老龄大鼠脑缺血再灌注神经细胞凋亡、Bcl-2、Bax表达与caspase-3活性变化

目的：研究老年与青年急性局灶性脑缺血及再灌注(I/R)后细胞凋亡、Bcl-2、Bax表达与caspase-3活性变化的异同。方法： 采用线栓法建立急性局灶性脑I/R模型，检测青年与老龄大鼠脑缺血3 h及I/R 3 h、6 h、12 h、24 h、 72 h后脑梗死面积、神经细胞凋亡、Bcl-2、Bax表达及caspase-3活性。结果： 老龄大鼠脑缺血3 h和I/R 12 h脑梗死面积较青年大鼠增大。随着I/R时间延长，细胞凋亡明显增加，老龄大鼠出现的早、持续时间长。青年大鼠随着I/R时间的延长Bcl-2表达明显增强，老龄大鼠不明显。老龄大鼠I/R Bax表达早于青年大鼠，其表达增强及持续时间较长。老龄大鼠I/R caspase-3的激活早于青年大鼠。结论： 老龄大鼠I/R脑组织损伤严重，神经细胞凋亡显著，其机制与Bax表达增加、casspase-3活性增高及其持续时间长有关。

Age-related changes of expression of Bcl-2, Bax and caspase-3 activity after cerebral ischemia/reperfusion in aged rats

AIM: To study age-related changes of expression of Bcl-2, Bax and caspase - 3 activity after focal cerebral ischemia/reperfusion (I/R) in aged rats. METHODS: The aged SD rats (20 - 21 months) and the young animals (4-5 months ) were subjected to 3 h of middle cerebral artery occulsion with the intraluminal filament technique, followed by 3 h, 6 h, 12 h, 24 h and 72 h of referfusion. Expression of Bcl - 2, Bax and caspase - 3 activity of the young and the aged rats were examined. RESULTS: Cerebral infarct zone increased in the aged at ischemia 3 h and I/R 12 h than that in the young. With I/R time longer, increase in neuron apoptosis showed early and lasted longer in the aged. The Bcl - 2 expression increased in the young with I/R time longer, but was not obvious in the aged. Bax expressd obviously and early, and kept on longer in the aged during I/R than that in the young. The enhanced activity of caspase - 3 showed early in the aged than that in the young during I/R. CONCLUSION: The mechanisms of serious cerebral injury and neuron apoptosis might be related to the increase in Bax expression and caspase - 3 activity.