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阿托伐他汀通过抑制蛛网膜下腔出血大鼠模型中的细胞凋亡和内质网应激改善早期脑损伤。

Atorvastatin ameliorates early brain injury through inhibition of apoptosis and ER stress in a rat model of subarachnoid hemorrhage.

机构信息

Department of Neurosurgery,The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou 225001, China.

Department of Neurosurgery,The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou 225001, China

出版信息

Biosci Rep. 2018 Jun 12;38(3). doi: 10.1042/BSR20171035. Print 2018 Jun 29.

Abstract

Aneurysmal subarachnoid hemorrhage (SAH) is a severe cerebrovascular disease with very poor prognosis. The aim of the present study was to evaluate the protective effects of atorvastatin on early brain injury (EBI) after SAH using a perforation SAH model. Male Sprague-Dawley rats were randomly divided into four groups: the sham group, the SAH group (model group), SAH + 10 mg.kgday atorvastatin (low atorvastatin group), and SAH + 20 mg.kgday atorvastatin (high atorvastatin group). Atorvastatin was administered orally by gastric gavage for 15 days before operation. At 24 h after SAH, we evaluated the effects of atorvastatin on brain water content, apoptosis by TUNEL assay and scanning electron microscope (SEM), and the expression of apoptosis-related proteins by immunofluorescence and Western blotting analysis. Compared with the sham group, we observed increased brain water content, significant apoptosis, and elevated levels of apoptosis-related proteins including caspase-3, CCAAT enhancer-binding protein homologous protein (CHOP), the 78-kDa glucose-regulated protein (GRP78), and aquaporin-4 (AQP4) in the SAH group. Atorvastatin administration under all doses could significantly reduce brain water content, apoptosis, and the expression levels of caspase-3, CHOP, GRP78, and AQP4 at 24 h after SAH. Our data show that early treatment with atorvastatin effectively ameliorates EBI after SAH through anti-apoptotic effects and the effects might be associated inhibition of caspase-3 and endoplasmic reticulum (ER) stress related proteins CHOP and GRP78.

摘要

颅内动脉瘤性蛛网膜下腔出血(SAH)是一种预后极差的严重脑血管疾病。本研究旨在通过穿孔性 SAH 模型评估阿托伐他汀对 SAH 后早期脑损伤(EBI)的保护作用。雄性 Sprague-Dawley 大鼠随机分为四组:假手术组、SAH 组(模型组)、SAH+10mg.kgday 阿托伐他汀(低剂量阿托伐他汀组)和 SAH+20mg.kgday 阿托伐他汀(高剂量阿托伐他汀组)。手术前通过灌胃给予阿托伐他汀 15 天。SAH 后 24h,评估阿托伐他汀对脑水含量、TUNEL 检测法检测的细胞凋亡和扫描电子显微镜(SEM)、免疫荧光和 Western blot 分析检测的凋亡相关蛋白表达的影响。与假手术组相比,我们观察到 SAH 组脑水含量增加、明显的细胞凋亡以及凋亡相关蛋白包括半胱氨酸天冬氨酸蛋白酶-3(caspase-3)、CCAAT 增强子结合蛋白同源蛋白(CHOP)、78kDa 葡萄糖调节蛋白(GRP78)和水通道蛋白-4(AQP4)水平升高。所有剂量的阿托伐他汀给药均可在 SAH 后 24h 显著降低脑水含量、细胞凋亡和 caspase-3、CHOP、GRP78 和 AQP4 的表达水平。我们的数据表明,早期使用阿托伐他汀通过抗凋亡作用有效改善 SAH 后的 EBI,其作用可能与抑制半胱氨酸天冬氨酸蛋白酶-3 和内质网(ER)应激相关蛋白 CHOP 和 GRP78 有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/421b/5997796/f5b5759112be/bsr-38-bsr20171035-g1.jpg

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