Zhang Xiang-Sheng, Zhang Xin, Wu Qi, Li Wei, Wang Chun-Xi, Xie Guang-Bin, Zhou Xiao-Ming, Shi Ji-Xin, Zhou Meng-Liang
Department of Neurosurgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu Province, China.
Department of Neurosurgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu Province, China.
J Surg Res. 2014 Nov;192(1):206-13. doi: 10.1016/j.jss.2014.05.029. Epub 2014 May 21.
Neuroinflammation has been proven to play a crucial role in early brain injury pathogenesis and represents a target for treatment of subarachnoid hemorrhage (SAH). Astaxanthin (ATX), a dietary carotenoid, has been shown to have powerful anti-inflammation property in various models of tissue injury. However, the potential effects of ATX on neuroinflammation in SAH remain uninvestigated. The goal of this study was to investigate the protective effects of ATX on neuroinflammation in a rat prechiasmatic cistern SAH model.
Rats were randomly distributed into multiple groups undergoing the sham surgery or SAH procedures, and ATX (25 mg/kg or 75 mg/kg) or equal volume of vehicle was given by oral gavage at 30 min after SAH. All rats were sacrificed at 24 h after SAH. Neurologic scores, brain water content, blood-brain barrier permeability, and neuronal cell death were examined. Brain inflammation was evaluated by means of expression changes in myeloperoxidase, cytokines (interleukin-1β, tumor necrosis factor-α), adhesion molecules (intercellular adhesion molecule-1), and nuclear factor kappa B DNA-binding activity.
Our data indicated that post-SAH treatment with high dose of ATX could significantly downregulate the increased nuclear factor kappa B activity and the expression of inflammatory cytokines and intercellular adhesion molecule-1 in both messenger RNA transcription and protein synthesis. Moreover, these beneficial effects lead to the amelioration of the secondary brain injury cascades including cerebral edema, blood-brain barrier disruption, neurological dysfunction, and neuronal degeneration.
These results indicate that ATX treatment is neuroprotective against SAH, possibly through suppression of cerebral inflammation.
神经炎症已被证明在早期脑损伤发病机制中起关键作用,是蛛网膜下腔出血(SAH)治疗的一个靶点。虾青素(ATX)是一种膳食类胡萝卜素,在各种组织损伤模型中已显示出强大的抗炎特性。然而,ATX对SAH神经炎症的潜在影响仍未得到研究。本研究的目的是在大鼠视交叉前池SAH模型中研究ATX对神经炎症的保护作用。
将大鼠随机分为多组,分别进行假手术或SAH手术,并在SAH后30分钟通过口服灌胃给予ATX(25毫克/千克或75毫克/千克)或等体积的载体。所有大鼠在SAH后24小时处死。检查神经功能评分、脑含水量、血脑屏障通透性和神经元细胞死亡情况。通过髓过氧化物酶、细胞因子(白细胞介素-1β、肿瘤坏死因子-α)、黏附分子(细胞间黏附分子-1)的表达变化以及核因子κB DNA结合活性来评估脑炎症。
我们的数据表明,高剂量ATX对SAH后的治疗可显著下调核因子κB活性的增加以及炎症细胞因子和细胞间黏附分子-1在信使核糖核酸转录和蛋白质合成方面的表达。此外,这些有益作用导致继发性脑损伤级联反应的改善,包括脑水肿、血脑屏障破坏、神经功能障碍和神经元变性。
这些结果表明,ATX治疗对SAH具有神经保护作用,可能是通过抑制脑炎症实现的。