Özay Rafet, Türkoğlu Erhan, Gürer Bora, Dolgun Habibullah, Evirgen Oya, Ergüder Berrin İmge, Hayırlı Nazlı, Gürses Levent, Şekerci Zeki, Yılmaz Erdal Reşit
Ministry of Health Diskapi Yildirim Beyazit Training and Research Hospital, Neurosurgery Clinic, Ankara, Turkey.
Ministry of Health Diskapi Yildirim Beyazit Training and Research Hospital, Neurosurgery Clinic, Ankara, Turkey.
World Neurosurg. 2017 Jan;97:407-415. doi: 10.1016/j.wneu.2016.09.115. Epub 2016 Oct 12.
The development of secondary brain injury via oxidative stress after traumatic brain injury (TBI) is well known. Decorin (DC) inactivates transforming growth factor β1, complement system, and tumor necrosis factor α, which are related to oxidative stress and apoptosis. Consequently, the aim of the present study was to evaluate the role of DC on TBI.
A total of 24 male rats were used and divided into 4 groups as follows; control, trauma, DC, and methylprednisolone (MP). The trauma, DC, and MP groups were subjected to closed-head contusive weight-drop injuries. Rats received treatment with intraperitoneal saline, DC, or MP, respectively. All the animals were killed at the 24th hour after trauma and brain tissues were extracted. The oxidant/antioxidant parameters (malondialdehyde, glutathione peroxidase, superoxide dismutase, and NO) and caspase 3 in the cerebral tissue were analyzed, and histomorphologic evaluation of the cerebral tissue was performed.
Levels of malondialdehyde, NO, and activity of caspase 3 were significantly reduced, and in addition glutathione peroxidase and superoxide dismutase levels were increased in the DC and MP groups compared with the trauma group. The pathology scores and the percentage of degenerated neurons were statistically lower in the DC and MP groups than in the trauma group.
The results of the present study showed that DC inactivates transforming growth factor β1 and protects the brain tissue and neuronal cells after TBI.
创伤性脑损伤(TBI)后通过氧化应激导致的继发性脑损伤的发展是众所周知的。核心蛋白聚糖(DC)可使与氧化应激和细胞凋亡相关的转化生长因子β1、补体系统和肿瘤坏死因子α失活。因此,本研究的目的是评估DC在TBI中的作用。
总共使用24只雄性大鼠,分为以下4组:对照组、创伤组、DC组和甲基强的松龙(MP)组。创伤组、DC组和MP组接受闭合性头部撞击重物坠落损伤。大鼠分别接受腹腔注射生理盐水、DC或MP治疗。所有动物在创伤后24小时处死并提取脑组织。分析脑组织中的氧化/抗氧化参数(丙二醛、谷胱甘肽过氧化物酶、超氧化物歧化酶和一氧化氮)和半胱天冬酶3,并对脑组织进行组织形态学评估。
与创伤组相比,DC组和MP组的丙二醛、一氧化氮水平及半胱天冬酶-3活性显著降低,此外,谷胱甘肽过氧化物酶和超氧化物歧化酶水平升高。DC组和MP组的病理评分和变性神经元百分比在统计学上低于创伤组。
本研究结果表明,DC可使转化生长因子β1失活,并在TBI后保护脑组织和神经细胞。