊红染色(Hematoxylin-eosin staining,HE)、原位末端转移酶标记技术(terminal deoxynucleotidyl transferase(Td T)-mediated deoxyuridine triphosphate(d UTP)nick end labeling,TUNEL)检测及免疫荧光染色观察海马区星形胶质细胞神经纤维酸性蛋白(Glial Fibrillary Acidic Protein,GFAP)改变。结果:SKO组、SWT组行为学m NSS评分均为0分,TTC染色未见梗死灶。TUNLE及GFAP染色阳性细胞数很少且未见统计学差异(P0.05)。脑缺血再灌注24 h后,MKO组m NSS评分较MWT组高;TTC染色MKO组较MWT组梗死百分比高;MKO组较MWT组TUNEL凋亡率高;GFAP免疫荧光染色阳性数MKO组少于MWT组,且均有统计学差异(P0.05)。结论:homer1a基因敲除加重了小鼠脑缺血再灌注损伤,星形胶质细胞可能参与并发挥复杂作用。