Department of Physiology and Pharmacology, Loma Linda University, Loma Linda, CA, USA; Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China; West China Brain Research Centre, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Department of Physiology and Pharmacology, Loma Linda University, Loma Linda, CA, USA.
Neuropharmacology. 2018 Jan;128:142-151. doi: 10.1016/j.neuropharm.2017.09.040. Epub 2017 Oct 4.
Neuronal apoptosis is considered to be a crucial therapeutic target against early brain injury (EBI) after subarachnoid hemorrhage (SAH). Emerging evidence indicates that Exendin-4 (Ex-4), a glucagon-like peptide 1 receptor (GLP-1R) agonist, plays a neuroprotective role in cerebrovascular disease. This study was conducted in order to verify the neuroprotective role of EX-4 in EBI after SAH in rats. The endovascular perforation model of SAH was performed in Sprague-Dawley rats (n = 153). Ex-4 was intraperitoneally injected 1 h after SAH induction in the rats (SAH + Ex-4). To elucidate the underlying molecular mechanism, small interfering ribonucleic acid (siRNA) for GLP-1R and a specific inhibitor of PI3K, LY294002, were injected intracerebroventricularly into SAH + Ex-4 rats before induction of SAH (n = 6 per group). SAH grading evaluation, immunohistochemistry, Western blots, neurobehavioral assessment, and Fluoro-Jade C (FJC) staining experiments were performed. Expression of GLP-1R was significantly increased and mainly expressed in neurons at 24 h after SAH induction. Administration of Ex-4 significantly improved both short- and long-term neurobehavior in SAH + Ex-4 group compared to SAH + Vehicle group after SAH. Ex-4 treatment significantly increased the expression of GLP-1R, PI3K, p-Akt, Bcl-xl, and Bcl-2, while at the same time was found to decrease expression of Bax in the brain. Effects of Ex-4 were reversed by the intervention of GLP-1R siRNA and LY294002 in SAH + Ex-4+GLP-1R siRNA and SAH + Ex-4+LY294002 groups, respectively. In conclusion, the neuroprotective effect of Ex-4 in EBI after SAH was mediated by attenuation of neuronal apoptosis via GLP-1R/PI3K/Akt signaling pathway, therefore EX-4 should be further investigated as a potential therapeutic agent in stroke patients.
神经元凋亡被认为是蛛网膜下腔出血 (SAH) 后早期脑损伤 (EBI) 的一个重要治疗靶点。新出现的证据表明,胰高血糖素样肽 1 受体 (GLP-1R) 激动剂 Exendin-4 (Ex-4) 在脑血管疾病中发挥神经保护作用。本研究旨在验证 Ex-4 在大鼠蛛网膜下腔出血后 EBI 中的神经保护作用。采用 Sprague-Dawley 大鼠进行血管内穿孔 SAH 模型 (n=153)。在大鼠 SAH 诱导后 1 小时 (SAH+Ex-4) 经腹腔注射 Ex-4。为了阐明潜在的分子机制,在诱导 SAH 之前 (n=6 组),将 GLP-1R 的小干扰核糖核酸 (siRNA) 和 PI3K 的特异性抑制剂 LY294002 经侧脑室注射到 SAH+Ex-4 大鼠中。进行了 SAH 分级评估、免疫组织化学、Western blot、神经行为评估和 Fluoro-Jade C (FJC) 染色实验。SAH 诱导后 24 小时,GLP-1R 的表达显著增加,主要在神经元中表达。与 SAH+Vehicle 组相比,SAH+Ex-4 组在 SAH 后,Ex-4 给药明显改善了短期和长期神经行为。Ex-4 治疗可显著增加 GLP-1R、PI3K、p-Akt、Bcl-xl 和 Bcl-2 的表达,同时降低脑内 Bax 的表达。在 SAH+Ex-4+GLP-1R siRNA 和 SAH+Ex-4+LY294002 组中,GLP-1R siRNA 和 LY294002 的干预逆转了 Ex-4 的作用。总之,Ex-4 在 SAH 后 EBI 中的神经保护作用是通过 GLP-1R/PI3K/Akt 信号通路减弱神经元凋亡介导的,因此 Ex-4 应作为脑卒中患者的潜在治疗药物进一步研究。
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