The miR-9-5p/CXCL11 pathway is a key target of hydrogen sulfide-mediated inhibition of neuroinflammation in hypoxic ischemic brain injury

We previously showed that hydrogen sulfide(H2S)has a neuroprotective effect in the context of hypoxic ischemic brain injury in neonatal mice.However,the precise mechanism underlying the role of H2S in this situation remains unclear.In this study,we used a neonatal mouse model of hypoxic ischemic brain injury and a lipopolysaccharide-stimulated BV2 cell model and found that treatment with L-cysteine,a H2S precursor,attenuated the cerebral infarction and cerebral atrophy induced by hypoxia and ischemia and increased the expression of miR-9-5p and cystathionineβsynthase(a major H2S synthetase in the brain)in the prefrontal cortex.We also found that an miR-9-5p inhibitor blocked the expression of cystathionineβsynthase in the prefrontal cortex in mice with brain injury caused by hypoxia and ischemia.Furthermore,miR-9-5p overexpression increased cystathionine-β-synthase and H2S expression in the injured prefrontal cortex of mice with hypoxic ischemic brain injury.L-cysteine decreased the expression of CXCL11,an miR-9-5p target gene,in the prefrontal cortex of the mouse model and in lipopolysaccharide-stimulated BV-2 cells and increased the levels of proinflammatory cytokines BNIP3,FSTL1,SOCS2 and SOCS5,while treatment with an miR-9-5p inhibitor reversed these changes.These findings suggest that H2S can reduce neuroinflammation in a neonatal mouse model of hypoxic ischemic brain injury through regulating the miR-9-5p/CXCL11 axis and restoringβ-synthase expression,thereby playing a role in reducing neuroinflammation in hypoxic ischemic brain injury.

Resatorvid protects against hypoxic-ischemic brain damage in neonatal rats

Secondary brain damage caused by hyperactivation of autophagy and inflammatory responses in neurons plays an important role in hypoxic-ischemic brain damage(HIBD).Although previous studies have implicated Toll-like receptor 4(TLR4)and nuclear factor kappa-B(NF-κB)in the neuroinflammatory response elicited by brain injury,the role and mechanisms of the TLR4-mediated autophagy signaling pathway in neonatal HIBD are still unclear.We hypothesized that this pathway can regulate brain damage by modulating neuron autophagy and neuroinflammation in neonatal rats with HIBD.Hence,we established a neonatal HIBD rat model using the Rice-Vannucci method,and injected 0.75,1.5,or 3 mg/kg of the TLR4 inhibitor resatorvid(TAK-242)30 minutes after hypoxic ischemia.Our results indicate that administering TAK-242 to neonatal rats after HIBD could significantly reduce the infarct volume and the extent of cerebral edema,alleviate neuronal damage and neurobehavioral impairment,and decrease the expression levels of TLR4,phospho-NF-κB p65,Beclin-1,microtubule-associated protein l light chain 3,tumor necrosis factor-α,and interleukin-1βin the hippocampus.Thus,TAK-242 appears to exert a neuroprotective effect after HIBD by inhibiting activation of autophagy and the release of inflammatory cytokines via inhibition of the TLR4/NF-κB signaling pathway.This study was approved by the Laboratory Animal Ethics Committee of Affiliated Hospital of Yangzhou University,China(approval No.20180114-15)on January 14,2018.

Hyperbaric oxygen treatment promotes neural stem cell proliferation in the subventricular zone of neonatal rats with hypoxic-ischemic brain damage

Hyperbaric oxygen therapy for the treatment of neonatal hypoxic-ischemic brain damage has been used clinically for many years, but its effectiveness remains controversial. In addition, the mechanism of this potential neuroprotective effect remains unclear. This study aimed to investigate the influence of hyperbaric oxygen on the proliferation of neural stem cells in the subventricular zone of neonatal Sprague-Dawley rats （7 days old） subjected to hypoxic-ischemic brain damage. Six hours after modeling, rats were treated with hyperbaric oxygen once daily for 7 days. Immunohistochemistry revealed that the number of 5-bromo-2＇-deoxyuridine positive and nestin positive cells in the subventricular zone of neonatal rats increased at day 3 after hypoxic-ischemic brain damage and peaked at day 5. After hyperbaric oxygen treatment, the number of 5-bromo-2＇- deoxyuddine positive and nestin positive cells began to increase at day 1, and was significantly higher than that in normal rats and model rats until day 21. Hematoxylin-eosin staining showed that hyperbaric oxygen treatment could attenuate pathological changes to brain tissue in neonatal rats, and reduce the number of degenerating and necrotic nerve cells. Our experimental findings indicate that hyperbaric oxygen treatment enhances the proliferation of neural stem cells in the subventricular zone of neonatal rats with hypoxic-ischemic brain damage, and has therapeutic potential for promoting neurological recovery following brain injury.

Negative regulation of miRNA-9 on oligodendrocyte lineage gene 1 during hypoxic-ischemic brain damage

Oligodendrocyte lineage gene 1 plays a key role in hypoxic-ischemic brain damage and myelin repair, miRNA-9 is involved in the occurrence of many related neurological disorders. Bioin- formatics analysis demonstrated that miRNA-9 complementarily, but incompletely, bound oligodendrocyte lineage gene 1, but whether miRNA-9 regulates oligodendrocyte lineage gene 1 remains poorly understood. Whole brain slices of 3-day-old Sprague-Dawley rats were cultured and divided into four groups： control group; oxygen-glucose deprivation group （treatment with 8% O2 ＋ 92% N2 and sugar-free medium for 60 minutes）; transfection control group （after oxygen and glucose deprivation for 60 minutes, transfected with control plasmid） and miRNA-9 transfection group （after oxygen and glucose deprivation for 60 minutes, transfected with miRNA-9 plasmid）. From the third day of transfection, and with increasing culture days, oligodendrocyte lineage gene 1 expression increased in each group, peaked at 14 days, and then decreased at 21 days. Real-time quantitative PCR results, however, demonstrated that oligoden- drocyte lineage gene 1 expression was lower in the miRNA-9 transfection group than that in the transfection control group at 1, 3, 7, 14, 21 and 28 days after transfection. Results suggested that miRNA-9 possibly negatively regulated oligodendrocyte lineage gene 1 in brain tissues during hypoxic-ischemic brain damage.

Effects of ephedrine on expression of Nogo-A and synaptophysin in neonatal rats following hypoxic-ischemic brain damage

BACKGROUND： Central nervous system axons regenerate poorly following neonatal hypoxic-ischemic brain damage （HIBD）, partly due to inhibitors, such as Nogo-A. Very few studies have addressed the regulation of Nogo-A in neonatal rats following HIBD. However, numerous studies have shown that ephedrine accelerates neuronal remodeling and promotes recovery of neural function in neonatal rats following HIBD. OBJECTIVE： To investigate the effects of ephedrine on expression of Nogo-A and synaptophysin in brain tissues of neonatal rats following HIBD. DESIGN, TIME AND SETTING： A completely randomized, controlled study was performed at the Immunohistochemistry Laboratory of the Research Institute of Pediatrics, Children＇s Hospital of Chongqing Medical University from August 2008 to March 2009. MATERIALS： Ephedrine hydrochloride （Chifeng Pharmaceutical Group, China）, rabbit anti-Nogo-A polyclonal antibody （Abcam, UK）, and rabbit anti-synaptophysin polyclonal antibody （Lab Vision, USA） were used in this study. METHODS： A total of 96 healthy, neonatal, Sprague Dawley rats were randomly assigned to three groups （n = 32）： sham operation, HIBD, and ephedrine. The HIBD model was established by permanent occlusion of the left common carotid artery, followed by 2 hours of hypoxia （8% oxygen and 92% nitrogen）. In the sham operation group, the left common carotid artery was exposed, but was not ligated or subjected to hypoxia. Rats in the ephedrine group were intraperitoneally injected with ephedrine immediately following HIBD, with 1.5 mg/kg each time. Rats in the sham operation and HIBD groups were injected with an equal volume of saline. All neonatal rats were treated once daily for 7 days. MAIN OUTCOME MEASURES： Histopathological damage to the cortex and hippocampus was determined by hematoxylin-eosin staining. Expression of Nogo-A and synaptophysin was detected using immunohistochemical staining. RESULTS： Neuronal degeneration and edema were observed in the hypoxJc-Jschemic cortex and hippocampus by hematoxylin-eosin staining. Compared with the sham operation group, the levels of Nogo-A significantly increased in the HIBD group at various time points （P 〈 0.01）. Nogo-A expression was significantly reduced in the ephedrine group compared with the HIBD group （P 〈 0.01）. Synaptophysin expression was significantly decreased in the hypoxic-ischemJc cortex, compared with the sham operation group （P 〈 0.01）. Synaptophysin levels were significantly increased in the ephedrine group, compared with the HIBD group （P 〈 0.01）. CONCLUSION： Altered Nogo-A expression was associated with inversely altered synaptophysin expression. The use of ephedrine normalized expression levels of Nogo-A and synaptophysin following HIBD.

Estrogen inhibits lipid peroxidation after hypoxic-ischemic brain damage in neonatal rats

Sprague-Dawley neonatal rats within 7 days after birth were used in this study. The left common carotid artery was occluded and rats were housed in an 8% O2 environment for 2 hours to establish a hypoxic-ischemic brain damage model. 17β-estradiol （1 × 10-5 M） was injected into the rat abdominal cavity after the model was successfully established. The left hemisphere was obtained at 12, 24, 48, 72 hours after operation. Results showed that malondialdehyde content in the left brain of neonatal rats gradually increased as modeling time prolonged, while malondialdehyde content of 17β-estrodial-treated rats significantly declined by 24 hours, reached lowest levels at 48 hours, and then peaked at 72 hours after injury. Nicotinamide-adenine dinucleotide phosphate histochemical staining showed the nitric oxide synthase-positive cells and fibers dyed blue/violet and were mainly distributed in the cortex, hippocampus and medial septal nuclei. The number of nitric oxide synthase-positive cells peaked at 48 hours and significantly decreased after 17β-estrodial treatment. Our experimental findings indicate that estrogen plays a protective role following hypoxic-ischemic brain damage by alleviating lipid peroxidation through reducing the expression of nitric oxide synthase and the content of malondialdehyde.

Flunarizine and lamotrigine prophylaxis effects on neuron-specific enolase, S-100, and brain-specific creatine kinase in a fetal rat model of hypoxic-ischemic brain damage

BACKGROUND： Calcium antagonists may act as neuroprotectants, diminishing the influx of calcium ions through voltage-sensitive calcium channels. When administered prophylactically, they display neuroprotective effects against hypoxic-ischemic brain damage in newborn rats. OBJECTIVE： To investigate the neuroprotective effects of flunarizine （FNZ）, lamotrigine （LTG） and the combination of both drugs, on hypoxic-ischemic brain damage in fetal rats. DESIGN AND SETTING： This randomized, complete block design was performed at the Department of Pediatrics, Shenzhen Fourth People＇s Hospital, Guangdong Medical College. MATERIALS： Forty pregnant Wistar rats, at gestational day 20, were selected for the experiment and were randomly divided into FNZ, LTG, FNZ ＋ LTG, and model groups, with 10 rats in each group. METHODS： Rats in the FNZ, LTG, and FNZ ＋ LTG groups received intragastric injections of FNZ （0.5 mg/kg/d）, LTG （10 mg/kg/d）, and FNZ （0.5 mg/kg/d） ＋ LTG （10 mg/kg/d）, respectively. Drugs were administered once a day for 3 days prior to induction of hypoxia-ischemia. Rats in the model group were not administered any drugs. Three hours after the final administration, eight pregnant rats from each group underwent model establishment hypoxia-ischemia brain damage to the fetal rats. Cesareans were performed at 6, 12, 24, and 48 hours later; and 5 fetal rats were removed from each mother and kept warm. Two fetuses without model establishment were removed by planned cesarean at the same time and served as controls. A total of 0.3 mL serum was collected from fetal rats at 6, 12, 24, and 48 hours, respectively, following birth. MAIN OUTCOME MEASURES： Serum protein concentrations of neuron-specific enolase and S-100 were measured by ELISA. Serum concentrations of brain-specific creatine kinase were measured using an electrogenerated chemiluminescence method. RESULTS： Serum concentrations of neuron-specific enolase, S-100, and brain-specific creatine kinase were significantly higher in the hypoxic-ischemic fetal rats, compared with the non-hypoxic-ischemic group. Serum concentrations of neuron-specific enolase, S-100, and brain-specific creatine kinase were significantly less in the FNZ, LTG, and FNZ ＋ LTG groups following ischemia, compared with the model group （P 〈 0.01）. However, these values were significantly greater in the FNZ and LTG groups, compared with the FNZ ＋ LTG group, following ischemia （P 〈 0.01）. CONCLUSION： Preventive antenatal use of oral FNZ and LTG has positive neuroprotective effects on intrauterine hypoxic-ischemic brain damage. The combined effect of these two drugs is superior.

Environmental enrichment promotes neural remodeling in newborn rats with hypoxic-ischemic brain damage

We evaluated the effect of hypoxic-ischemic brain damage and treatment with early environmental enrichment intervention on development of newborn rats, as evaluated by light and electron microscopy and morphometry. Early intervention with environmental enrichment intelligence training attenuated brain edema and neuronal injury, promoted neuronal repair, and increased neuronal plasticity in the frontal lobe cortex of the newborn rats with hypoxic-ischemic brain damage.

660 nm red light-enhanced bone marrow mesenchymal stem cell transplantation for hypoxic-ischemic brain damage treatment

Bone marrow mesenchymal stem cell transplantation is an effective treatment for neonatal hy- poxic-ischemic brain damage. However, the in vivo transplantation effects are poor and their survival, colonization and differentiation efficiencies are relatively low. Red or near-infrared light from 600-1,000 nm promotes cellular migration and prevents apoptosis. Thus, we hypothesized that the combination of red light with bone marrow mesenchymal stem cell transplantation would be effective for the treatment of hypoxic-ischemic brain damage. In this study, the migra- tion and colonization of cultured bone marrow mesenchymal stem cells on primary neurons after oxygen-glucose deprivation were detected using Transwell assay. The results showed that, after a 40-hour irradiation under red light-emitting diodes at 660 nm and 60 mW/cmz, an increasing number of green fluorescence-labeled bone marrow mesenchymal stem cells migrated towards hypoxic-ischemic damaged primary neurons. Meanwhile, neonatal rats with hypoxic-ischemic brain damage were given an intraperitoneal injection of 1 x 106 bone marrow mesenchymal stem cells, followed by irradiation under red light-emitting diodes at 660 nm and 60 mW/cm2 for 7 successive days. Shuttle box test results showed that, after phototherapy and bone marrow mesenchymal stem cell transplantation, the active avoidance response rate of hypoxic-ischemic brain damage rats was significantly increased, which was higher than that after bone marrow mesenchymal stem cell transplantation alone. Experimental findings indicate that 660 nm red light emitting diode irradiation promotes cells, thereby enhancing the contribution ic-ischemic brain damage. the migration of bone marrow mesenchymal stem of cell transplantation in the treatment of hypox-

EFFECT OF MILD HYPOTHERMIA ON ACTIVITY NITRIC OXIDE SYNTHASE IN CORTICAL NEURONS AND GLYCEMIA LEVELS OF NEONATAL RATS WITH HYPOXIC ISCHEMIC BRAIN DAMAGE

Through investigating the effect of mild hypothermia on activity of nitric oxide snythase (NOS) in cortical neurons and glycemia levels of neonatal rats with hypoxic ischemic brain damage (HIBD). We studied the mechanism of protecting hypoxic ischemic neurons of mild hypothermia. We established neonatal rat HIBD models, used NOS immunohistochemistry and glycemia determination by micromethod. The number of cortical NOS positive neurons after hypoxic ischemia was significantly decreased as compared with controls. The glycemia levels was significantly increased than that controls. No significant difference was found in number of cortical NOS positive neurons and glycemia levels between 31℃ and 34℃ mild hypothemia. The results imply that hypothermia can decrease overproduction of NO through inhibiting the increase of the activity of NOS, and increase the glycemia levels, thus protect the hypoxic ischemic neurons.

Neuroprotective effects of autophagy inhibition on hippocampal glutamate receptor subunits after hypoxia-ischemia-induced brain damage in newborn rats

Autophagy has been suggested to participate in the pathology of hypoxic-ischemic brain damage（HIBD）.However,its regulatory role in HIBD remains unclear and was thus examined here using a rat model.To induce HIBD,the left common carotid artery was ligated in neonatal rats,and the rats were subjected to hypoxia for 2 hours.Some of these rats were intraperitoneally pretreated with the autophagy inhibitor 3-methyladenine（10 m M in 10 μL） or the autophagy stimulator rapamycin（1 g/kg） 1 hour before artery ligation.Our findings demonstrated that hypoxia-ischemia-induced hippocampal injury in neonatal rats was accompanied by increased expression levels of the autophagy-related proteins light chain 3 and Beclin-1 as well as of the AMPA receptor subunit GluR 1,but by reduced expression of GluR 2.Pretreatment with the autophagy inhibitor 3-methyladenine blocked hypoxia-ischemia-induced hippocampal injury,whereas pretreatment with the autophagy stimulator rapamycin significantly augmented hippocampal injury.Additionally,3-methyladenine pretreatment blocked the hypoxia-ischemia-induced upregulation of Glu R1 and downregulation of GluR2 in the hippocampus.By contrast,rapamycin further elevated hippocampal Glu R1 levels and exacerbated decreased GluR2 expression levels in neonates with HIBD.Our results indicate that autophagy inhibition favors the prevention of HIBD in neonatal rats,at least in part,through normalizing Glu R1 and GluR2 expression.

Human insulin-like growth factor 1-transfected umbilical cord blood neural stem cell transplantation improves hypoxic-ischemic brain injury

Human insulin-like growth factor 1-transfected umbilical cord blood neural stem cells were transplanted into a hypoxic-ischemic neonatal rat model via the tail vein. BrdU-positive cells at day 7 post-transplantation, as well as nestin- and neuron specific enolase-positive cells at day 14 were increased compared with those of the single neural stem cell transplantation group. In addition, the proportion of neuronal differentiation was enhanced. The genetically modified cell-transplanted rats exhibited enhanced performance in correctly crossing a Y-maze and climbing an angled slope compared with those of the single neural stem cell transplantation group. These results showed that human insulin-like growth factor 1-transfected neural stem cell transplantation promotes the recovery of the leaming, memory and motor functions in hypoxic-ischemic rats.

Neuroprotective effects of ginsenoside Rg1-induced neural stem cell transplantation on hypoxic-ischemic encephalopathy

Ginsenoside Rgl is the major pharmacologically active component of ginseng, and is reported to have various therapeutic actions. To determine whether it induces the differentiation of neural stem cells, and whether neural stem cell transplantation after induction has therapeutic effects on hypoxic-ischemic encephalopathy, we cultured neural stem cells in 10-80 ~tM ginsenoside Rgl. Immunohistochemistry revealed that of the concentrations tested, 20 mM ginsenoside Rgl had the greatest differentiation-inducing effect and was the concentration used for subsequent exper- iments. Whole-cell patch clamp showed that neural stem cells induced by 20 jaM ginsenoside Rgl were more mature than non-induced cells. We then established neonatal rat models of hypox- ic-ischemic encephalopathy using the suture method, and ginsenoside Rgl-induced neural stem cells were transplanted via intracerebroventricular injection. These tests confirmed that neural stem cells induced by ginsenoside had fewer pathological lesions and had a significantly better behavioral capacity than model rats that received saline. Transplanted neural stem cells expressed neuron-specific enolase, and were mainly distributed in the hippocampus and cerebral cortex. The present data suggest that ginsenoside Rgl-induced neural stem cells can promote the partial recovery of complicated brain functions in models of hypoxic-ischemic encephalopathy.

水苏碱调节Hippo-YAP信号通路对新生大鼠缺氧缺血性脑损伤的神经保护作用

目的探究水苏碱(stachydrine,STA)对缺氧缺血性脑损伤(hypoxic-ischemic brain damage,HIBD)新生大鼠的神经保护作用,并分析其作用机制。方法将新生SD大鼠随机分为假手术组、HIBD组、STA低剂量(5 mg/kg)组、STA中剂量(10 mg/kg)组、STA高剂量(20 mg/kg)组、维替泊芬(10 mg/kg)+STA高剂量(20 mg/kg)组,除假手术组外,其余大鼠构建HIBD大鼠模型。对各组大鼠进行神经功能缺损评分,采用Morris水迷宫实验进行认知功能评价,测定各组大鼠脑含水量和脑指数,HE染色、尼氏染色观察脑组织神经元损伤,TUNEL染色观察脑组织神经元细胞凋亡情况,Western blot法检测YES相关蛋白(YES associated protein,YAP)、p-YAP、哺乳动物STE20样蛋白激酶1(mammalian sterile 20-like kinase 1,MST1)、p-MST1、具有PDZ基序的转录共激活因子(transcriptional coactivator with PDZ-binding motif,TAZ)蛋白表达。结果与假手术组比较,HIBD组海马组织损伤加重,尼氏小体减少(P<0.05),神经功能缺损评分、逃避潜伏期、脑组织含水量、脑指数、神经元细胞凋亡率、p-YAP/YAP比值、p-MST1/MST1比值显著增加(P<0.05),穿越平台次数、TAZ表达显著降低(P<0.05);与HIBD组相比,STA低、中、高剂量组海马组织损伤改善,尼氏小体增加(P<0.05),神经功能缺损评分、逃避潜伏期、脑组织含水量、脑指数、神经元细胞凋亡率、p-YAP/YAP比值、p-MST1/MST1比值显著降低(P<0.05),穿越平台次数、TAZ表达显著增加(P<0.05);与STA高剂量组相比,维替泊芬+STA高剂量组海马组织损伤加重,尼氏小体减少(P<0.05),神经功能缺损评分、逃避潜伏期、脑组织含水量、脑指数、神经元细胞凋亡率、p-YAP/YAP比值、p-MST1/MST1比值显著增加(P<0.05),穿越平台次数、TAZ表达显著降低(P<0.05)。结论STA可能通过调控Hippo-YAP信号通路、减少神经损伤和神经元细胞凋亡、改善神经功能,发挥对HIBD新生大鼠的神经保护作用。

mfat-1转基因小鼠通过促进神经干细胞增殖修复缺氧缺血性脑损伤

目的:验证mfat-1转基因小鼠是否通过促进成体神经干细胞增殖修复缺氧缺血性脑损伤。方法:在体外实验中,分离并培养mfat-1转基因小鼠和同窝阴性鼠的成体神经干细胞,进行氧糖剥夺/复氧(oxygen-glucose deprivation/reoxygenation,OGD/R)造模,检测神经干细胞增殖情况;在体内实验中,对mfat-1转基因小鼠及其同窝阴性对照小鼠进行缺氧缺血性脑损伤(hypoxic-ischemic brain damage,HIBD)造模,检测成体神经干细胞的增殖能力。结果:成功构建HIBD小鼠模型和神经干细胞体外培养体系。mfat-1转基因小鼠来源的成体神经干细胞的增殖能力较野生型小鼠来源的成体神经干细胞更强;与野生型小鼠比较,mfat-1转基因小鼠神经干细胞增殖能力显著增强且行为学改善。结论:mfat-1转基因小鼠通过促进神经干细胞增殖修复小鼠HIBD。

缺氧缺血性脑病外周血CysC、NSE、CK-BB、乳酸水平相关分析

目的探讨缺氧缺血性脑病胱抑素C(cystatin C)、神经元特异性烯醇化酶(NSE)、肌酸激酶脑型同工酶(CK-BB)、乳酸水平变化,并分析与脑损伤程度的相关性。方法回顾性分析2019年1月至2023年10月收治的98例缺氧缺血性脑病患儿为研究组,研究组中根据脑损伤严重程度神经评分(NBNA)分为轻度组36例,中度组32例,重度组30例,另选30例健康新生儿为对照组。检测受试者CysC、NSE、CKBB、乳酸水平,Pearson分析各指标与脑损伤程度的相关性;受试者工作特征曲线(ROC)分析CysC、NSE、CK-BB、乳酸对脑损伤严重程度的预测价值。结果病例组CysC、NSE、CK-BB、乳酸水平高于对照组(P<0.05)。重度组CysC、NSE、CK-BB、乳酸水平高于中度组、轻度组,中度组外周血CysC、NSE、CK-BB、乳酸水平明显高于轻度组(P<0.05)。Pearson分析CysC、NSE、CK-BB、乳酸各指标与脑损伤严重程度呈正相关关系(r=0.479、0.642、0.655、0.618,P<0.05)。ROC分析显示CysC、NSE、CK-BB、乳酸联合预测脑损伤严重程度诊断准确性最高。结论缺氧缺血性脑病患儿外周血CysC、NSE、CK-BB、乳酸水平与脑损伤病情严重程度密切相关,是早期反映新生儿脑损伤严重程度的敏感生化指标。

蒲金口服液对HIBD幼鼠脑组织PSD-95、NMDAR-2B表达的影响

目的探讨蒲金口服液对缺氧缺血性脑损伤(Hypoxic-ischemic brain damage,HIBD)幼鼠的神经保护机制。方法单侧颈总动脉结扎联合缺氧环境制备HIBD幼鼠模型。动物分为中药组、西药组、模型组、假手术组、空白组。中药组蒲金口服液0.1 mL/(kg·d)灌胃;西药组单唾液酸四己糖神经节苷脂钠注射液3 mL/(kg·d)腹腔注射;余组生理盐水0.1 mL/(kg·d)灌胃,均每日1次,连续14 d。Morris水迷宫测试学习与记忆行为能力,尼氏染色观察脑组织神经元,透射电镜观察突触超微结构,Western Blot检测脑组织PSD-95、NMDAR-2B表达。结果蒲金口服液可改善HIBD幼鼠神经损伤,上调脑组织突触后密度蛋白95(PSD-95)、谷氨酸受体2B抗体(NMDAR-2B)表达(P<0.05)。结论蒲金口服液改善HIBD幼鼠神经行为学表现,可能与其调控PSD-95、NMDAR-2B表达,维护突触稳态有关。

新生大鼠缺氧缺血性脑损伤模型中TRPC3通路介导的神经自噬研究

目的:探讨新生大鼠缺氧缺血性脑损伤模型中TRPC3通路介导的神经自噬作用。方法:7日龄Sprague-Dawley(SD)雄性幼鼠随机分为4组,每组20只,分别为Sham组、HIBD组、HIBD+Vector组和HIBD+TRPC3组。HIBD+Vector组和HIBD+TRPC3组在诱导HIBD模型前24 h,分别将Vector或TRPC3注射到左侧脑室中。评估各组幼鼠脑梗死面积、神经系统评分、脑水肿体积、神经元凋亡和线粒体自噬。体外将小鼠海马神经元细胞系(HT22)分为以下6组:Control组、OGD/R组、OGD/R+TRPC3组、OGD/R+NC组、OGD/R+si-Pink1组和OGD/R+TRPC3+si-Pink1组。除Control组外,其他组使用氧气-葡萄糖剥夺/再灌注(Oxygen-glucose deprivation/reperfusion,OGD/R)方法建立体外脑缺血再灌注模型。通过线粒体膜电位的检测线粒体损伤情况。结果:与Sham组相比,HIBD组和HIBD+Vector组显示出较大的梗死面积、脑含水量、神经学评分和神经元凋亡(P<0.05)。HIBD+TRPC3组的梗死面积、脑含水量、神经学评分和神经元凋亡较HIBD+Vector组明显降低(P<0.05)。与Sham组相比,HIBD组和HIBD+Vector组线粒体自噬相关蛋白PTEN诱导假定激酶1(PTEN induced putative kinase 1,Pink1)、E3泛素连接酶(Parkin RBR E3 ubiquitin protein ligase,Parkin)和微管相关蛋白轻链3(light chain 3,LC3)Ⅱ的表达水平增加(P<0.05)。与HIBD+Vector组相比,HIBD+TRPC3组Pink1、Parkin和Lc3Ⅱ的表达水平进一步增加(P<0.05)。体外实验显示,TRPC3上调可以强烈增加Pink1、Parkin的表达和Lc3Ⅱ/Lc3Ⅰ比值,以及减少选择性自噬接头蛋白(sequestosome-1,p62)的表达。Pink1沉默可以部分阻止TRPC3对线粒体自噬的影响。TRPC3上调增加了健康线粒体的数量,减少了受损线粒体的数量,提高了HT-22细胞的生存率。然而,Pink1沉默阻止了TRPC3对线粒体功能和增殖能力的恢复。结论:TRPC3通过激活Pink1/Parkin通路介导的线粒体自噬,在HIBD早期阶段中发挥了重要的保护作用。

针刺对发育期脑损伤大鼠脑组织细胞凋亡及Bcl-2、Bax蛋白表达的影响

目的观察针刺疗法对宫内缺血脑损伤大鼠脑组织细胞凋亡及其凋亡相关蛋白Bcl-2、Bax表达的影响,为针刺疗法应用于发育期脑损伤提供实验依据。方法采用结扎孕鼠双侧子宫动脉,完全阻断血供25 min娩出胎鼠,制成宫内窘迫脑损伤模型,将成功的模型随机分为针刺组和模型组,每组各8只;正常组剖宫产取出胎鼠,8只;其余胎鼠丢弃。正常组和模型组不治疗,针刺组于出生后7~30 d行针刺治疗,每日针刺1次,不留针。30 d实验结束后断头取脑,运用TUNEL法检测脑细胞凋亡,SABC法测脑组织Bcl-2、Bax蛋白表达。结果正常组大鼠脑细胞凋亡数极少,而模型组较高,针刺组介于两者之间,3组差异有统计学意义（P〈0.05）;Bcl-2染色指数正常组或针刺组比模型增加,差异有统计学意义（P〈0.05）;Bax染色指数正常组或针刺组比模型组降低,差异有统计学意义（P〈0.05）。结论针刺可以减少宫内窘迫脑损伤大鼠脑组织神经细胞凋亡,提高Bcl-2蛋白的表达,降低Bax蛋白的表达,这可能是应用针刺疗法治疗发育期脑损伤的机制之一。

姜黄素改善缺氧缺血性脑损伤新生大鼠远期神经行为缺陷的机制

目的探讨姜黄素减轻缺氧缺血性脑损伤新生大鼠相关神经炎性反应的作用机制并且评估其对缺氧缺血性脑损伤远期神经行为的影响。方法2023年1—6月在武汉大学人民医院中心实验室进行实验。选用7日龄新生SD大鼠66只,采用随机数字表法分为假手术组(n=22)、缺氧缺血脑损伤组(HIBD组,n=22)和缺氧缺血脑损伤+姜黄素组(HIBD+姜黄素组,n=22)。造模后24 h采用Longa评分评估造模是否成功,造模后48 h通过负性趋地反射、翻正反射评估短期神经行为;4周后采用圆筒实验、水迷宫实验、转角实验、爬杆实验评估远期神经行为;采用ELISA试剂盒检测脑组织炎性因子(TNF-α、IL-1β、IL-6)水平;采用Western-blot法检测脑组织蛋白(STAT3、p-STAT3)水平。结果造模24 h后,HIBD组(n=18)与HIBD+姜黄素组(n=15)新生大鼠Longa评分为1~3分提示造模成功。短期行为学评估表明,与HIBD组比较,HIBD+姜黄素组负性趋地反射和翻正反射时间缩短(P<0.05)。远期神经行为学评估表明,与HIBD组比较,HIBD+姜黄素组圆筒实验大鼠左前肢使用率明显增加、水迷宫实验穿越平台潜伏期缩短、穿越平台象限次数增加、转角实验右转得分率减少、爬杆实验中爬杆时间缩短(P<0.01)。ELISA检测显示,与HIBD组比较,HIBD+姜黄素组脑组织中TNF-α、IL-1β和IL-6水平下降(P<0.05)。蛋白免疫印迹技术显示,与HIBD组比较,HIBD+姜黄素组脑组织中p-STAT3/STAT3水平降低(P<0.01)。结论姜黄素可通过抑制STAT3磷酸化介导的神经炎性反应并改善缺氧缺血性脑损伤新生大鼠神经行为学缺陷。