【摘要】 目的观察脑康Ⅱ号对2型糖尿病大鼠认知功能及海马CA1区凋亡相关蛋白及Caspase-3、Bcl-2和Bax蛋白表达的影响及其治疗糖尿病认知障碍的可能作用机制。方法高糖高脂饮食结合腹腔注射链脲佐菌素诱发糖尿病大鼠模型,并用3种不同剂量的脑康Ⅱ号(分别含原药材0.5、1.0、2.0 g/mL)治疗4周。采用Morris水迷宫法进行行为学检测,用免疫组化法检测海马CA1区Caspase-3、Bcl-2和Bax的表达水平。结果与正常对照组相比,糖尿病模型组Morris水迷宫定向航行实验的平均逃避潜伏期和游泳距离均明显延长(P<0.01),空间探索实验在原平台所在象限游泳时间明显缩短(P<0.01),表明学习记忆能力显著下降;模型组海马CA1区Caspase-3和Bax表达增多(P<0.01),Bcl-2表达减少(P<0.01)。经过脑康Ⅱ号3种剂量灌胃治疗4周,糖尿病大鼠学习记忆能力显著改善(P<0.01或P<0.05),海马CA1区Bcl-2表达显著上调(P<0.01或P<0.05),Caspase-3和Bax表达明显减少(P<0.01或P<0.05)。结论脑康Ⅱ号对2型糖尿病大鼠脑神经细胞的保护作用可能是通过上调Bcl-2蛋白、下调Caspase-3和Bax蛋白的表达,抑制细胞凋亡而实现,进而改善2型糖尿病大鼠的学习记忆能力。更多还原

【Abstract】 Objective To investigate the effects of Naokang Erhao decoction on the cognitive ability and the expression of Caspase-3,Bax and Bcl-2 proteins in hippocampus of type 2 diabetic rats,and explore its mechanism in treating cognitive disorder.Methods The diabetes mellitus(DM) rat model was induced by intraperitoneal injection of streptozotocin and fed with high fat and sucrose diet.The Naokang Erhao-treated rats were intragastrically given different doses of Naokang Erhao for 4 weeks.Learning and memory abilities of rats were tested with the Morris water maze.The expression of Caspase-3,Bax and Bcl-2 proteins in hippocampal CA1 region was measured with immunohistochemistry.Results Both escape latency and swimming distance of model rats were significantly prolonged compared with those of normal control(P<0.01),and swimming time in the platform of previous quadrant was significantly shorter in model group(P<0.01).The expression of Bcl-2 protein was decreased,while Caspase-3 and Bax in the hippocampus of the model group were increased compared with the control group(P<0.01).Four weeks,treatment of Naokang Erhao decoction remarkably improved the learning and memory ability of DM rats,increased the expression of Bcl-2 and decreased the expression of Caspase-3 and Bax in hippocampal CA1 region of model rats(P<0.01 or P<0.05).Conclusion Naokang Erhao decoction may inhibit apoptosis by increasing the expression of Bcl-2 and reducing the expression of Caspase-3 and Bax in the hippocampus,and then improves cognitive ability of DM rats.更多还原