Wang Jian, Doré Sylvain
Department of Anesthesiology/Critical Care Medicine, Johns Hopkins University, School of Medicine, 720 Rutland Ave, Traylor Bldg 809, Baltimore, MD 21205, USA.
Brain. 2007 Jun;130(Pt 6):1643-52. doi: 10.1093/brain/awm095.
Because heme oxygenase (HO) is the rate limiting enzyme in the degradation of the pro-oxidant hemin/heme from blood, here we investigated the contribution of the inducible HO-1 to early brain injury produced by intracerebral haemorrhage (ICH). We found that after induction of ICH, HO-1 proteins were highly detectable in the peri-ICH region predominantly in microglia/macrophages and endothelial cells. Remarkably, the injury volume was significantly smaller in HO-1 knockout (HO-1-/-) mice than in wild-type controls 24 and 72 h after ICH. Although the brain water content did not appear to be significantly different, the protection in HO-1-/- mice was associated with a marked reduction in ICH-induced leucocyte infiltration, microglia/macrophage activation and free radical levels. These data reveal a previously unrecognized role of HO-1 in early brain injury after ICH. Thus, modulation of HO-1 signalling should be assessed further in clinical settings, especially for haemorrhagic states.
由于血红素加氧酶(HO)是血液中促氧化剂血红素/高铁血红素降解过程中的限速酶,我们在此研究了诱导型HO-1在脑出血(ICH)所致早期脑损伤中的作用。我们发现,诱导ICH后,在ICH周边区域可高度检测到HO-1蛋白,主要存在于小胶质细胞/巨噬细胞和内皮细胞中。值得注意的是,ICH后24小时和72小时,HO-1基因敲除(HO-1-/-)小鼠的损伤体积明显小于野生型对照小鼠。尽管脑含水量似乎没有显著差异,但HO-1-/-小鼠受到的保护与ICH诱导的白细胞浸润、小胶质细胞/巨噬细胞激活和自由基水平的显著降低有关。这些数据揭示了HO-1在ICH后早期脑损伤中以前未被认识的作用。因此,应在临床环境中进一步评估HO-1信号通路的调节作用,特别是对于出血性疾病。