Arifin Muhammad Zafrullah, Faried Ahmad, Shahib Muhammad Nurhalim, Wiriadisastra Kahdar, Bisri Tatang
Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran-Dr. Hasan Sadikin Hospital, Bandung, Indonesia.
Asian J Neurosurg. 2011 Jul;6(2):72-7. doi: 10.4103/1793-5482.92160.
BACKGROUND.: Traumatic brain injury (TBI) remains a major cause of death and disability. Oxidative stress is an important element of the injury cascade following TBI. Progressive compromise of antioxidant defenses and free radical-mediated lipid peroxidation are one of the major mechanisms of secondary TBI. NR2B is a glutamate receptor and its activation is caused by TBI increasing a brain cell death, along with caspase-3 as a hall mark of apoptosis. Glutathione is a potent free radical scavenger that might prevent secondary TBI damage and inhibited apoptosis. MATERIALS AND METHODS.: In the present study, it aims to demonstrate the effect of glutathione on inhibition of brain oxidative damage in a TBI rat model. RESULTS.: In this study, the expressions of mRNA NR2B in placebo group and groups with glutathione administration at 0, 3, and 6 hours after TBI were 328.14, 229.90, 178.50, and 136.14, respectively (P<0.001). The highest caspase-3 expression was shown in placebo group with 66.7% showing strong positive results (>80%); as expected, glutathione administered in 0, 3, and 6 hours groups had lower strong positive results of 50%, 16.7%, and 16.7%, respectively, (P=0.025). CONCLUSION.: In conclusion, this study showed that glutathione administration in a TBI rat model decreased NR2B gene- and caspase-3 protein-expression that lead to the inhibition of brain cell death. Our results suggest that glutathione, as a potent free radical scavenger, has a brain cell protective effect against oxidative damage and cell death induced by TBI in rat model.
创伤性脑损伤(TBI)仍然是死亡和残疾的主要原因。氧化应激是TBI后损伤级联反应的重要因素。抗氧化防御的渐进性损害和自由基介导的脂质过氧化是继发性TBI的主要机制之一。NR2B是一种谷氨酸受体,其激活是由TBI引起的,会增加脑细胞死亡,同时半胱天冬酶-3是细胞凋亡的一个标志。谷胱甘肽是一种有效的自由基清除剂,可能预防继发性TBI损伤并抑制细胞凋亡。
在本研究中,旨在证明谷胱甘肽对TBI大鼠模型中脑氧化损伤的抑制作用。
在本研究中,TBI后0、3和6小时给予安慰剂组和谷胱甘肽组的mRNA NR2B表达分别为328.14、229.90、178.50和136.14(P<0.001)。安慰剂组显示出最高的半胱天冬酶-3表达,66.7%显示强阳性结果(>80%);正如预期的那样,在0、3和6小时组给予谷胱甘肽后,强阳性结果分别较低,为50%、16.7%和16.7%(P=0.025)。
总之,本研究表明,在TBI大鼠模型中给予谷胱甘肽可降低NR2B基因和半胱天冬酶-3蛋白表达,从而抑制脑细胞死亡。我们的结果表明,谷胱甘肽作为一种有效的自由基清除剂,对大鼠模型中TBI诱导的氧化损伤和细胞死亡具有脑细胞保护作用。