高胆红素血症新生大鼠耳蜗核NMDAR活性变化与听力损伤的实验研

李克方, 杜开先, 蒋月星, 董雪蕾, 张艳

中国当代儿科杂志 ›› 2010, Vol. 12 ›› Issue (3) : 201-204.

PDF(1152 KB)
PDF(1152 KB)
中国当代儿科杂志 ›› 2010, Vol. 12 ›› Issue (3) : 201-204.
论著·实验研究

高胆红素血症新生大鼠耳蜗核NMDAR活性变化与听力损伤的实验研

  • 李克方,杜开先,蒋月星,董雪蕾,张艳
作者信息 +

NMDAR expression in the cochlear nucleus and hearing damage in neonatal rats with hyperbilirubinemia

  • LI Ke-Fang, DU Kai-Xian, JIANG Yue-Xing, DONG Xue-Lei, ZHANG Yan
Author information +
文章历史 +

摘要

目的:探讨高胆红素血症时听力损伤的机制及NMDAR活性变化在此损伤中的作用。方法:7 d龄 Sprague-Dawley大鼠60只,随机分为对照组和实验组,实验组又根据腹腔注射胆红素的剂量(100 μg/g和200 μg/g)分为M1、M2组,对照组以生理盐水取代胆红素溶液。测试各组动物脑干听觉诱发电位(ABR),检测血清胆红素浓度和脑组织胆红素含量,免疫组化SABC法测试大鼠耳蜗核NMDAR的活性变化。结果:M1组和M2组ABR反应阈明显升高,I、II、III波潜伏期及I~Ⅱ、Ⅱ~III、I~III波间期明显延长。M1组、M2组耳蜗核NMDAR免疫组化平均灰度值明显低于对照组,与脑组织胆红素含量呈显著负相关,与ABR反应阈亦呈显著负相关。结论:NMDAR活性升高在高胆红素血症听力损伤过程中发挥重要作用。[中国当代儿科杂志,2010,12(3):201-204]

Abstract

ObjectiveTo study the role of N-methyl-D-aspartate-receptor (NMDAR) expression in the development of hearing damage in neonatal rats with hyperbilirubinemia. METHODS: Sixty seven-day-old Sprague-Dawley rats were randomly injected with bilirubin of 100 μg/g (low-dose treatment group) or 200 μg/g (high-dose treatment group) or normal saline (control group). Auditory brainstem response (ABR) was examined. The concentrations of bilirubin in blood and brain were measured. NMDAR expression in the cochlear nucleus slices was examined by immunohistochemistry assay. RESULTS: ABR reflecting threshold obviously increased, and I, II and III wave latency as well as I-II, II-III and I-III interval were more prolonged in the two bilirubin treatment groups when compared with the control group. The NMDAR expression in the cochlear nucleuse in the two bilirubin treatment groups was obviously lower than that in the control group. The NMDAR expression in the cochlear nucleuse was negatively correlated with the brain bilirubin content and the ABR reflecting threshold in the two bilirubin treatment groups. CONCLUSIONS: An increased NMDAR activity may play an important role in hearing damage following hyperbilirubinemia.[Chin J Contemp Pediatr, 2010, 12 (3):201-204]

关键词

高胆红素血症 / NMDAR / 脑干听觉诱发电位 / 听力损伤 / 新生大鼠

Key words

Hyperbilirubinemia / N-methyl-D-aspartate-receptor / Auditory brainstem response / Hearing damage / Neonatal rats

引用本文

导出引用
李克方, 杜开先, 蒋月星, 董雪蕾, 张艳. 高胆红素血症新生大鼠耳蜗核NMDAR活性变化与听力损伤的实验研[J]. 中国当代儿科杂志. 2010, 12(3): 201-204
LI Ke-Fang, DU Kai-Xian, JIANG Yue-Xing, DONG Xue-Lei, ZHANG Yan. NMDAR expression in the cochlear nucleus and hearing damage in neonatal rats with hyperbilirubinemia[J]. Chinese Journal of Contemporary Pediatrics. 2010, 12(3): 201-204
中图分类号: R-33   

参考文献

[1]Rhee CK, Park HM, Jang YJ . Audiologic evaluation of neonates with severe hyperbilirubinemia using transiently evoked otoacoustic emissions and auditory brainstem responses[J]. Laryngoscope, 1999, 109(12):2005-2008.
[2]Inglefield JR, Schwartz-Bloom RD. Activation of excitatory amino acid receptors in the rat hippocampal slice increase intracellular Cl-and cell volume[J]. J Neuochem, 1998, 71(4):1396-1404.
[3]Simmons JL, Beauchaine KL. Auditory neuropathy: case study with hyperbilirubinemia[J]. J Am Acad Audiol, 2000, 11(6):337-347.
[4]陈舜年,贲晓明,夏振伟. 胆红素脑病动物模型制作与鉴定[J]. 新生儿科杂志, 1997, 12(4):166-169.
[5]Elizebeth S. Laboratory measurment of bilirubin[J]. Clin Perinatol, 1990, 17(2):397-416.
[6]Wennberg RP, Johanson BB, Folbrearova J, Siesjo BK. Bilirubin induced changes in brain energy metabolism after osmotic opening of the blood-brain barrier[J]. Pediatr Res, 1991, 30(3):473-478.
[7]田秀芬,董明敏. 豚鼠耳蜗核复合体的解剖[J]. 河南医科大学学报, 2000, 35(6):502-503.
[8]王平宇. 大白鼠中枢神经系统解剖学基础[M].北京:人民卫生出版社,1987:9-120.
[9]第二军医大学生理学教研室. 常用实验动物脑立体定位图谱[M].北京:科学出版社,1990:16-18.
[10]杜开先,贾天明,栾斌,马艳华,魏琛.血清胆红素浓度对足月新生儿神经心理发育的影响[J]. 中国当代儿科杂志,2008,10(3):393-394.
[11]倪道凤,杜明,梁兴群,刘海,徐春晓,李奉荣. 不同龄豚鼠听性脑干反应和耳蜗核形态比较[J]. 听力学及言语疾病杂志, 1997, 5(3):113-117.
[12]Grojean S, Koziel V, Vert P, Daval JL. Billirubin induces apoptosis via activation of NMDA receptors in developing rat brain neurons[J]. Exp Neurol, 2000, 166(2): 334-341.


PDF(1152 KB)

Accesses

Citation

Detail

段落导航
相关文章

/