Department of Neurosurgery, Medical College of Georgia, Augusta, Georgia, USA.
Glia. 2010 Nov 15;58(15):1858-70. doi: 10.1002/glia.21055.
Intracerebral hemorrhage (ICH) induces neurovascular injury via poorly defined mechanisms. The aim of this study was to determine whether gliovascular communication may restrict hemorrhagic vascular injury. Hemin, a hemoglobin by-product, concentration- and time-dependently increased apoptotic cell death in mouse bEnd.3 cells and in primary human brain microvascular endothelial cells, at least in part, via a caspase-3 dependent pathway. Cell death was preceded by a NFκB-mediated increase in inflammatory gene expression, including upregulation of inducible nitric oxide synthase (iNOS) expression and activity. Functionally, inhibition of iNOS or the addition of a peroxynitrite decomposition catalyst reduced cell death. Interestingly, co-treatment with astrocyte-conditioned media (ACM) reversed hemin-induced NFκB activation, nitrotyrosine formation, and apoptotic cell death, at least in part, via the release of the endogenous antioxidant, reduced glutathione (GSH). Prior treatment of astrocytes with the GSH-depleting agent, DL-buthionine (S,R)-sulfoximine or direct addition of diethyl maleate, a thiol-depleting agent, to ACM reversed the observed protection. In contrast, neither exogenous GSH nor the GSH precursor, N-acetylcysteine, was protective in bEnd.3 cells. Together, these data support an important role for astrocyte-derived GSH in the maintenance of oxidative balance in the vasculature and suggest therapeutic targeting of the GSH system may reduce neurological injury following ICH.
脑出血(ICH)通过尚未明确的机制诱导神经血管损伤。本研究旨在确定血-神经屏障的相互作用是否可能限制血管损伤。血红素,一种血红蛋白的副产物,通过半胱天冬酶-3 依赖性途径,浓度和时间依赖性地增加小鼠 bEnd.3 细胞和原代人脑微血管内皮细胞的凋亡细胞死亡,至少部分如此。细胞死亡之前,NFκB 介导的炎症基因表达增加,包括诱导型一氧化氮合酶(iNOS)表达和活性的上调。功能上,抑制 iNOS 或添加过氧亚硝酸盐分解催化剂可减少细胞死亡。有趣的是,星形胶质细胞条件培养基(ACM)的共处理逆转了血红素诱导的 NFκB 激活、硝基酪氨酸形成和凋亡细胞死亡,至少部分通过释放内源性抗氧化剂还原型谷胱甘肽(GSH)。用 GSH 耗竭剂 DL-丁硫氨酸(S,R)-亚砜或直接添加硫醇耗竭剂二乙基马来酸处理星形胶质细胞,可逆转观察到的保护作用。相比之下,外源性 GSH 或 GSH 前体 N-乙酰半胱氨酸在 bEnd.3 细胞中没有保护作用。这些数据共同支持星形胶质细胞衍生的 GSH 在维持血管氧化平衡中的重要作用,并表明针对 GSH 系统的治疗可能会减少 ICH 后的神经损伤。