目的 探讨外源性硫化氢（H2S）对氧糖剥夺／复氧（OGD/R）诱导的神经元细胞自噬和损伤的影响，明确H2S减轻大鼠脑缺血再灌注损伤的分子机制。 方法 以大鼠神经元PC12细胞为研究对象，采用经典的OGD/R诱导细胞损伤，硫氢化钠（NaHS）作为H2S的供体预处理后观察H2S对OGD/R诱导的细胞自噬抑制蛋白mTOR、AMPK及其磷酸化AMPK的影响。为明确AMPK在H2S调节PC12细胞自噬中的作用，采用AMPK过表达质粒进行干预，并观察其对H2S减轻PC12细胞损伤的影响。 结果 OGD/R处理的PC12细胞mTOR磷酸化水平降低、AMPK活性增强，NaHS预处理可部分逆转上述改变。而AMPK过表达后，可消除NaHS对OGD/R诱导的自噬和细胞凋亡的抑制作用。 结论 H2S可通过抑制AMPK活化，进而抑制缺血再灌注时大脑神经元过度的自噬和凋亡，最终减轻神经元损伤。
Objective To investigate the effects of exogenous hydrogen sulfide (H2S) on autophagy and injury induced by oxygen glucose deprivation/reoxygenation (OGD/R) in neurons, and to clarify the molecular mechanism of H2S attenuating cerebral ischemia-reperfusion injury in rats. Methods Rat neuronal PC12 cells were used as the research object. Classical OGD/R was used to induce cell damage. Sodium thiosulfate (NaHS), a donor of H2S, was used to observe the effect of H2S on OGD/R-induced mTOR, AMPK and its phosphorylated AMPK. In order to clarify the role of AMPK in the regulation of autophagy in PC12 cells by H2S, AMPK overexpression plasmid was used to observe the effect of H2S on the damage of PC12 cells. Results The OGD/R-treated PC12 cells had decreased mTOR phosphorylation level and enhanced AMPK activity, and NaHS pretreatment partially reversed the above changes. The overexpression of AMPK can abolish the inhibitory effect of NaHS on OGD/R-induced autophagy and cell damage. Conclusions H2S can inhibit the autophagy of brain neurons during ischemia-reperfusion by inhibiting the activation of AMPK, and finally reduce neuronal damage.
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