Effects of dexmedetomidine on oxygen-glucose deprivation/reperfusion-induced neuronal apoptosis
	    		
		   		
	    	
    	
    	
   		
        
        	
        		- VernacularTitle:不同浓度右美托咪定对糖氧剥夺/再灌注诱导神经细胞凋亡的影响
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Kai KANG
			        		
			        		;
		        		
		        		
		        		
			        		Fang KANG
			        		
			        		;
		        		
		        		
		        		
			        		Yujun SHEN
			        		
			        		;
		        		
		        		
		        		
			        		Yuxian SHEN
			        		
			        		;
		        		
		        		
		        		
			        		Xiang HUANG
			        		
			        		;
		        		
		        		
		        		
			        		Juan LI
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Oxygen-glucose deprivation/reperfusion;
			        		
			        		
			        		
				        		ER stress;
			        		
			        		
			        		
				        		Mesencephalic astrocyte-derived neurotrophic factor;
			        		
			        		
			        		
				        		Dexmedetomidine;
			        		
			        		
			        		
				        		Neuroprotection
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			The Journal of Clinical Anesthesiology
	            		
	            		 2017;33(8):793-796
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective To investigate protective effects of dexmedetomidine on oxygen-glucose deprivation/reperfusion(OGD/R)-induced neuronal apoptosis.Methods SH-SY5Y cells were differentiated to neurons with ATRA and followed by TPA.According to the results of preliminary experiment, OGD/R modle was constructed by oxygen-glucose deprivation(OGD) for 12 h and reperfusion(R) for another 12 h.During the start of the OGD, neurons were immediately divided into six groups: group D0(0 μmol/L dexmedetomidine), group D1(0.1 μmol/L dexmedetomidine), group D2 (1 μmol/L dexmedetomidine), group D3 (10 μmol/L dexmedetomidine), group D4(100 μmol/L dexmedetomidine), group D5 (1 000 μmol/L dexmedetomidine).After reperfusion 12 h, the cell viability was evaluated by the method of MTT.The cellular apoptosis was observed by flow cytometry method.The protective effects of different concentration dexmedetomidine on OGD/R-induced neuronal apoptosis were investigated.Then in chosen the exact group having protective effects, endoplasmic reticulum stress specific protein mesencephalic astrocyte-derived neurotrophic factor (MANF) and pro-apoptotic protein Caspase-3 and CHOP were detected by Westernblot method.Results Compared with group D0, there was no difference on the cell viability and cellular apoptosis induced by OGD/R in groups D1 and D2, but a significant decrease and increase in groups D4 and D5 (P<0.01 or P<0.05).And only group D3 had a neuroprotective effect, significantly increased the cell viability and inhibited the apoptosis (P<0.01).Further studys found that group D3 significantly up-regulated ER stress specific protein MANF (P<0.01) and inhibited up-regulation of Caspase-3 and CHOP (P<0.01).Conclusion These data suggest that 10 μmol/L dexmedetomidine had neuroprotective effect on OGD/R-induced neuronal apoptosis and significantly increased cell viability.Our results also indicate that up-regulation of ER stress specific protein MANF and inhibition of CHOP and Caspase-3 by MANF are involved in the neuroprotective effects of Dexmedetomidine.