Xu Jie, Xu Zhen, Yan Ai
Department of Neurosurgery, Huzhou Central Hospital, 198 Hongqi Lane, Huzhou, 313003, China.
Department of Neurosurgery, First Affiliated Hospital of Zhejiang Chinese Medicine University, 54 Youdian Lane, Hangzhou, 310006, China.
Neurochem Res. 2017 Apr;42(4):1267-1278. doi: 10.1007/s11064-016-2168-6. Epub 2017 Feb 27.
Activation of E prostanoid 4 receptor (EP4) shows neuroprotective effects in multiple central nervous system (CNS) lesions, but the roles of EP4 receptor in subarachnoid hemorrhage (SAH) are not explored. This study was designed to research the effects of EP4 modulation on early brain injury (EBI) after experimental SAH in rats. We found that the administration of EP4 selective agonist AE1-329 significantly improved neurological dysfunction, blood brain barrier (BBB) damage and brain edema at 24 h after SAH. Furthermore, AE1-329 obviously reduced the number of activated microglia and the mRNA and protein levels of pro-inflammatory cytokines, and increased Ser1177 phosphorylated endothelial nitric oxide synthase (Ser1177 p-eNOS). Moreover, AE1-329 significantly reduced the number of TUNEL-positive cells and active caspase-3 in cortex after SAH. The EP4 selective antagonist AE3-208 was also administrated and the opposite effects were achieved. Our results indicate that activation of EP4 protects brain from EBI through downregulating neuroinflammation reaction after SAH.
前列环素E4受体(EP4)的激活在多种中枢神经系统(CNS)损伤中显示出神经保护作用,但EP4受体在蛛网膜下腔出血(SAH)中的作用尚未得到探索。本研究旨在探讨EP4调节对大鼠实验性SAH后脑损伤(EBI)的影响。我们发现,在SAH后24小时给予EP4选择性激动剂AE1-329可显著改善神经功能障碍、血脑屏障(BBB)损伤和脑水肿。此外,AE1-329明显减少了活化小胶质细胞的数量以及促炎细胞因子的mRNA和蛋白质水平,并增加了Ser1177磷酸化内皮型一氧化氮合酶(Ser1177 p-eNOS)。而且,AE1-329显著减少了SAH后皮质中TUNEL阳性细胞和活化的caspase-3的数量。我们还给予了EP4选择性拮抗剂AE3-208,并观察到了相反的效果。我们的结果表明,SAH后激活EP4可通过下调神经炎症反应来保护大脑免受EBI。