Department of Neurology, Zhongnan Hospital of Wuhan University, Hubei, 430071. China.
Department of Neurology, Zhongnan Hospital of Wuhan University, No. 169 East Lake Road Wuchang District, Wuhan, 430071, Hubei. China.
CNS Neurol Disord Drug Targets. 2017;16(7):781-788. doi: 10.2174/1871527316666170207155730.
Cerebral small vessel diseases (CSVDs) always coincide with endothelial dysfunction and blood-brain barrier (BBB) damage. However, the detailed mechanisms of CSVD are still unclear and the therapeutic efficacy is not so satisfaction. Granulocyte-colony stimulating factor (G-CSF) can play a neuroprotective role in many neurological diseases. We investigated whether G-CSF exerted positive effects on BBB protection and cognitive function improvement in spontaneously hypertensive rats (SHRs), a rat model displaying the early histopathological changes of CSVD.
Twenty-four-week-old SHRs received daily administrations of either G-CSF (50µg/kg) or normal saline (NS) for 7 days. The novel object recognition test (NORT) was then conducted after treatment. After behavioral test, we examined IgG fluorescence staining to indicate BBB leakage. G-CSF receptor (G-CSFR), aquaporin-4 (AQP4) and glial fibrillary acidic protein (GFAP) expression were determined by immunofluorescence. The surface structure of endothelial cells was examined by scanning electron microscopy (SEM).
G-CSF significantly attenuated IgG leakage and improved non-spatial memory in SHRs. G-CSFR was expressed at higher levels in both G-CSF-SHRs and NS-SHRs. The surface structural changed on the endothelial cells and expression of AQP-4 and GFAP decreased after G-CSF treatment. However, no significant differences in Claudin-5 expression were observed.
These findings demonstrated that the administration of exogenous G-CSF can improve cognitive function in a model of CSVD, possibly due to the recovery of endothelial and BBB function.
脑小血管病(CSVD)常伴有内皮功能障碍和血脑屏障(BBB)损伤。然而,CSVD 的详细机制尚不清楚,治疗效果也不尽如人意。粒细胞集落刺激因子(G-CSF)在许多神经系统疾病中发挥神经保护作用。我们研究了 G-CSF 是否对自发性高血压大鼠(SHR)的 BBB 保护和认知功能改善有积极作用,SHR 是一种表现出 CSVD 早期组织病理学变化的大鼠模型。
24 周龄 SHR 每天接受 G-CSF(50µg/kg)或生理盐水(NS)治疗 7 天。治疗后进行新物体识别测试(NORT)。行为测试后,我们通过 IgG 荧光染色来检测 BBB 渗漏。通过免疫荧光测定 G-CSF 受体(G-CSFR)、水通道蛋白 4(AQP4)和胶质纤维酸性蛋白(GFAP)的表达。通过扫描电子显微镜(SEM)检查内皮细胞的表面结构。
G-CSF 显著减轻 SHR 中的 IgG 渗漏并改善非空间记忆。G-CSFR 在 G-CSF-SHR 和 NS-SHR 中均表达较高水平。G-CSF 治疗后,内皮细胞表面结构发生变化,AQP-4 和 GFAP 的表达减少,但 Claudin-5 的表达无明显差异。
这些发现表明,外源性 G-CSF 的给药可改善 CSVD 模型中的认知功能,这可能是由于内皮和 BBB 功能的恢复。