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烟酰胺单核苷酸通过激活 Nrf2/HO-1 信号通路减轻脑出血后的脑损伤。

Nicotinamide mononucleotide attenuates brain injury after intracerebral hemorrhage by activating Nrf2/HO-1 signaling pathway.

机构信息

Department of Pharmacology, Second Military Medical University, Shanghai, China.

Key Laboratory of Molecular Pharmacology and Drug Evaluation, Ministry of Education, Yantai University, Yantai, China.

出版信息

Sci Rep. 2017 Apr 6;7(1):717. doi: 10.1038/s41598-017-00851-z.

Abstract

Replenishment of NAD has been shown to protect against brain disorders such as amyotrophic lateral sclerosis and ischemic stroke. However, whether this intervention has therapeutic effects in intracerebral hemorrhage (ICH) is unknown. In this study, we sought to determine the potential therapeutic value of replenishment of NAD in ICH. In a collagenase-induced ICH (cICH) mouse model, nicotinamide mononucleotide (NMN), a key intermediate of nicotinamide adenine dinucleotide (NAD) biosynthesis, was administrated at 30 minutes post cICH from tail vein to replenish NAD. NMN treatment did not decrease hematoma volume and hemoglobin content. However, NMN treatment significantly reduced brain edema, brain cell death, oxidative stress, neuroinflammation, intercellular adhesion molecule-1 expression, microglia activation and neutrophil infiltration in brain hemorrhagic area. Mechanistically, NMN enhanced the expression of two cytoprotective proteins: heme oxygenase 1 (HO-1) and nuclear factor-like 2 (Nrf2). Moreover, NMN increased the nuclear translocation of Nrf2 for its activation. Finally, a prolonged NMN treatment for 7 days markedly promoted the recovery of body weight and neurological function. These results demonstrate that NMN treats brain injury in ICH by suppressing neuroinflammation/oxidative stress. The activation of Nrf2/HO-1 signaling pathway may contribute to the neuroprotection of NMN in ICH.

摘要

补充 NAD 已被证明可预防脑疾病,如肌萎缩侧索硬化症和缺血性中风。然而,这种干预措施在脑出血(ICH)中是否具有治疗效果尚不清楚。在本研究中,我们试图确定补充 NAD 在 ICH 中的潜在治疗价值。在胶原酶诱导的 ICH(cICH)小鼠模型中,烟酰胺单核苷酸(NMN),烟酰胺腺嘌呤二核苷酸(NAD)生物合成的关键中间产物,在 cICH 后 30 分钟从尾静脉给予以补充 NAD。NMN 治疗并未减少血肿体积和血红蛋白含量。然而,NMN 治疗显著减轻脑水肿、脑细胞死亡、氧化应激、神经炎症、细胞间黏附分子-1 表达、小胶质细胞激活和中性粒细胞浸润。在机制上,NMN 增强了两种细胞保护蛋白的表达:血红素加氧酶 1(HO-1)和核因子样 2(Nrf2)。此外,NMN 增加了 Nrf2 的核易位以激活其。最后,延长 NMN 治疗 7 天显著促进了体重和神经功能的恢复。这些结果表明,NMN 通过抑制神经炎症/氧化应激来治疗 ICH 中的脑损伤。Nrf2/HO-1 信号通路的激活可能有助于 NMN 在 ICH 中的神经保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99e1/5429727/97e07954a5d0/41598_2017_851_Fig1_HTML.jpg

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