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中风后健康半球的神经发生上调增强了对年龄依赖性基础神经发生减少的补偿。

Neurogenesis upregulation on the healthy hemisphere after stroke enhances compensation for age-dependent decrease of basal neurogenesis.

作者信息

Adamczak Joanna, Aswendt Markus, Kreutzer Christina, Rotheneichner Peter, Riou Adrien, Selt Marion, Beyrau Andreas, Uhlenküken Ulla, Diedenhofen Michael, Nelles Melanie, Aigner Ludwig, Couillard-Despres Sebastien, Hoehn Mathias

机构信息

In-vivo-NMR Laboratory, Max Planck Institute for Metabolism Research, Gleuelerstrasse 50, 50931 Cologne, Germany; Percuros B.V., Drienerlolaan 5-Zuidhorst, 7522 NB Enschede, The Netherlands.

In-vivo-NMR Laboratory, Max Planck Institute for Metabolism Research, Gleuelerstrasse 50, 50931 Cologne, Germany.

出版信息

Neurobiol Dis. 2017 Mar;99:47-57. doi: 10.1016/j.nbd.2016.12.015. Epub 2016 Dec 20.

Abstract

Stroke is a leading cause of death and disability worldwide with no treatment for the chronic phase available. Interestingly, an endogenous repair program comprising inflammation and neurogenesis is known to modulate stroke outcome. Several studies have shown that neurogenesis decreases with age but the therapeutic importance of endogenous neurogenesis for recovery from cerebral diseases has been indicated as its ablation leads to stroke aggravation and worsened outcome. A detailed characterization of the neurogenic response after stroke related to ageing would help to develop novel and targeted therapies. In an innovative approach, we used the DCX-Luc mouse, a transgenic model expressing luciferase in doublecortin-positive neuroblasts, to monitor the neurogenic response following middle cerebral artery occlusion over three weeks in three age groups (2, 6, 12months) by optical imaging while the stroke lesion was monitored by quantitative MRI. The individual longitudinal and noninvasive time profiles provided exclusive insight into age-dependent decrease in basal neurogenesis and neurogenic upregulation in response to stroke which are not accessible by conventional BrdU-based measures of cell proliferation. For cortico-striatal strokes the maximal upregulation occurred at 4days post stroke followed by a continuous decrease to basal levels by three weeks post stroke. Older animals effectively compensated for reduced basal neurogenesis by an enhanced sensitivity to the cerebral lesion, resulting in upregulated neurogenesis levels approaching those measured in young mice. In middle aged and older mice, but not in the youngest ones, additional upregulation of neurogenesis was observed in the contralateral healthy hemisphere. This further substantiates the increased propensity of older brains to respond to lesion situation. Our results clearly support the therapeutic relevance of endogenous neurogenesis for stroke recovery and particularly in older brains.

摘要

中风是全球范围内导致死亡和残疾的主要原因,目前尚无针对慢性期的治疗方法。有趣的是,已知由炎症和神经发生组成的内源性修复程序可调节中风的预后。多项研究表明,神经发生会随着年龄的增长而减少,但内源性神经发生对脑部疾病恢复的治疗重要性已得到证实,因为其缺失会导致中风加重和预后恶化。详细表征与衰老相关的中风后神经源性反应将有助于开发新的靶向治疗方法。我们采用了一种创新方法,使用DCX-Luc小鼠(一种在双皮质素阳性神经母细胞中表达荧光素酶的转基因模型),通过光学成像在三个年龄组(2个月、6个月、12个月)中监测大脑中动脉闭塞后三周的神经源性反应,同时通过定量MRI监测中风病灶。个体纵向和非侵入性时间剖面提供了对基础神经发生的年龄依赖性下降以及对中风反应的神经源性上调的独特见解,这是传统基于BrdU的细胞增殖测量方法无法获得的。对于皮质纹状体中风,最大上调发生在中风后4天,随后在中风后三周持续下降至基础水平。老年动物通过对脑损伤的敏感性增强有效补偿了基础神经发生的减少,导致神经发生水平上调至接近年轻小鼠测量的水平。在中年和老年小鼠中,但在最年轻的小鼠中未观察到,对侧健康半球的神经发生有额外上调。这进一步证实了老年大脑对损伤情况做出反应的倾向增加。我们的结果明确支持内源性神经发生对中风恢复的治疗相关性,特别是在老年大脑中。

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