Abstract
To investigate the changes in expression of p-Akt, Caspase-9, and Bcl-2 protein in the rat
model of limb ischemic postconditioning (LIP) and examine the effect of the phosphatidylinositol 3-kinase/
Protein Kinase B (PI3K/PKB) signal transduction pathway in LIP against cerebral ischemia reperfusion injury in
rats. Methods: A total of 42 Wistar rats were randomly assigned to the sham surgery group, ischemia/
reperfusion (IR) group, and LIP group with 14 rats in each group. The filament occlusion method was employed
to generate the focal cerebral ischemia reperfusion model in the latter two groups. Two hours after the middle
cerebral artery occlusion model was established and before reperfusion, LIP was carried out in LIP group rats by
three cycles of 5 minutes occlusion/5 minutes release of the left femoral artery. Brain sections were stained with
TTC for surveying the volume of infraction. The expression of p-Akt, Caspase-9, and Bcl-2 proteins was
determined by immunohistochemical staining. Results: Compared with the IR group, the LIP group showed
significantly decreased infarct volume (P<0.05). The expression of p-Akt protein and Bcl-2 protein significantly
increased in the LIP group compared with that in the IR group (P<0.05). The expression of caspase-9 protein
significantly decreased in the LIP group compared with that in the IR group (P<0.05). Conclusion: Limb
ischemic postconditioning may upregulate the expression of p-Akt and Bcl-2 proteins, downregulate the
expression of caspase-9 protein, and reduce the cerebral infarct volume. The PI3K/PKB signal transduction
pathway may play important roles in limb ischemic postconditioning against cerebral ischemia reperfusion
injury.
Key words
limb ischemic postconditioning
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Effects of PI3K/PKB Signal Transduction Pathway in Limb Ischemic Postconditioning against
Cerebral Ischemia Reperfusion Injury[J]. Neural Injury and Functional Reconstruction. 2018, 13(12): 595-598
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