Huang Tingqin, Zhao Junjie, Guo Dan, Pang Honggang, Zhao Yonglin, Song Jinning
Department of Neurosurgery, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, China.
Neuroreport. 2018 May 23;29(8):661-677. doi: 10.1097/WNR.0000000000001015.
Diffuse axonal injury (DAI) accounts for more than 50% of all traumatic brain injury. In response to the mechanical damage associated with DAI, the abnormal proteins produced in the neurons and axons, namely, β-APP and p-tau, induce endoplasmic reticulum (ER) stress. Curcumin, a major component extracted from the rhizome of Curcuma longa, has shown potent anti-inflammatory, antioxidant, anti-infection, and antitumor activity in previous studies. Moreover, curcumin is an activator of nuclear factor-erythroid 2-related factor 2 (Nrf2) and promotes its nuclear translocation. In this study, we evaluated the therapeutic potential of curcumin for the treatment of DAI and investigated the mechanisms underlying the protective effects of curcumin against neural cell death and axonal injury after DAI. Rats subjected to a model of DAI by head rotational acceleration were treated with vehicle or curcumin to evaluate the effect of curcumin on neuronal and axonal injury. We observed that curcumin (20 mg/kg intraperitoneal) administered 1 h after DAI induction alleviated the aggregation of p-tau and β-APP in neurons, reduced ER-stress-related cell apoptosis, and ameliorated neurological deficits. Further investigation showed that the protective effect of curcumin in DAI was mediated by the PERK/Nrf2 pathway. Curcumin promoted PERK phosphorylation, and then Nrf2 dissociated from Keap1 and was translocated to the nucleus, which activated ATF4, an important bZIP transcription factor that maintains intracellular homeostasis, but inhibited the CHOP, a hallmark of ER stress and ER-associated programmed cell death. In summary, we demonstrate for the first time that curcumin confers protection against abnormal proteins and neuronal apoptosis after DAI, that the process is mediated by strengthening of the unfolded protein response to overcome ER stress, and that the protective effect of curcumin against DAI is dependent on the activation of Nrf2.
弥漫性轴索损伤(DAI)占所有创伤性脑损伤的50%以上。针对与DAI相关的机械损伤,神经元和轴突中产生的异常蛋白质,即β-淀粉样前体蛋白(β-APP)和磷酸化tau蛋白(p-tau),会诱导内质网(ER)应激。姜黄素是从姜黄根茎中提取的主要成分,在先前的研究中已显示出强大的抗炎、抗氧化、抗感染和抗肿瘤活性。此外,姜黄素是核因子红细胞2相关因子2(Nrf2)的激活剂,并促进其核转位。在本研究中,我们评估了姜黄素治疗DAI的潜力,并研究了姜黄素对DAI后神经细胞死亡和轴突损伤的保护作用机制。通过头部旋转加速建立DAI模型的大鼠接受载体或姜黄素治疗,以评估姜黄素对神经元和轴突损伤的影响。我们观察到,在DAI诱导后1小时腹腔注射姜黄素(20mg/kg)可减轻神经元中p-tau和β-APP的聚集,减少内质网应激相关的细胞凋亡,并改善神经功能缺损。进一步研究表明,姜黄素在DAI中的保护作用是由PERK/Nrf2途径介导的。姜黄素促进PERK磷酸化,然后Nrf2从 Kelch样环氧氯丙烷相关蛋白1(Keap1)解离并转位至细胞核,激活维持细胞内稳态的重要碱性亮氨酸拉链(bZIP)转录因子激活转录因子4(ATF4),但抑制内质网应激和内质网相关程序性细胞死亡的标志分子 Chop。总之,我们首次证明姜黄素对DAI后的异常蛋白质和神经元凋亡具有保护作用,该过程是通过增强未折叠蛋白反应以克服内质网应激来介导的,并且姜黄素对DAI的保护作用依赖于Nrf2的激活。