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丙泊酚对血管内皮通透性的作用及机制 被引量:2

Effect of propofol on vascular endothelial permeability and related mechanisms
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摘要 目的探讨不同浓度丙泊酚对人脐静脉内皮细胞(human umbilical vein endothelial cell,HUVEC)活力、内皮损伤相关蛋白[可溶性血栓调节蛋白(soluble thrombomodulin,sTM)、内皮细胞特异性分子‑1(endothelial cell specific molecule‑1,ESM‑1)、E‑选择素(E‑selectin,CD62E)]、内皮细胞紧密连接蛋白[咬合蛋白(occludin)、闭锁连接蛋白‑1(zonula occludens 1,ZO1)、闭合蛋白(claudin 5)]和血管内皮生长因子(vascular endothelial growth factor,VEGF)表达的影响。方法以体外培养的HUVEC 3~5代作为实验对象。细胞分入:A组,细胞正常培养组;B组,100μmol/L丙泊酚组;C组,1000μmol/L丙泊酚组;D组,和1000μmol/L丙泊酚同等剂量的中/长链脂肪乳剂组;各组处理细胞24 h。3‑(4,5‑二甲基噻唑‑2)‑2,5‑二苯基四氮唑溴盐(噻唑蓝)[3‑(4,5‑dimethyl‑2‑thiazolyl)‑2,5‑diphenyl‑2‑H‑tetrazolium bromide,MTT]比色法检测细胞活力,Western blot检测sTM、ESM‑1、CD62E、occludin、ZO1、claudin 5和VEGF在内皮细胞模型中的表达情况。结果与A组比较,C组细胞活力明显降低(P<0.05),B组、D组差异无统计学意义(P>0.05)。与A组比较,C组sTM的表达明显升高(P<0.05),B组、D组sTM表达差异无统计学意义(P>0.05)。与A组比较,B组、C组、D组ESM‑1和CD62E表达差异无统计学意义(P>0.05)。与A组比较,C组occlu‑din的表达明显降低(P<0.05),B组、D组occludin的表达差异无统计学意义(P>0.05)。与A组比较,B组、C组、D组claudin‑5和ZO1表达差异无统计学意义(P>0.05)。与A组比较,B组、C组VEGF的表达明显升高(P<0.05),D组VEGF表达差异无统计学意义(P>0.05)。结论高浓度丙泊酚通过调节sTM和occludin的表达导致血管内皮细胞通透性升高,并且VEGF信号通路参与了药物诱导内皮细胞通透性增高。 Objective To investigate the effect of different concentrations of propofol on the viability of human umbilical vein endothelial cell(HUVEC),endothelial damage related proteins[soluble thrombomodulin(sTM),endothelial cell specific molecule‑1(ESM‑1),E‑selectin(CD62E)],endothelial cell tight junction proteins[occludin,zonula occludens 1(ZO1),claudin 5]and vascular endothelial growth factor(VEGF).Methods HUVEC(3−5 passages)were cultured in vitro.The cells were divided into four groups:group A(the cells were normally cultivated);group B,a 100μmol/L propofol group;group C,a 1000μmol/L propofol group;group D,a medium/long chain fat emulsion group with the same dose of 1000μmol/L propofol.Each group was treated for 24 h.The cell viability was determined by 3‑(4,5‑dimethyl‑2‑thiazolyl)‑2,5‑diphenyl‑2‑H‑tetrazolium bromide(MTT)assay.Meanwhile,the expression of sTM,ESM‑1,CD62E,occludin,ZO1,claudin‑5 and VEGF in the endothelial cells were measured by Western blot.Results Com‑pared with group A,cells in group C showed remarkably reduced viability(P<0.05),without significant changes in groups B and D(P>0.05).Compared with group A,the expression of sTM in group C remarkably increased(P<0.05),without significant changes in groups B and D(P>0.05).Compared with group A,there was no statistical difference in the expression of ESM‑1 and CD62E protein in groups B,C and D(P>0.05).Compared with group A,the expression of occludin in group C remarkably decreased(P<0.05),without significant changes in group B and group D(P>0.05).Compared with group A,there was no statistical difference in the expression of claudin‑5 and ZO1 in groups B,C and D(P>0.05).Compared with group A,the expression of VEGF protein in group B and group C remarkably increased(P<0.05),without significant changes in group D(P>0.05).Conclusions A high concentration of propofol can increase the permeability of vascular endothelial cells by regulating the expression of sTM and occludin,and the VEGF signaling pathway is in‑volved in drug‑induced increases in endothelial cell permeability.
作者 周芳芳 祁爱花 Zhou Fangfang;Qi Aihua(Department of Obstetrics and Gynecology,Shanghai Sixth People's Hospital,Shanghai 201306,China;Department of Anesthesiology,Shanghai Sixth People's Hospital,Shanghai 201306,China)
出处 《国际麻醉学与复苏杂志》 CAS 2023年第7期726-731,共6页 International Journal of Anesthesiology and Resuscitation
基金 上海市第六人民医院医疗集团课题(2020015.0)。
关键词 丙泊酚 人脐静脉内皮细胞 血管内皮细胞损伤 内皮细胞紧密连接蛋白 Propofol Human umbilical vein endothelial cells Vascular endothelial cells injury Endothelial cell tight junction proteins
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