1Intensive Care Unit and.
2Institute of Neurology, and.
J Neurosurg. 2018 Sep;129(3):732-739. doi: 10.3171/2016.11.JNS162121. Epub 2017 Oct 27.
OBJECTIVE Reactive astrogliosis, a key feature that is characterized by glial proliferation, has been observed in rat brains after intracerebral hemorrhage (ICH). However, the mechanisms that control reactive astrogliosis formation remain unknown. Notch-1 signaling plays a critical role in modulating reactive astrogliosis. The purpose of this paper was to establish whether Notch-1 signaling is involved in reactive astrogliosis after ICH. METHODS ICH was induced in adult male Sprague-Dawley rats via stereotactic injection of autologous blood into the right globus pallidus. N-[ N-(3,5-difluorophenacetyl)-l-alanyl]- S-phenylglycine t-butyl ester (DAPT) was injected into the lateral ventricle to block Notch-1 signaling. The rats' brains were perfused to identify proliferating cell nuclear antigen (PCNA)-positive/GFAP-positive nuclei. The expression of GFAP, Notch-1, and the activated form of Notch-1 (Notch intracellular domain [NICD]) and its ligand Jagged-1 was assessed using immunohistochemical and Western blot analyses, respectively. RESULTS Notch-1 signaling was upregulated and activated after ICH as confirmed by an increase in the expression of Notch-1 and NICD and its ligand Jagged-1. Remarkably, blockade of Notch-1 signaling with the specific inhibitor DAPT suppressed astrocytic proliferation and GFAP levels caused by ICH. In addition, DAPT improved neurological outcome after ICH. CONCLUSIONS Notch-1 signaling is a critical regulator of ICH-induced reactive astrogliosis, and its blockage may be a potential therapeutic strategy for hemorrhagic injury.
脑出血(ICH)后,大鼠脑内观察到反应性星形胶质细胞增生,这是星形胶质细胞增生的一个主要特征。然而,控制反应性星形胶质细胞增生形成的机制尚不清楚。Notch-1 信号在调节反应性星形胶质细胞增生中起着关键作用。本文旨在探讨 Notch-1 信号是否参与 ICH 后的反应性星形胶质细胞增生。
通过立体定向向右侧苍白球内注射自体血,诱导成年雄性 Sprague-Dawley 大鼠 ICH。通过向侧脑室注射 N-[N-(3,5-二氟苯乙酰基)-L-丙氨酰]-S-苯甘氨酸叔丁酯(DAPT)阻断 Notch-1 信号。灌注大鼠大脑以鉴定增殖细胞核抗原(PCNA)阳性/GFAP 阳性核。使用免疫组织化学和 Western blot 分析分别评估 GFAP、Notch-1 和 Notch-1 的活化形式(Notch 细胞内结构域[NICD])及其配体 Jagged-1 的表达。
ICH 后 Notch-1 信号上调并被激活,这可通过 Notch-1 和 NICD 及其配体 Jagged-1 的表达增加得到证实。值得注意的是,特异性抑制剂 DAPT 阻断 Notch-1 信号可抑制 ICH 引起的星形胶质细胞增殖和 GFAP 水平升高。此外,DAPT 改善了 ICH 后的神经功能结局。
Notch-1 信号是 ICH 诱导的反应性星形胶质细胞增生的关键调节因子,阻断 Notch-1 信号可能是出血性损伤的潜在治疗策略。