Objective To investigate the effects of combination of ischemic postconditioning (IPC) and remote IPC on the focal cerebral ischemia-reperfusion (I/R) injury in rats. Methods Eighty-six adult male SD rats were randomly divided into 5 groups: sham operation group (group Ⅰ, n = 19) , I/R group (group Ⅱ, n=19) , IPC group (group Ⅳ, n = 16) , remote>IPC group (group Ⅳ, n = 16), and IPC + remote IPC group (group V , n = 16) . Focal cerebral I/R was produced by occlusion of the right middle cerebral artery (MCA) for 1.5 h followed by 24 h of reperfusion. In group Ⅰ, operation was performed but focal cerebral I/R was not produced. In group Ⅲ , the rats were subjected to 3 episodes of 30 s ischemia at 30 s intervals before 24 h of reperfusion. In group Ⅳ, after 1.5 h of the right MCA occlusion, remote IPC was performed by occluding the right femoral artery for 5 min before 24 h of reperfusion. In group Ⅴ, IPC and remote IPC were performed as described in group Ⅲ and Ⅳ respectively before 24 h of reperfusion. The neurologic deficit scores (NDSs) were measured at 2 and 24 h of reperfusion. Ten rats in each group were decapitated at 24 h of reperfusion and brains rapidly . removed for measuring the cerebral infarct size (IS). The expression of microtubule-associated protein 2 (MAP2) were detected. The animals received iv injection of fluorescein isothiocyanate (FICT)-dextran via the femoral vein 1 min before decapitation, for laser confocal scanning. The contralateral side was served as control. Results As compared with group Ⅰ, the NDSs and cerebral IS on the ischemic side were significantly increased, and the cerebral expression of MAP2, plasma volume of the cerebral tissues, and diameter and length of the cerebral microvessel on the ischemic side significantly decreased in group Ⅱ, Ⅲ , Ⅳ and Ⅴ ( P < 0.05 ) . As compared with group Ⅱ, the NDSs and cerebral IS on the ischemic side were significantly decreased, and the cerebral expression of MAP2, plasma volume of the cerebral tissues, and diameter and length of the cerebral microvessel on the ischemic side significantly increased in group ID , Ⅳ and Ⅴ( P < 0.05). Conclusion Although the combination of IPC and remote IPC can attenuate the focal cerebral I/R injury in rats, the efficacy is similar to that of either of them alone. Key words: Reperfusion injury; Brain; Ischemia postconditioning
Read full abstract