Department of Oriental Medical Science, Graduate School of East-West Medical Science, Kyung Hee University, Yongin, South Korea.
Am J Chin Med. 2012;40(1):85-96. doi: 10.1142/S0192415X12500073.
Disruption of the blood-brain barrier (BBB) contributes to the inflammatory response and edema formation in the brain, exacerbating brain damage. The present study evaluated the effects of Scutellaria baicalensis (SR) water extracts on BBB disruption after intracerebral hemorrhage (ICH) in rats. ICH was induced by stereotaxic intrastriatal injection of bacterial type VII collagenase, and SR was administrated orally three times (50 mg/ml/kg) during the 48 h after ICH onset. SR treatment significantly reduced the degree of (1) hemorrhage volume and edema percentage of the ipsilateral hemisphere, (2) brain water content, (3) MPO-positive neutrophil infiltration in the peri-hematoma, and (4) BBB permeability measured by Evans blue leakage. In addition, expression of matrix metalloproteinase (MMP)-9, MMP-12, and tissue inhibitor of MMPs (TIMP)-1 were investigated with immunohistochemistry. SR treatment reduced MMP-9 and MMP-12 expression in the peri-hematoma after ICH. These results indicate that SR attenuates the BBB disruption through anti-inflammatory effects and suppression of MMP expression. These findings provide a pharmacological basis for the use of SR in the treatment of the BBB disruption following stroke and trauma.
血脑屏障(BBB)的破坏会导致大脑中的炎症反应和水肿形成,从而加重脑损伤。本研究评估了黄芩(SR)水提取物对脑出血(ICH)后大鼠 BBB 破坏的影响。ICH 通过立体定向纹状体注射 VII 型胶原酶诱导,SR 在 ICH 发作后 48 小时内口服给药三次(50mg/ml/kg)。SR 治疗显著降低了以下指标的程度:(1)同侧半球的出血体积和水肿百分比;(2)脑水含量;(3)在血肿周围的 MPO 阳性中性粒细胞浸润;(4)伊文思蓝渗漏测量的 BBB 通透性。此外,还通过免疫组化研究了基质金属蛋白酶(MMP)-9、MMP-12 和基质金属蛋白酶抑制剂(TIMP)-1 的表达。SR 治疗减轻了 ICH 后血肿周围 MMP-9 和 MMP-12 的表达。这些结果表明,SR 通过抗炎作用和抑制 MMP 表达来减轻 BBB 的破坏。这些发现为黄芩在治疗中风和创伤后 BBB 破坏方面的应用提供了药理学基础。