Zhu Xi-Chen, Jiang Teng, Zhang Qiao-Quan, Cao Lei, Tan Meng-Shan, Wang Hui-Fu, Ding Zheng-Zheng, Tan Lan, Yu Jin-Tai
Department of Neurology, Qingdao Municipal Hospital, Nanjing Medical University, Nanjing, China.
Mol Neurobiol. 2015 Aug;52(1):375-85. doi: 10.1007/s12035-014-8866-7. Epub 2014 Aug 30.
Accumulating evidence suggests that chronic metformin preconditioning offers potent neuroprotective effects against ischemic stroke. However, the underlying mechanisms remain largely unknown. In this study, we tested the hypothesis that chronic preconditioning with metformin conferred neuroprotection via suppression of nuclear factor kappa B (NF-κB)-mediated inflammatory pathway. Male Sprague-Dawley rats were treated with vehicle or metformin (50 mg/kg daily, i.p.) for 3 weeks and were subjected to permanent middle cerebral artery occlusion (pMCAO). At 24 h (acute phase) and 96 h (subacute phase) after pMCAO, infarct volume and neurological deficits were evaluated. Meanwhile, the activity of NF-κB and the levels of its downstream pro-inflammatory cytokines were detected at 24 h after pMCAO. Our results showed that chronic metformin preconditioning significantly reduced infarct volume and improved neurological deficits at 24 and 96 h after pMCAO. It also suppressed brain NF-κB activity, which was accompanied by a reduction of pro-inflammatory cytokines including tumor necrosis factor-α, interleukin (IL)-1β, IL-6, and induced nitric oxide synthase in the peri-infarct regions at 24 h after pMCAO. Moreover, the microgliosis and astrocytosis induced by pMCAO were also ameliorated by chronic metformin preconditioning. Collectively, the present study provides the first evidence that suppression of NF-κB-mediated inflammatory pathway may represent one potential mechanism underlying the neuroprotection of chronic metformin preconditioning. In addition, our findings suggest that metformin, a first-line drug for glycemic control, has a practical clinical use for stroke prevention and treatment.
越来越多的证据表明,长期使用二甲双胍预处理对缺血性中风具有强大的神经保护作用。然而,其潜在机制在很大程度上仍不清楚。在本研究中,我们检验了这样一个假设,即长期使用二甲双胍预处理通过抑制核因子κB(NF-κB)介导的炎症途径来赋予神经保护作用。雄性Sprague-Dawley大鼠接受载体或二甲双胍(50毫克/千克/天,腹腔注射)治疗3周,然后进行永久性大脑中动脉闭塞(pMCAO)。在pMCAO后24小时(急性期)和96小时(亚急性期),评估梗死体积和神经功能缺损。同时,在pMCAO后24小时检测NF-κB的活性及其下游促炎细胞因子的水平。我们的结果表明,长期使用二甲双胍预处理在pMCAO后24小时和96小时显著减少了梗死体积并改善了神经功能缺损。它还抑制了脑NF-κB的活性,这伴随着pMCAO后24小时梗死周围区域促炎细胞因子的减少,包括肿瘤坏死因子-α、白细胞介素(IL)-1β、IL-6和诱导型一氧化氮合酶。此外,长期使用二甲双胍预处理还改善了pMCAO诱导的小胶质细胞增生和星形胶质细胞增生。总的来说,本研究提供了首个证据,即抑制NF-κB介导的炎症途径可能是长期使用二甲双胍预处理神经保护作用的一个潜在机制。此外,我们的研究结果表明,二甲双胍作为血糖控制的一线药物,在中风预防和治疗方面具有实际的临床应用价值。