Equipe de recherche Pharmacologie de la Circulation Cérébrale (EA 2510), Faculté des Sciences Pharmaceutiques et Biologiques, Université Paris Descartes, Paris, France.
J Neurotrauma. 2010 Jun;27(6):1069-79. doi: 10.1089/neu.2009.1188.
Recent evidence supports a crucial role for matrix metalloproteinase-9 (MMP-9) in blood-brain barrier (BBB) disruption and vasogenic edema formation after traumatic brain injury (TBI). Although the exact causes of MMP-9 upregulation after TBI are not fully understood, several arguments suggest a contribution of the enzyme poly(ADP-ribose)polymerase (PARP) in the neuroinflammatory response leading to MMP-9 activation. The objectives of this study were to evaluate the effect of PARP inhibition by 3-aminobenzamide (3-AB) (1) on MMP-9 upregulation and BBB integrity, (2) on edema formation as assessed by magnetic resonance imaging (MRI), (3) on neuron survival as assessed by (1)H magnetic resonance spectroscopy ((1)H-MRS), and (4) on neurological deficits at the acute phase of TBI. Western blots and zymograms showed blunting of MMP-9 upregulation 6 h after TBI. BBB permeability was decreased at the same time point in 3-AB-treated rats compared to vehicle-treated rats. Cerebral MRI showed less "free" water in 3-AB-treated than in vehicle-treated rats 6 h after TBI. MRI findings 24 h after TBI indicated predominant cytotoxic edema, and at this time point no significant differences were found between 3-AB- and vehicle-treated rats with regard to MMP-9 upregulation, BBB permeability, or MRI changes. At both 6 and 24 h, neurological function was better in the 3-AB-treated than in the vehicle-treated rats. These data suggest that PARP inhibition by 3-AB protected the BBB against hyperpermeability induced by MMP-9 upregulation, thereby decreasing vasogenic edema formation 6 h after TBI. Furthermore, our data confirm the neuroprotective effect of 3-AB at the very acute phase of TBI.
最近的证据表明,基质金属蛋白酶-9(MMP-9)在创伤性脑损伤(TBI)后血脑屏障(BBB)破坏和血管源性水肿形成中起着至关重要的作用。尽管 TBI 后 MMP-9 上调的确切原因尚不完全清楚,但有几个论点表明,酶多聚(ADP-核糖)聚合酶(PARP)在导致 MMP-9 激活的神经炎症反应中起作用。本研究的目的是评估 3-氨基苯甲酰胺(3-AB)(1)对 PARP 抑制对 MMP-9 上调和 BBB 完整性的影响,(2)通过磁共振成像(MRI)评估水肿形成的影响,(3)通过(1)H 磁共振波谱((1)H-MRS)评估神经元存活的影响,以及(4)TBI 急性期的神经功能缺损。Western blot 和酶谱显示 TBI 后 6 小时 MMP-9 上调减弱。与对照组相比,3-AB 治疗组大鼠在同一时间点 BBB 通透性降低。TBI 后 6 小时,MRI 显示 3-AB 治疗组大鼠的“游离”水减少。TBI 后 24 小时的 MRI 结果表明主要是细胞毒性水肿,此时,3-AB 治疗组与对照组相比,MMP-9 上调、BBB 通透性或 MRI 变化均无显著差异。在 6 小时和 24 小时时,3-AB 治疗组大鼠的神经功能均优于对照组。这些数据表明,3-AB 通过抑制 PARP 可防止 MMP-9 上调引起的 BBB 通透性增加,从而减少 TBI 后 6 小时的血管源性水肿形成。此外,我们的数据证实了 3-AB 在 TBI 极早期的神经保护作用。