Chi Nai-Fang, Liu Ho-Ling, Yang Jen-Tsung, Lin Jr-Rung, Liao Shu-Li, Peng Bo-Han, Lee Yen-Tung, Lee Tsong-Hai
Department of Neurology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan, and Department of Neurology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Department of Medical Imaging and Radiological Sciences, Chang Gung University College of Medicine, Taoyuan, Taiwan.
PLoS One. 2014 Dec 15;9(12):e114909. doi: 10.1371/journal.pone.0114909. eCollection 2014.
BNG-1 is a herb complex used in traditional Chinese medicine to treat stroke. In this study, we attempted to identify the neuroprotective mechanism of BNG-1 by using neuroimaging and neurotrophin analyses of a stroke animal model. Rats were treated with either saline or BNG-1 for 7 d after 60-min middle cerebral artery occlusion by filament model. The temporal change of magnetic resonance (MR) imaging of brain was studied using a 7 Tesla MR imaging (MRI) system and the temporal expressions of neurotrophin-3 (NT-3), brain-derived neurotrophic factor (BDNF), and nerve growth factor (NGF) in brain were analyzed before operation and at 4 h, 2 d, and 7 d after operation. Compared with the saline group, the BNG-1 group exhibited a smaller infarction volume in the cerebral cortex in T2 image from as early as 4 h to 7 d, less edema in the cortex in diffusion weighted image from 2 to 7 d, earlier reduction of postischemic hyperperfusion in both the cortex and striatum in perfusion image at 4 h, and earlier normalization of the ischemic pattern in the striatum in susceptibility weighted image at 2 d. NT-3 and BDNF levels were higher in the BNG-1 group than the saline group at 7 d. We concluded that the protective effect of BNG-1 against cerebral ischemic injury might act through improving cerebral hemodynamics and recovering neurotrophin generation.
BNG-1是一种用于治疗中风的中药复方。在本研究中,我们试图通过对中风动物模型进行神经影像学和神经营养因子分析,来确定BNG-1的神经保护机制。通过线栓法阻断大脑中动脉60分钟后,大鼠用生理盐水或BNG-1治疗7天。使用7特斯拉磁共振成像(MRI)系统研究大脑磁共振(MR)成像的时间变化,并在术前以及术后4小时、2天和7天分析大脑中神经营养因子-3(NT-3)、脑源性神经营养因子(BDNF)和神经生长因子(NGF)的时间表达。与生理盐水组相比,BNG-1组在T2图像中,从4小时到7天,大脑皮层梗死体积更小;在扩散加权图像中,从2天到7天,皮层水肿更少;在灌注图像中,4小时时,皮层和纹状体缺血后高灌注的减少更早;在磁敏感加权图像中,2天时,纹状体缺血模式的正常化更早。在7天时,BNG-1组的NT-3和BDNF水平高于生理盐水组。我们得出结论,BNG-1对脑缺血损伤的保护作用可能是通过改善脑血流动力学和恢复神经营养因子生成来实现的。