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目的改进动脉内置线阻断法建立的大鼠大脑中动脉(MCA)局灶性脑缺血模型,并探讨脑缺血诱发细胞凋亡的时效和量效关系。方法以顶端细,后逐渐增粗的涂抹硅橡胶改进栓子,TTC染色鉴定缺血效果;TUNEL-AP法和HE染色观察凋亡发生和形态学改变。结果TTC染色证实了大脑缺血灶的的稳定出现;用TUNEL法发现,缺血30min再灌流6h后,凋亡阳性细胞即明显增多,48h再灌流后阳性细胞数最多;缺血5min再灌流48h缺血脑区的凋亡细胞主要位于纹状体,15min缺血组皮层也开始散见阳性细胞;随缺血时间延长,凋亡细胞主要出现在缺血区周边。结论脑缺血可选择性诱发神经细胞凋亡。
Objective To improve the model of middle cerebral artery occlusion (MCAO) induced by intra-arterial occlusion in rats and explore the relationship between the time-effect and dose-response of cerebral ischemia-induced apoptosis. Methods The top of the thin, thickening after the application of silicon rubber to improve the emboli, TTC staining to identify the effect of ischemia; TUNEL-AP and HE staining observed apoptosis and morphological changes. Results TTC staining confirmed the stable appearance of cerebral ischemic foci. TUNEL assay showed that the number of apoptotic positive cells increased significantly after reperfusion for 30 min at ischemia for 30 min, and reached the peak at 48 h after reperfusion. Reperfusion was performed 48 h after ischemia Apoptotic cells in the ischemic brain region were mainly located in the striatum, and the positive cells were also seen in the cortex in the ischemic group at 15 min. As the ischemic time prolonged, the apoptotic cells mainly appeared in the periphery of the ischemic area. Conclusion Cerebral ischemia can selectively induce neuronal apoptosis.