The Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
J Neuroinflammation. 2010 Jul 30;7:42. doi: 10.1186/1742-2094-7-42.
The enzyme cytosolic phospholipase A2 alpha (cPLA2alpha) has been implicated in the progression of cerebral injury following ischemia and reperfusion. Previous studies in rodents suggest that cPLA2alpha enhances delayed injury extension and disruption of the blood brain barrier many hours after reperfusion. In this study we investigated the role of cPLA2alpha in early ischemic cerebral injury.
Middle cerebral artery occlusion (MCAO) was performed on cPLA2alpha+/+ and cPLA2alpha-/- mice for 2 hours followed by 0, 2, or 6 hours of reperfusion. The levels of cPLA2alpha, cyclooxygenase-2, neuronal morphology and reactive oxygen species in the ischemic and contralateral hemispheres were evaluated by light and fluorescent microscopy. PGE2 content was compared between genotypes and hemispheres after MCAO and MCAO and 6 hours reperfusion. Regional cerebral blood flow was measured during MCAO and phosphorylation of relevant MAPKs in brain protein homogenates was measured by Western analysis after 6 hours of reperfusion.
Neuronal cPLA2alpha protein increased by 2-fold immediately after MCAO and returned to pre-MCAO levels after 2 hours reperfusion. Neuronal cyclooxygenase-2 induction and PGE2 concentration were greater in cPLA2alpha+/+ compared to cPLA2alpha-/- ischemic cortex. Neuronal swelling in ischemic regions was significantly greater in the cPLA2alpha+/+ than in cPLA2alpha-/- brains (+/+:2.2+/-0.3 fold vs. -/-:1.7+/-0.4 fold increase; P<0.01). The increase in reactive oxygen species following 2 hours of ischemia was also significantly greater in the cPLA2alpha+/+ ischemic core than in cPLA2alpha-/- (+/+:7.12+/-1.2 fold vs. -/-:3.1+/-1.4 fold; P<0.01). After 6 hours of reperfusion ischemic cortex of cPLA2alpha+/+, but not cPLA2alpha-/-, had disruption of neuron morphology and decreased PGE2 content. Phosphorylation of the MAPKs-p38, ERK 1/2, and MEK 1/2-was significantly greater in cPLA2a+/+ than in cPLA2alpha-/- ischemic cortex 6 hours after reperfusion.
These results indicate that cPLA2alpha modulates the earliest molecular and injury responses after cerebral ischemia and have implications for the potential clinical use of cPLA2alpha inhibitors.
胞质型磷脂酶 A2 阿尔法(cPLA2alpha)已被牵连到缺血再灌注后的脑损伤进展中。之前在啮齿动物中的研究表明,cPLA2alpha 增强了再灌注数小时后延迟性损伤的扩展和血脑屏障的破坏。在这项研究中,我们研究了 cPLA2alpha 在早期缺血性脑损伤中的作用。
对 cPLA2alpha+/+ 和 cPLA2alpha-/- 小鼠进行大脑中动脉闭塞(MCAO) 2 小时,然后再灌注 0、2 或 6 小时。通过光镜和荧光显微镜评估缺血和对侧半球中的 cPLA2alpha、环氧化酶-2、神经元形态和活性氧的水平。在 MCAO 和 MCAO 及 6 小时再灌注后比较基因型和半球之间的 PGE2 含量。在 MCAO 期间测量局部脑血流,并在再灌注 6 小时后通过 Western 分析测量脑蛋白匀浆中相关 MAPKs 的磷酸化。
神经元 cPLA2alpha 蛋白在 MCAO 后立即增加 2 倍,并在再灌注 2 小时后恢复到 MCAO 前的水平。与 cPLA2alpha-/- 缺血皮质相比,cPLA2alpha+/+ 中的神经元环氧化酶-2 诱导和 PGE2 浓度更高。在 cPLA2alpha+/+ 中,缺血区神经元肿胀比 cPLA2alpha-/- 大脑更为显著(+/+:2.2+/-0.3 倍 vs. -/-:1.7+/-0.4 倍增加;P<0.01)。在 2 小时缺血后,cPLA2alpha+/+ 缺血核心中的活性氧增加也明显大于 cPLA2alpha-/-(+/+:7.12+/-1.2 倍 vs. -/-:3.1+/-1.4 倍;P<0.01)。再灌注 6 小时后,cPLA2alpha+/+ 的缺血皮质出现神经元形态破坏和 PGE2 含量降低,但 cPLA2alpha-/- 则没有。再灌注 6 小时后,cPLA2alpha+/+ 缺血皮质中的 MAPKs-p38、ERK1/2 和 MEK1/2 磷酸化明显高于 cPLA2alpha-/-。
这些结果表明,cPLA2alpha 调节脑缺血后最早的分子和损伤反应,并对潜在的临床使用 cPLA2alpha 抑制剂具有重要意义。