Department of Pathology, University of Miami School of Medicine, Miami, FL 33101, USA.
J Neurochem. 2011 May;117(3):437-48. doi: 10.1111/j.1471-4159.2011.07211.x. Epub 2011 Mar 14.
Brain edema and associated increased intracranial pressure are major consequences of traumatic brain injury (TBI). An important early component of the edema associated with TBI is astrocyte swelling (cytotoxic edema). Mechanisms for such swelling, however, are poorly understood. Ion channels/transporters/exchangers play a major role in cell volume regulation, and a disturbance in one or more of these systems may result in cell swelling. To examine potential mechanisms in TBI-mediated brain edema, we employed a fluid percussion model of in vitro barotrauma and examined the role of the ion transporter Na(+)-K(+)-2Cl(-)-cotransporter 1 (NKCC1) in trauma-induced astrocyte swelling as this transporter has been strongly implicated in the mechanism of cell swelling in various neurological conditions. Cultures exposed to trauma (3, 4, 5 atm pressure) caused a significant increase in NKCC1 activity (21%, 42%, 110%, respectively) at 3 h. At 5 atm pressure, trauma significantly increased NKCC1 activity at 1 h and it remained increased for up to 3 h. Trauma also increased the phosphorylation (activation) of NKCC1 at 1 and 3 h. Inhibition of MAPKs and oxidative/nitrosative stress diminished the trauma-induced NKCC1 phosphorylation as well as its activity. Bumetanide, an inhibitor of NKCC1, significantly reduced the trauma-induced astrocyte swelling (61%). Silencing NKCC1 with siRNA led to a reduction in trauma-induced NKCC1 activity as well as in cell swelling. These findings demonstrate the critical involvement of NKCC1 in the astrocyte swelling following in vitro trauma, and suggest that blocking NKCC1 activity may represent a useful therapeutic strategy for the cytotoxic brain edema associated with the early phase of TBI.
脑水肿和随之而来的颅内压升高是创伤性脑损伤 (TBI) 的主要后果。与 TBI 相关水肿的一个重要早期组成部分是星形胶质细胞肿胀(细胞毒性水肿)。然而,这种肿胀的机制还了解甚少。离子通道/转运体/交换器在细胞体积调节中起着重要作用,这些系统中的一个或多个系统的紊乱可能导致细胞肿胀。为了研究 TBI 介导的脑水肿中的潜在机制,我们采用体外气压伤的流体冲击模型,研究了离子转运体 Na(+)-K(+)-2Cl(-)-共转运蛋白 1 (NKCC1) 在创伤诱导的星形胶质细胞肿胀中的作用,因为该转运体在各种神经条件下的细胞肿胀机制中被强烈牵连。暴露于创伤(3、4、5 大气压)的培养物在 3 小时时分别导致 NKCC1 活性显著增加(分别增加 21%、42%、110%)。在 5 大气压下,创伤在 1 小时时显著增加了 NKCC1 活性,并且在长达 3 小时时仍然增加。创伤还增加了 NKCC1 在 1 和 3 小时时的磷酸化(激活)。MAPK 和氧化/硝化应激的抑制减少了创伤诱导的 NKCC1 磷酸化及其活性。NKCC1 的抑制剂布美他尼显著减少了创伤诱导的星形胶质细胞肿胀(61%)。用 siRNA 沉默 NKCC1 导致创伤诱导的 NKCC1 活性以及细胞肿胀减少。这些发现表明 NKCC1 在体外创伤后星形胶质细胞肿胀中具有关键作用,并表明阻断 NKCC1 活性可能代表与 TBI 早期阶段相关的细胞毒性脑水肿的一种有用的治疗策略。