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甘露糖结合凝集素的药理学抑制改善实验性创伤性脑损伤后的神经行为功能障碍。

Pharmacological inhibition of mannose-binding lectin ameliorates neurobehavioral dysfunction following experimental traumatic brain injury.

作者信息

De Blasio Daiana, Fumagalli Stefano, Longhi Luca, Orsini Franca, Palmioli Alessandro, Stravalaci Matteo, Vegliante Gloria, Zanier Elisa R, Bernardi Anna, Gobbi Marco, De Simoni Maria-Grazia

机构信息

1 IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milano, Italy.

2 Department of Anesthesia and Critical Care Medicine, Fondazione IRCCS Ca'Granda - Ospedale Maggiore Policlinico, Milano, Italy.

出版信息

J Cereb Blood Flow Metab. 2017 Mar;37(3):938-950. doi: 10.1177/0271678X16647397. Epub 2016 Jul 20.

Abstract

Mannose-binding lectin is present in the contusion area of traumatic brain-injured patients and in that of traumatic brain-injured mice, where mannose-binding lectin-C exceeds mannose-binding lectin-A. The reduced susceptibility to traumatic brain injury of mannose-binding lectin double knock-out mice (mannose-binding lectin) when compared to wild type mice suggests that mannose-binding lectin may be a therapeutic target following traumatic brain injury. Here, we evaluated the effects of a multivalent glycomimetic mannose-binding lectin ligand, Polyman9, following traumatic brain injury in mice. In vitro surface plasmon resonance assay indicated that Polyman9 dose-dependently inhibits the binding to immobilized mannose residues of plasma mannose-binding lectin-C selectively over that of mannose-binding lectin-A. Male C57Bl/6 mice underwent sham/controlled cortical impact traumatic brain injury and intravenous treatment with Polyman9/saline. Ex-vivo surface plasmon resonance studies confirmed that Polyman9 effectively reduces the binding of plasma mannose-binding lectin-C to immobilized mannose residues. In vivo studies up to four weeks post injury, showed that Polyman9 induces significant improvement in sensorimotor deficits (by neuroscore and beam walk), promotes neurogenesis (73% increase in doublecortin immunoreactivity), and astrogliosis (28% increase in glial fibrillary acid protein). Polyman9 administration in brain-injured mannose-binding lectin mice had no effect on post-traumatic brain-injured functional deficits, suggestive of the specificity of its neuroprotective effects. The neurobehavioral efficacy of Polyman9 implicates mannose-binding lectin-C as a novel therapeutic target for traumatic brain injury.

摘要

甘露糖结合凝集素存在于创伤性脑损伤患者及创伤性脑损伤小鼠的挫伤区域,其中甘露糖结合凝集素-C的含量超过甘露糖结合凝集素-A。与野生型小鼠相比,甘露糖结合凝集素双敲除小鼠(甘露糖结合凝集素)对创伤性脑损伤的易感性降低,这表明甘露糖结合凝集素可能是创伤性脑损伤后的一个治疗靶点。在此,我们评估了一种多价糖模拟甘露糖结合凝集素配体Polyman9在小鼠创伤性脑损伤后的作用。体外表面等离子体共振分析表明,Polyman9能剂量依赖性地选择性抑制血浆甘露糖结合凝集素-C与固定化甘露糖残基的结合,而对甘露糖结合凝集素-A的结合抑制作用较弱。雄性C57Bl/6小鼠接受假手术/控制性皮质撞击创伤性脑损伤,并静脉注射Polyman9/生理盐水。体外表面等离子体共振研究证实,Polyman9能有效降低血浆甘露糖结合凝集素-C与固定化甘露糖残基的结合。在损伤后长达四周的体内研究表明,Polyman9能显著改善感觉运动功能障碍(通过神经评分和横梁行走测试),促进神经发生(双皮质素免疫反应性增加73%)和星形胶质细胞增生(胶质纤维酸性蛋白增加28%)。在脑损伤的甘露糖结合凝集素小鼠中给予Polyman9对创伤性脑损伤后的功能缺陷没有影响,提示其神经保护作用具有特异性。Polyman9的神经行为学疗效表明甘露糖结合凝集素-C是创伤性脑损伤的一个新的治疗靶点。

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