Wan Shu, Zhan Renya, Zheng Shusen, Hua Ya, Xi Guohua
Department of Neurosurgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Neurosci Res. 2009 Feb;63(2):100-5. doi: 10.1016/j.neures.2008.10.013. Epub 2008 Nov 30.
Iron accumulates in the brain and contributes to brain injury after intracerebral hemorrhage (ICH). The c-Jun-N-terminal kinase (JNK) signaling pathway mediates cell death after ischemic stroke, however, the involvement of JNK in ICH is not well known. This study investigated whether the JNK signaling pathway is activated by iron after ICH. Male Sprague-Dawley rats received an infusion of autologous whole blood (as a model of ICH) or ferrous iron into the right basal ganglia and control rats had an infusion of saline. Some ICH rats were treated with either deferoxamine (DFX), an iron chelator, or vehicle. Activation of JNK was measured by Western blot analysis and immunohistochemistry. Free iron in cerebrospinal fluid (CSF) and behavioral outcomes following ICH were also examined. We found that activated JNK in the brain were increased after ICH, and an intracerebral infusion of ferrous iron also upregulated brain activated JNK. Free iron accumulated in CSF and systemic administration of DFX after ICH reduces free iron contents in CSF, suppresses JNK activation and improves ICH-induced neurological deficits. Our results demonstrated that the JNK signaling pathway is activated after ICH and iron may contribute to this activation. DFX reduces free iron levels and attenuates activation of JNK suggesting iron chelation may be useful therapy for ICH patients.
铁在脑内蓄积并导致脑出血(ICH)后的脑损伤。c-Jun氨基末端激酶(JNK)信号通路介导缺血性中风后的细胞死亡,然而,JNK在ICH中的作用尚不清楚。本研究调查了ICH后铁是否激活JNK信号通路。雄性Sprague-Dawley大鼠右侧基底节注入自体全血(作为ICH模型)或亚铁离子,对照大鼠注入生理盐水。部分ICH大鼠用铁螯合剂去铁胺(DFX)或赋形剂治疗。通过蛋白质印迹分析和免疫组织化学检测JNK的激活情况。还检测了脑脊液(CSF)中的游离铁以及ICH后的行为学结果。我们发现,ICH后脑内激活的JNK增加,脑内注入亚铁离子也上调了脑内激活的JNK。游离铁在CSF中蓄积,ICH后全身给予DFX可降低CSF中的游离铁含量,抑制JNK激活并改善ICH诱导的神经功能缺损。我们的结果表明,ICH后JNK信号通路被激活,铁可能促成了这种激活。DFX降低游离铁水平并减弱JNK激活,提示铁螯合可能是ICH患者的有效治疗方法。