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尿激酶型纤溶酶原激活物对海马的神经保护作用。

Neuroprotection by urokinase plasminogen activator in the hippocampus.

机构信息

Asan Institute for Life Sciences, Asan Medical Center, Seoul 138-736, Republic of Korea.

出版信息

Neurobiol Dis. 2012 Apr;46(1):215-24. doi: 10.1016/j.nbd.2012.01.010. Epub 2012 Jan 24.

DOI:10.1016/j.nbd.2012.01.010
PMID:22293605
Abstract

Tissue plasminogen activator (tPA) and urokinase plasminogen activator (uPA), which are both used for thrombolytic treatment of acute ischemic stroke, are serine proteases that convert plasminogen to active plasmin. Although recent experimental evidences have raised controversy about the neurotoxic versus neuroprotective roles of tPA in acute brain injury, uPA remains unexplored in this context. In this study, we evaluated the effect of uPA on neuronal death in the hippocampus of mice after kainate-induced seizures. In the normal brain, uPA was localized to both nuclei and cytosol of neurons. Following severe kainate-induced seizures, uPA completely disappeared in degenerating neurons, whereas uPA-expressing astrocytes substantially increased, suggesting reactive astrogliosis. uPA-knockout mice were more vulnerable to kainate-induced neuronal death than wild-type mice. Consistent with this, inhibition of uPA by intracerebral injection of the uPA inhibitor UK122 increased the level of neuronal death. In contrast, prior administration of recombinant uPA significantly attenuated neuronal death. Collectively, these results indicate that uPA renders neurons resistant to kainate-induced excitotoxicity. Moreover, recombinant uPA suppressed cell death in primary cultures of hippocampal neurons exposed to H2O2, zinc, or various excitotoxins, suggesting that uPA protects against neuronal injuries mediated by the glutamate receptor, or by oxidation- or zinc-induced death signaling pathways. Considering that tPA may facilitate neurodegeneration in acute brain injury, we suggest that uPA, as a neuroprotectant, might be beneficial for the treatment of acute brain injuries such as ischemic stroke.

摘要

组织型纤溶酶原激活物(tPA)和尿激酶型纤溶酶原激活物(uPA)均可用于急性缺血性脑卒中的溶栓治疗,二者均属于丝氨酸蛋白酶,能够将纤溶酶原转化为有活性的纤溶酶。尽管最近的实验证据对 tPA 在急性脑损伤中的神经毒性和神经保护作用提出了争议,但 uPA 在该背景下的作用仍有待探索。在本研究中,我们评估了 uPA 在红藻氨酸诱导的癫痫发作后小鼠海马神经元死亡中的作用。在正常大脑中,uPA 定位于神经元的核和细胞质。在严重的红藻氨酸诱导的癫痫发作后,uPA 在变性神经元中完全消失,而 uPA 表达的星形胶质细胞大量增加,提示发生了反应性星形胶质细胞增生。uPA 基因敲除小鼠比野生型小鼠更容易受到红藻氨酸诱导的神经元死亡的影响。与之一致的是,通过向脑内注射 uPA 抑制剂 UK122 抑制 uPA,会增加神经元死亡的水平。相反,预先给予重组 uPA 则显著减轻了神经元死亡。综上所述,这些结果表明 uPA 使神经元能够抵抗红藻氨酸诱导的兴奋性毒性。此外,重组 uPA 抑制了暴露于 H2O2、锌或各种兴奋性毒素的海马神经元原代培养物中的细胞死亡,提示 uPA 可以防止谷氨酸受体或氧化应激-或锌诱导的死亡信号通路介导的神经元损伤。鉴于 tPA 可能促进急性脑损伤中的神经退行性变,我们推测 uPA 作为一种神经保护剂,可能有益于急性脑损伤如缺血性脑卒中的治疗。

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