Department of Neurosurgery, Jinling Hospital, School of Medicine, Nanjing University , 305 East Zhongshan Road, Nanjing 210002, Jiangsu Province, P. R. China.
Jiangsu Key Laboratory for Molecular Medicine, Medical School of Nanjing University , 22 Hankou Road, Nanjing 210093, Jiangsu Province, P. R. China.
ACS Chem Neurosci. 2016 Jun 15;7(6):710-8. doi: 10.1021/acschemneuro.5b00306. Epub 2016 Mar 25.
A growing body of evidence demonstrates that Akt may serve as a therapeutic target for treatment of early brain injury following subarachnoid hemorrhage (SAH). The purpose of the current study was to evaluate the neuroprotective effect of Akt specific activator SC79 in an experimental rat model of SAH. SAH was induced by injecting 300 μL of blood into the prechiasmatic cistern. Intracerebroventricular (ICV) injection of SC79 (30 min post-SAH) induced the p-Akt (Ser473) expression in a dose-dependent manner. A single ICV dose treatment of SC79 (100 μg/rat) significantly increased the expression of Bcl-2 and p-GSK-3β (Ser9), decreased the protein levels of Bax, cytoplasm cytochrome c, and cleaved caspase-3, indicating the antiapoptotic effect of SC79. As a result, the number of apoptotic cells was reduced 24 h post SAH. Moreover, SC79 treatment alleviated SAH-induced oxidative stress, restored mitochondrial morphology, and improved neurological deficits. Strikingly, treatment of SC79 provided a beneficial outcome against neurologic deficit with a therapeutic window of at least 4 h post SAH by ICV injection and 30 min post SAH by intraperitoneal injection. Collectively, SC79 exerts its neuroprotective effect likely through the dual activities of antioxidation and antiapoptosis. These data provide a basic platform to consider SC79 as a novel therapeutic agent for treatment of SAH.
越来越多的证据表明,Akt 可能成为蛛网膜下腔出血(SAH)后早期脑损伤治疗的一个潜在靶点。本研究旨在评估 Akt 特异性激活剂 SC79 在 SAH 实验大鼠模型中的神经保护作用。通过将 300μL 血液注入视交叉前池来诱导 SAH。SC79(SAH 后 30 分钟)的脑室内(ICV)注射以剂量依赖性方式诱导 p-Akt(Ser473)表达。单次 ICV 剂量的 SC79(100μg/大鼠)处理显著增加了 Bcl-2 和 p-GSK-3β(Ser9)的表达,降低了 Bax、细胞质细胞色素 c 和 cleaved caspase-3 的蛋白水平,表明 SC79 具有抗凋亡作用。结果,SAH 后 24 小时凋亡细胞数量减少。此外,SC79 治疗减轻了 SAH 诱导的氧化应激,恢复了线粒体形态,并改善了神经功能缺损。值得注意的是,通过 ICV 注射的 SC79 治疗提供了至少 4 小时的治疗窗口,通过腹腔注射的 SC79 治疗提供了 30 分钟的治疗窗口,对神经功能缺损有有益的作用。总的来说,SC79 通过抗氧化和抗凋亡的双重作用发挥其神经保护作用。这些数据为将 SC79 视为治疗 SAH 的新型治疗剂提供了一个基本平台。