促红细胞生成素通过促进血管生成改善新生大鼠短期缺氧后的缺氧缺血性脑病。

Erythropoietin improves hypoxic-ischemic encephalopathy in neonatal rats after short-term anoxia by enhancing angiogenesis.

作者信息

Yan Fangfang, Zhang Meimei, Meng Yan, Li Huijuan, Yu Lie, Fu Xiaojie, Tang Youcai, Jiang Chao

机构信息

Department of Neurology, the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan, China.

Department of Pediatric Neurology, the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan, China.

出版信息

Brain Res. 2016 Nov 15;1651:104-113. doi: 10.1016/j.brainres.2016.09.024. Epub 2016 Sep 19.

Abstract

Erythropoietin (EPO) is important for angiogenesis after hypoxia/ischemia. In this study, we investigated whether recombinant human erythropoietin (rhEPO) can enhance angiogenesis, and promote cognitive function through vascular endothelial growth factor (VEGF)/VEGF receptor 2 (VEGFR2) signaling pathway in a rat model of hypoxic-ischemic encephalopathy (HIE). RhEPO, selective VEGFR2 inhibitor (SU5416) or vehicle was administrated by intraperitoneal injection. The assessment for cognitive function begins on day 60 after anoxia. Vascular density in hippocampus and white matter damage within corpus callosum were examined on day 28 after anoxia. The expression of erythropoietin receptor (EPOR), VEGF, rapidly accelerated fibrosarcoma 1 (Raf1), and extracellular-signal-regulated kinases 1 and 2 (ERK1/2) in hippocampus were evaluated on day 7 after anoxia. RhEPO-treated anoxia rats had better cognitive recovery, higher vascular density, and less white matter damage than in the vehicle anoxia rats. These protective effects associated with increased expression of EPOR, VEGF; and increased phosphorylation of Raf1 and ERK1/2. While this up-regulation, and changes in the histopathologic and functional outcomes were abolished by SU5416. Our data indicate that rhEPO can enhance angiogenesis, reduce white matter damage, and promote cognitive recovery through VEGF/VEGFR2 signaling pathway in anoxia rats.

摘要

促红细胞生成素(EPO)对缺氧/缺血后的血管生成很重要。在本研究中,我们调查了重组人促红细胞生成素(rhEPO)是否能通过血管内皮生长因子(VEGF)/VEGF受体2(VEGFR2)信号通路增强血管生成并促进缺氧缺血性脑病(HIE)大鼠模型的认知功能。通过腹腔注射给予rhEPO、选择性VEGFR2抑制剂(SU5416)或赋形剂。缺氧后第60天开始评估认知功能。缺氧后第28天检查海马体中的血管密度和胼胝体内的白质损伤。缺氧后第7天评估海马体中促红细胞生成素受体(EPOR)、VEGF、快速加速纤维肉瘤1(Raf1)以及细胞外信号调节激酶1和2(ERK1/2)的表达。与赋形剂处理的缺氧大鼠相比,rhEPO处理的缺氧大鼠具有更好的认知恢复、更高的血管密度和更少的白质损伤。这些保护作用与EPOR、VEGF表达增加以及Raf1和ERK1/2磷酸化增加有关。而SU5416消除了这种上调以及组织病理学和功能结果的变化。我们的数据表明,rhEPO可通过VEGF/VEGFR2信号通路增强缺氧大鼠的血管生成、减少白质损伤并促进认知恢复。

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