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米诺环素减轻实验性生发基质出血后的铁过载和脑损伤

Minocycline-induced attenuation of iron overload and brain injury after experimental germinal matrix hemorrhage.

作者信息

Guo Jing, Chen Qianwei, Tang Jun, Zhang Jianbo, Tao Yihao, Li Lin, Zhu Gang, Feng Hua, Chen Zhi

机构信息

Department of Neurosurgery, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.

Department of Neurosurgery, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.

出版信息

Brain Res. 2015 Jan 12;1594:115-24. doi: 10.1016/j.brainres.2014.10.046. Epub 2014 Oct 31.

Abstract

Germinal matrix hemorrhage (GMH) is the most important adverse neurologic event during the newborn period. Evidence has shown that neonates with GMH and hydrocephalus have more severe damage compared to those with GMH alone. Our preliminary study demonstrated the role of iron in hydrocephalus and brain damage in adult rats following intraventricular hemorrhage. Therefore, the aim of the current study was to investigate iron accumulation and iron-handling proteins in a rat model of GMH and whether minocycline reduces iron overload after GMH and iron-induced brain injury in vivo. This study was divided into two parts. In the first part, rats received either a needle insertion or an intracerebral injection of 0.3 U of clostridial collagenase VII-S. Brain iron and brain iron handling proteins (heme oxygenase-1 and ferritin) were measured. In the second part, rats with a GMH were treated with minocycline or vehicle. Brain edema, brain cell death, hydrocephalus, iron-handling proteins and long-term motor function were examined. The result showed iron accumulation and upregulation of iron-handling proteins after GMH. Minocycline treatment significantly reduced GMH-induced brain edema, hydrocephalus and brain damage. Minocycline also suppressed upregulation of ferritin after GMH. In conclusion, the current study found that iron plays a role in brain injury following GMH and that minocycline reduces iron overload after GMH and iron-induced brain injury.

摘要

生发基质出血(GMH)是新生儿期最重要的不良神经事件。证据表明,与单纯患有GMH的新生儿相比,患有GMH和脑积水的新生儿脑损伤更为严重。我们的初步研究表明了铁在成年大鼠脑室内出血后脑积水和脑损伤中的作用。因此,本研究的目的是调查GMH大鼠模型中铁的蓄积情况和铁处理蛋白,以及米诺环素是否能在体内减轻GMH后的铁过载和铁诱导的脑损伤。本研究分为两部分。在第一部分中,大鼠接受针穿刺或脑内注射0.3 U梭菌胶原酶VII-S。测量脑铁和脑铁处理蛋白(血红素加氧酶-1和铁蛋白)。在第二部分中,对患有GMH的大鼠用米诺环素或赋形剂进行治疗。检测脑水肿、脑细胞死亡、脑积水、铁处理蛋白和长期运动功能。结果显示GMH后铁蓄积和铁处理蛋白上调。米诺环素治疗显著减轻了GMH诱导的脑水肿、脑积水和脑损伤。米诺环素还抑制了GMH后铁蛋白的上调。总之,本研究发现铁在GMH后脑损伤中起作用,米诺环素可减轻GMH后的铁过载和铁诱导的脑损伤。

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