College of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
State Key Laboratory Breeding Base of Systematic Research, Development and Utilization of Chinese Medicine Resources, Sichuan Province and Ministry of Science and Technology, Chengdu, China.
CNS Neurol Disord Drug Targets. 2017;16(10):1111-1119. doi: 10.2174/1871527316666171026114043.
Chronic cerebral hypoperfusion is a common pathophysiological state in various cerebrovascular diseases. Anisodine has been reported to exert neuroprotective effects in cerebral ischemia/reperfusion (I/R) animal model. However, it is unclear whether anisodine hydrobromide, the hydrobromide format of anisodine, one of the tropic alkanes alkaloids, exhibits the same neuroprotective effect on chronic cerebral hypoperfusion(CCH) rats. Herein, we tried to unravel these issues.
CCH model in adult male Sprague-Dawley rats was established by permanent ligation of the bilateral common carotid arteries [two-vessel occlusion (2-VO)] surgery. Rats were randomly divided into six groups: sham, 2-VO, 2-VO + Butyl phthalide and sodium chloride injection (NBP, as positive control group), 2-VO + anisodine hydrobromide (AH)1.2mg/kg, 2-VO +AH0.6mg/kg, 2-VO +AH0.3mg/kg. Cognitive behavior was examined by Morris Water Maze Test. Neuronal survival and apoptosis were evaluated by Nissl staining and Terminal-deoxynucleoitidyl transferase mediated nick end labeling (TUNEL staining). The relative monoamine neurotransmitter (5-hydroxytryptamine (5-HT), norepinephrine (NA)), the content of Ach, the activity of acetylcholin esterase (AchE) were measured in cholinergic system, and the protein expressions of Bcl-2, Bax, p-Akt and p-GSK-3βwere detected by Western blot assay.
The results showed that there is significant memory impairment and a remarkable neuron necrosis and apoptosis, along with the dysfunction of the neurotransmitter systems and central cholinergic system in CCH rats. AH treatment could significantly improve cognitive deficits, while reducing neuron necrosis and apoptosis, apart from increasing the content of 5-HT and decreasing the activity of AchE markedly. Further study revealed that AH could promote the protein expression of Bcl-2, phosphorylation of Akt and GSK-3β, and downregulate the protein of Bax.
AH was demonstrated to ameliorate memory deficits by revising the imbalance of the monoamine neurotransmitter and cholinergic dysfunction. Moreover, AH can attenuate neuronal cell death and apoptosis by activating the Akt/GSK-3βsignaling pathway.
慢性脑灌注不足是各种脑血管疾病常见的病理生理状态。山莨菪碱已被报道在脑缺血/再灌注(I/R)动物模型中具有神经保护作用。然而,莨菪碱氢溴酸盐(anisodine hydrobromide)是否对慢性脑灌注不足(CCH)大鼠具有相同的神经保护作用尚不清楚。莨菪碱氢溴酸盐是托烷类生物碱之一,本文旨在探讨这一问题。
采用双侧颈总动脉永久性结扎(2-VO)手术建立成年雄性 Sprague-Dawley 大鼠 CCH 模型。大鼠随机分为 6 组:假手术组、2-VO 组、2-VO+正丁基苯酞氯化钠注射液(NBP,阳性对照组)、2-VO+山莨菪碱氢溴酸盐 1.2mg/kg 组、2-VO+山莨菪碱氢溴酸盐 0.6mg/kg 组、2-VO+山莨菪碱氢溴酸盐 0.3mg/kg 组。采用 Morris 水迷宫试验检测认知行为,通过尼氏染色和末端脱氧核苷酸转移酶介导的缺口末端标记(TUNEL)染色评估神经元存活和凋亡。采用高效液相色谱法检测胆碱能系统中单胺递质(5-羟色胺(5-HT)、去甲肾上腺素(NA))、乙酰胆碱(Ach)的含量,采用乙酰胆碱酯酶(AchE)活性检测试剂盒检测 AchE 活性,Western blot 检测 Bcl-2、Bax、p-Akt 和 p-GSK-3β蛋白表达。
CCH 大鼠表现出明显的记忆障碍和显著的神经元坏死和凋亡,以及神经递质系统和中枢胆碱能系统功能障碍。山莨菪碱治疗可显著改善认知障碍,同时显著减少神经元坏死和凋亡,显著增加 5-HT 含量,显著降低 AchE 活性。进一步研究表明,山莨菪碱可促进 Bcl-2 蛋白表达,磷酸化 Akt 和 GSK-3β,下调 Bax 蛋白。
山莨菪碱通过纠正单胺递质失衡和胆碱能功能障碍改善记忆障碍,通过激活 Akt/GSK-3β信号通路减轻神经元细胞死亡和凋亡。