Department of Anesthesiology, The First Affiliated Hospital of Zhejiang University, Hangzhou, 310003, China.
Department of Neurosurgery, The First Affiliated Hospital of Zhejiang University, Hangzhou, 310003, China.
Sci Rep. 2018 May 29;8(1):8346. doi: 10.1038/s41598-018-26421-5.
Although a large number of studies have confirmed from multiple levels that diabetes mellitus (DM) promotes cerebral ischemic reperfusion (I/R) injury, but the precise mechanism is still unclear. A cerebral I/R injury model in diabetic rats was established. The neurological deficit scores and brain edema were monitored at 24 and 72 hours after injury. The peri-infarct cortical tissues of rats were isolated for molecular biology detection. The rat primary microglia and microglia line HAPI were cultured to establish the cell model of DM-I/R by high glucose (HG) and hypoxia-reoxygenation (H/R). The endogenous expression of MALAT1 and MyD88 was regulated by the transfection with pcDNA-MALAT1, si-MALAT1 and si-MyD88, respectively. The cerebral I/R injury model in diabetic rats had more severe neuronal injury as shown by the significantly higher neurological deficit scores and an obvious increasing brain edema at 24 and 72 hours after injury. Moreover, the microglia were activated and induced a large number of inflammatory cytokines TNF-α, IL-1β and IL-6 in the peri-infarct cortical tissues during cerebral I/R injury associated with DM. The expression of MALAT1, MyD88, IRAK1 and TRAF6 protein were significantly up-regulated by DM-I/R in vitro and in vivo. Furthermore, the HG-H/R-induced MALAT1 promoted the inflammatory response in microglia via MyD88/IRAK1/TRAF6 signaling. Our results suggested that MALAT1 mediated the exacerbation of cerebral I/R injury induced by DM through triggering the inflammatory response in microglia via MyD88 signaling.
尽管大量研究从多个层面证实糖尿病(DM)可促进脑缺血再灌注(I/R)损伤,但确切机制仍不清楚。建立糖尿病大鼠脑 I/R 损伤模型。分别于损伤后 24 和 72 小时监测神经功能缺损评分和脑水肿。分离大鼠梗死周边皮质组织进行分子生物学检测。培养大鼠原代小胶质细胞和小胶质细胞系 HAPI,通过高糖(HG)和缺氧复氧(H/R)建立 DM-I/R 细胞模型。分别用 pcDNA-MALAT1、si-MALAT1 和 si-MyD88 转染调节内源性 MALAT1 和 MyD88 的表达。糖尿病大鼠脑 I/R 损伤模型的神经元损伤更为严重,表现为损伤后 24 和 72 小时神经功能缺损评分显著升高,脑水肿明显增加。此外,在与 DM 相关的脑 I/R 损伤期间,梗死周边皮质组织中的小胶质细胞被激活,并诱导大量炎症细胞因子 TNF-α、IL-1β 和 IL-6。MALAT1、MyD88、IRAK1 和 TRAF6 蛋白在 DM 体外和体内的 I/R 损伤中表达显著上调。此外,HG-H/R 诱导的 MALAT1 通过 MyD88/IRAK1/TRAF6 信号通路促进小胶质细胞的炎症反应。我们的研究结果表明,MALAT1 通过 MyD88 信号触发小胶质细胞的炎症反应,介导 DM 引起的脑 I/R 损伤加重。