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Chinese Journal of Critical Care Medicine(Electronic Edition) ›› 2016, Vol. 09 ›› Issue (05): 321-327. doi: 10.3877/cma.j.issn.1674-6880.2016.05.007

Special Issue:

• Original Article • Previous Articles     Next Articles

Effect of oxymatrine on cerebral vasospasm in subarachnoid hemorrhage rats and its related mechanism

Xianqiang Wen1, Weimin Dai2, Qiang Huang2, Guofeng Yu2,(), Xinjiang Yan2   

  1. 1. Graduate School, Zhejiang Chinese Medical University, Hangzhou 310000, China
    2. Department of Neurosurgery, Quzhou People's Hospital, Quzhou 324000, China
  • Received:2016-07-16 Online:2016-10-01 Published:2016-10-01
  • Contact: Guofeng Yu
  • About author:
    Corresponding author: Yu Guofeng, Email:

Abstract:

Objective

To investigate the effect of oxymatrine (OMT) on cerebral vasospasm in rats with subarachnoid hemorrhage (SAH) and its related mechanism.

Methods

Two hundred rats were randomly divided into the sham group, SAH group, low and high dose treatment groups with 50 rats in each group. The SAH rat model was established by two injections of the autogenous blood into the cisterna magna, and rats in the sham group were only injected with the same volume saline twice. After surgery, the other three groups were given an intraperitoneal injection of 1 ml 0.9% sodium chloride, 60 or 120 mg/kg OMT, respectively. Ten rats from each group were sacrificed at 1, 3, 5, 7 and 10 d. The diameter of basilar artery was measured and the expression levels of nuclear factor-kappa B (NF-κB), extracellular signal-regulated kinase (ERK) 1/2, p38 mitogen activated protein kinase (MAPK), c-Jun N-terminal kinase (JNK), interleukin-1beta (IL-1β), IL-6 and tumor necrosis factor-alpha (TNF-α) mRNA in endothelial cells were detected.

Results

At day 3, 5, 7 and 10 after surgery, the significant differences were found in the diameter of basilar artery (F = 11.897, 28.957, 14.785, 8.381; all P < 0.05), as well as the protein expression levels of NF-κB (F = 17.289, 65.602, 43.881, 26.998; all P < 0.05), ERK1/2 (F = 204.331, 145.948, 107.442, 30.332; all P < 0.05), p38 MAPK (F = 84.908, 116.677, 83.735, 28.338; all P < 0.05), JNK (F = 26.809, 83.419, 56.465, 27.756; all P < 0.05), and the mRNA expression levels of IL-1β(F = 66.625, 262.620, 283.499, 218.081; all P < 0.05), IL-6 (F = 38.580, 170.657, 136.253, 58.068; all P < 0.05) and TNF-α (F = 31.290, 361.661, 101.109, 23.940; all P < 0.05) among all four groups. Compared with the SAH group, at 3, 5, 7 and 10 d, the diameter of basilar artery in the sham and high dose treatment groups were dilated obviously (all P < 0.05), as well as protein expression levels of NF-κB, ERK1/2, p38 MAPK, JNK and mRNA expression levels of IL-1β, IL-6 and TNF-α were significantly decreased (all P < 0.05). However, these effects in the low dose treatment group were not obvious (all P > 0.05).

Conclusions

OMT could inhibit cerebral vasospasm of rats with SAH. It may reduce vascular inflammatory reaction of basilar artery via OMT-depressed NF-κB, ERK1/2, p38MAPK and JNK signaling pathways in cerebrovascular endothelial cells.

Key words: Subarachnoid hemorrhage, Vasospasm, Intracranial, Rats, Oxymatrine, Inflammatory response

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