Chen Li-na, Yan Bo, Chen Da-peng, Yao Yu-jia
Department of Pediatrics, West China Second Hospital, Sichuan University, Chengdu 610041, China.
Zhonghua Er Ke Za Zhi. 2008 Jan;46(1):13-7.
The mechanisms of hypoxic-ischemic brain damage (HIBD) are still largely unknown. Elevation of intracellular calcium concentration and subsequent calcium-dependent proteases activation such as calpains seem to play an important role in the process of neuronal death. Calpain inhibitors showed neuroprotective effects in adult rat cerebral ischemia models. This study aimed to investigate the protective effect and associated mechanisms of calpain inhibitor-3 (MDL28170) on HIBD of neonatal rats.
Seven-day old Sprague-Dawley rats were randomly divided into three groups: the control group (n = 18), HIBD group (n = 48) and calpain inhibitor-3 treated group (MDL group, n = 48). The mice in the latter two groups were subjected to hypoxia-ischemia (HI) insult. The puppies in MDL group were intraperitoneally injected with MDL28170 (25 mg/kg) at 0, 2 and 4 h after HI, while those in the other two groups were intraperitoneally injected with normal saline instead. All the pupies were sacrificed at 6 h, 24 h and 72 h after HI. Quantitative real-time fluorescent polymerase chain reaction was employed to detect micro-calpain gene expression, immunoblotting technique was used to measure mu-calpain and caspase-3 protein activation, apoptosis of ipsilateral cortex was detected by terminal deoxynucleotidyl transferase mediated d-UTP nick end labeling staining (TUNEL). CA1 neuronal loss was counted 24 h after HI by light microscopy.
After HI mu-calpain mRNA began to increase at 6 h and reached peak at 24 h compared to the control (1.805 and 4.83 vs. 1, P < 0.05); mu-calpain was activated through autolysis, the ratio of its activated fragment (76 000) vs. whole fragment (80 000) was significantly higher at 6 h (0.547 +/- 0.095) compared to the control (0.095 +/- 0.016, P < 0.05), it reached peak at 24 h (0.921 +/- 0.058, P < 0.01) and was still at a high level at 72 h (0.708 +/- 0.025, P < 0.05). Expression of activated caspase-3 protein reached peak at 24 h (3.78 +/- 0.30, P < 0.01), decreased to the same level as the control (1.56 +/- 0.07) at 72 h (1.82 +/- 0.11, P > 0.05). Apoptotic cells in the cortex ipsilateral to HI insult increased after HIBD, reached peak at 24 h (135.46 +/- 17.52/visual field) and was still markedly higher at 72 h (79.32 +/- 17.79/visual field) compared with the control (5.33 +/- 1.53/visual field, P < 0.01). At 24 h after HI CA1 neuronal loss (30.0 +/- 6.2/oil immersion lens field) in the HIBD group was significantly higher than that of the control (2.4 +/- 0.3/oil immersion lens field, P < 0.01). However, in the MDL group the expressions of mu-calpain and caspase-3 proteins were diminished, TUNEL positive cells at 6 h and 24 h were decreased and CA1 neuronal loss (18.2 +/- 2.4/oil immersion lens field, P < 0.05) was alleviated. The amount of micro-calpain mRNA was decreased in the MDL group, but there was no significant difference compared with the HIBD group.
mu-calpain gene and protein expressions increased after HI, which may contribute to the pathogenensis of HIBD. Calpain inhibitor-3 may intervene neural necrosis and apoptosis by diminishing expressions of mu-calpain and caspase-3 to play a protective role after HI insult of neonatal brain.
缺氧缺血性脑损伤(HIBD)的机制仍大多未知。细胞内钙浓度升高以及随后钙依赖性蛋白酶如钙蛋白酶的激活似乎在神经元死亡过程中起重要作用。钙蛋白酶抑制剂在成年大鼠脑缺血模型中显示出神经保护作用。本研究旨在探讨钙蛋白酶抑制剂 -3(MDL28170)对新生大鼠HIBD的保护作用及相关机制。
将7日龄的Sprague-Dawley大鼠随机分为三组:对照组(n = 18)、HIBD组(n = 48)和钙蛋白酶抑制剂 -3治疗组(MDL组,n = 48)。后两组小鼠接受缺氧缺血(HI)损伤。MDL组的幼鼠在HI后0、2和4小时腹腔注射MDL28170(25 mg/kg),而其他两组腹腔注射生理盐水。所有幼鼠在HI后6小时、24小时和72小时处死。采用定量实时荧光聚合酶链反应检测微钙蛋白酶基因表达,免疫印迹技术测定μ-钙蛋白酶和半胱天冬酶 -3蛋白激活,通过末端脱氧核苷酸转移酶介导的d-UTP缺口末端标记染色(TUNEL)检测同侧皮质的细胞凋亡。HI后24小时通过光学显微镜计数CA1神经元损失。
HI后,与对照组相比,μ-钙蛋白酶mRNA在6小时开始增加,在24小时达到峰值(分别为1.805和4.83 vs. 1,P < 0.05);μ-钙蛋白酶通过自溶被激活,其激活片段(76 000)与全长片段(80 000)的比率在6小时(0.547±0.095)显著高于对照组(0.095±0.016,P < 0.05),在24小时达到峰值(0.921±0.058,P < 0.01),并在72小时仍处于高水平(0.708±0.025,P < 0.05)。激活的半胱天冬酶 -3蛋白表达在24小时达到峰值(3.78±0.30,P < 0.01),在72小时降至与对照组相同水平(1.56±0.07)(1.82±0.11,P > 0.05)。HIBD后HI损伤同侧皮质的凋亡细胞增加,在24小时达到峰值(135.46±17.52/视野),与对照组(5.33±1.53/视野,P < 0.01)相比,在72小时仍显著更高(79.32±17.79/视野)。HI后24小时,HIBD组CA1神经元损失(30.0±6.2/油镜视野)显著高于对照组(2.4±0.3/油镜视野,P < 0.01)。然而,在MDL组中,μ-钙蛋白酶和半胱天冬酶 -3蛋白的表达减少,6小时和24小时的TUNEL阳性细胞减少,CA1神经元损失(18.2±2.4/油镜视野,P < 0.05)减轻。MDL组微钙蛋白酶mRNA量减少,但与HIBD组相比无显著差异。
HI后μ-钙蛋白酶基因和蛋白表达增加,这可能有助于HIBD的发病机制。钙蛋白酶抑制剂 -3可能通过减少μ-钙蛋白酶和半胱天冬酶 -3的表达干预神经坏死和凋亡,在新生脑HI损伤后发挥保护作用。