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萝卜硫素预处理通过 Nrf2/HO-1 防御途径保护脑血管免受卒中引起的血脑屏障破坏和神经功能缺损。

Sulforaphane preconditioning of the Nrf2/HO-1 defense pathway protects the cerebral vasculature against blood-brain barrier disruption and neurological deficits in stroke.

机构信息

Cardiovascular Division, British Heart Foundation Centre of Research Excellence, School of Medicine, King's College London, London SE1 9NH, UK.

Centre for Neuroimaging Sciences, Institute of Psychiatry, King's College London, London SE5 8AF, UK.

出版信息

Free Radic Biol Med. 2013 Dec;65:1012-1022. doi: 10.1016/j.freeradbiomed.2013.08.190. Epub 2013 Sep 7.

Abstract

Disruption of the blood-brain barrier (BBB) and cerebral edema are the major pathogenic mechanisms leading to neurological dysfunction and death after ischemic stroke. The brain protects itself against infarction via activation of endogenous antioxidant defense mechanisms, and we here report the first evidence that sulforaphane-mediated preactivation of nuclear factor erythroid 2-related factor 2 (Nrf2) and its downstream target heme oxygenase-1 (HO-1) in the cerebral vasculature protects the brain against stroke. To induce ischemic stroke, Sprague-Dawley rats were subjected to 70 min middle cerebral artery occlusion (MCAo) followed by 4, 24, or 72 h reperfusion. Nrf2 and HO-1 protein expression was upregulated in cerebral microvessels of peri-infarct regions after 4-72 h, with HO-1 preferentially associated with perivascular astrocytes rather than the cerebrovascular endothelium. In naïve rats, treatment with sulforaphane increased Nrf2 expression in cerebral microvessels after 24h. Upregulation of Nrf2 by sulforaphane treatment prior to transient MCAo (1h) was associated with increased HO-1 expression in perivascular astrocytes in peri-infarct regions and cerebral endothelium in the infarct core. BBB disruption, lesion progression, as analyzed by MRI, and neurological deficits were reduced by sulforaphane pretreatment. As sulforaphane pretreatment led to a moderate increase in peroxynitrite generation, we suggest that hormetic preconditioning underlies sulforaphane-mediated protection against stroke. In conclusion, we propose that pharmacological or dietary interventions aimed to precondition the brain via activation of the Nrf2 defense pathway in the cerebral microvasculature provide a novel therapeutic approach for preventing BBB breakdown and neurological dysfunction in stroke.

摘要

血脑屏障(BBB)的破坏和脑水肿是导致缺血性中风后神经功能障碍和死亡的主要发病机制。大脑通过激活内源性抗氧化防御机制来保护自身免受梗死,我们在这里首次报道了萝卜硫素介导的核因子红细胞 2 相关因子 2(Nrf2)及其下游靶血红素加氧酶-1(HO-1)在脑血管中的预激活,可保护大脑免受中风的影响。为了诱导缺血性中风,Sprague-Dawley 大鼠接受 70 分钟大脑中动脉闭塞(MCAo),然后再进行 4、24 或 72 小时再灌注。在梗塞周边区域,Nrf2 和 HO-1 蛋白表达在 4-72 小时后上调,HO-1 优先与血管周星形胶质细胞而非脑血管内皮细胞相关。在未处理的大鼠中,萝卜硫素处理在 24 小时后增加了大脑微血管中的 Nrf2 表达。在短暂 MCAo(1 小时)之前用萝卜硫素上调 Nrf2 的表达与梗塞周边区域血管周星形胶质细胞和梗塞核心中的脑内皮细胞中 HO-1 表达的增加有关。在预处理时,BBB 破坏、损伤进展(通过 MRI 分析)和神经功能缺损减少。由于萝卜硫素预处理导致过氧亚硝酸盐生成适度增加,我们认为适应原性预处理是萝卜硫素介导的中风保护作用的基础。总之,我们提出通过激活大脑微血管中的 Nrf2 防御途径来对大脑进行药理学或饮食干预,为预防中风时的 BBB 破裂和神经功能障碍提供了一种新的治疗方法。

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