Molecular Neurobiology Section, National Institute of Mental Health, National Institutes of Health Bethesda, MD 20892-1363, USA.
Am J Transl Res. 2014 May 15;6(3):206-23. eCollection 2014.
White matter injury is an important component of stroke pathology, but its pathophysiology and potential treatment remain relatively elusive and underexplored. We previously reported that after permanent middle cerebral artery occlusion (pMCAO), sodium butyrate (SB) and trichostatin A (TSA) induced neurogenesis via histone deacetylase (HDAC) inhibition in multiple ischemic brain regions in rats; these effects-which depended on activation of brain-derived neurotrophic factor (BDNF)-TrkB signaling-contributed to behavioral improvement. The present study found that SB or TSA robustly protected against ischemia-induced loss of oligodendrocytes detected by confocal microscopy of myelin basic protein (MBP) immunostaining in the ipsilateral subventricular zone (SVZ), striatum, corpus callosum, and frontal cortex seven days post-pMCAO. Co-localization of 5-bromo-2'-deoxyuridine (BrdU)(+) and MBP(+) cells after SB treatment suggested the occurrence of oligodendrogenesis. SB also strongly upregulated vascular endothelial growth factor (VEGF), which plays a major role in neurogenesis, angiogenesis, and functional recovery after stroke. These SB-induced effects were markedly suppressed by blocking the TrkB signaling pathway with K252a. pMCAO-induced activation of microglia (OX42(+)) and macrophages/monocytes (ED1(+))-which has been linked to white matter injury-was robustly suppressed by SB in a K252a-sensitive manner. In addition, SB treatment largely blocked caspase-3(+) and OX42(+) cells in ipsilateral brain regions. Our results suggest that HDAC inhibitor-mediated protection against ischemia-induced oligodendrocyte loss may involve multiple mechanisms including oligodendrogenesis, VEGF upregulation, anti-inflammation, and caspase-3 downregulation. Taken together, the results suggest that post-insult treatment with HDAC inhibitors is a rational strategy to mitigate white matter injury following ischemic stroke.
脑白质损伤是中风病理学的一个重要组成部分,但其病理生理学和潜在治疗方法仍然相对难以捉摸和探索不足。我们之前报道过,在永久性大脑中动脉闭塞(pMCAO)后,丁酸钠(SB)和曲古抑菌素 A(TSA)通过抑制组蛋白去乙酰化酶(HDAC)在大鼠多个缺血性脑区诱导神经发生;这些作用——取决于脑源性神经营养因子(BDNF)-TrkB 信号的激活——有助于改善行为。本研究发现,SB 或 TSA 可强烈保护缺血诱导的少突胶质细胞丢失,通过 pMCAO 后 7 天对侧脑室下区(SVZ)、纹状体、胼胝体和额皮质髓鞘碱性蛋白(MBP)免疫染色的共聚焦显微镜检测到。SB 处理后 BrdU(+)和 MBP(+)细胞的共定位提示发生了少突胶质细胞生成。SB 还强烈地上调血管内皮生长因子(VEGF),VEGF 在中风后神经发生、血管生成和功能恢复中起主要作用。用 K252a 阻断 TrkB 信号通路可显著抑制 SB 引起的这些作用。SB 以 K252a 敏感的方式强烈抑制 pMCAO 诱导的小胶质细胞(OX42(+))和巨噬细胞/单核细胞(ED1(+))的激活——与白质损伤有关。此外,SB 治疗在很大程度上阻断了同侧大脑区域的 caspase-3(+)和 OX42(+)细胞。我们的结果表明,HDAC 抑制剂介导的对缺血诱导的少突胶质细胞丢失的保护可能涉及多种机制,包括少突胶质细胞生成、VEGF 上调、抗炎和 caspase-3 下调。总之,这些结果表明,在缺血性中风后,用 HDAC 抑制剂进行损伤后治疗是减轻白质损伤的合理策略。