Dong WenPeng, Li NanLin, Gao DaKuan, Zhen HaiNing, Zhang Xiang, Li FanFan
Institute of Neurosurgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, Peoples Republic of China.
J Vasc Surg. 2008 Sep;48(3):709-14. doi: 10.1016/j.jvs.2008.04.007. Epub 2008 Jun 24.
It has been reported recently that resveratrol preconditioning can protect the brain from ischemia-reperfusion injury. However, it was unclear whether resveratrol administration after stroke was beneficial to the delayed phases after focal cerebral ischemia injury. This study investigated the effects and possible protective mechanism of resveratrol on the delayed phase after focal cerebral ischemia injury in mice.
Mice were randomly assigned to five groups according to the time of administration of resveratrol. Control group mice received a corresponding volume of saline solution (0.9% NaCl) containing 20% hydroxypropyl h-cyclodextrin by gavage and were exposed to middle cerebral artery (MCA) occlusion and reperfusion injury. The treatment groups received resveratrol (50 mg/kg/d, gavage) until day 7. Ischemia group mice received their first dose 5 minutes before MCA ischemia, reperfusion group mice received their first dose 5 minutes before MCA reperfusion, first-day, group mice received their first dose 24 hours after MCA reperfusion, and third-day group mice received their first dose at 72 hours after MCA reperfusion. Brain injury was evaluated by triphenyltetrazolium chloride staining and neurologic examination 7 days after reperfusion. The microvascular cell number was examined with immunohistochemistry staining. Effect of resveratrol on matrix metalloproteinase-2 (MMP-2) and vascular endothelial growth factor (VEGF) gene expression was investigated with reverse transcriptase-polymerase chain reaction and Western blot.
The mean neurologic scores and infarct volumes of the ischemia and reperfusion groups were lower than that of the control group at 7 days after MCA reperfusion (P < .05). Immunohistochemistry staining showed significantly less reduction in the number of microvessels in the cortical area of mice of the ischemia and reperfusion groups compared with controls. The ischemic hemispheres of the ischemia and reperfusion groups showed significantly (P < .05) elevated levels of protein of MMP-2 and VEGF.
Resveratrol administration by gavage provided an important neuroprotective effect on focal cerebral ischemic injury in the delayed phase. The elevated MMP-2 and VEGF levels might be important in the neuroprotective effect of resveratrol administration by inducing angiogenesis.
最近有报道称白藜芦醇预处理可保护大脑免受缺血再灌注损伤。然而,中风后给予白藜芦醇是否对局灶性脑缺血损伤后的延迟期有益尚不清楚。本研究探讨了白藜芦醇对局灶性脑缺血损伤小鼠延迟期的影响及可能的保护机制。
根据白藜芦醇给药时间将小鼠随机分为五组。对照组小鼠通过灌胃接受相应体积含20%羟丙基-β-环糊精的生理盐水(0.9%氯化钠),并接受大脑中动脉(MCA)闭塞和再灌注损伤。治疗组接受白藜芦醇(50mg/kg/d,灌胃)直至第7天。缺血组小鼠在MCA缺血前5分钟接受首剂给药,再灌注组小鼠在MCA再灌注前5分钟接受首剂给药,第一天组小鼠在MCA再灌注后24小时接受首剂给药,第三天组小鼠在MCA再灌注后72小时接受首剂给药。再灌注7天后通过氯化三苯基四氮唑染色和神经学检查评估脑损伤。用免疫组织化学染色检查微血管细胞数量。用逆转录聚合酶链反应和蛋白质印迹法研究白藜芦醇对基质金属蛋白酶-2(MMP-2)和血管内皮生长因子(VEGF)基因表达的影响。
MCA再灌注7天后,缺血组和再灌注组的平均神经学评分和梗死体积均低于对照组(P<0.05)。免疫组织化学染色显示,与对照组相比,缺血组和再灌注组小鼠皮质区域微血管数量减少明显较少。缺血组和再灌注组的缺血半球MMP-2和VEGF蛋白水平显著升高(P<0.05)。
灌胃给予白藜芦醇对局灶性脑缺血损伤的延迟期具有重要的神经保护作用。MMP-2和VEGF水平升高可能通过诱导血管生成在白藜芦醇给药的神经保护作用中起重要作用。