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曲克芦丁脑蛋白水解物注射液通过调节内皮型一氧化氮合酶途径改善创伤性脑损伤所致的神经血管损伤。

Troxerutin cerebroprotein hydrolysate injection ameliorates neurovascular injury induced by traumatic brain injury - via endothelial nitric oxide synthase pathway regulation.

作者信息

Zhào Hóngyi, Liu Yu, Zeng Jing, Li Dandan, Huang Yonghua

机构信息

a Department of Neurology , Army General Hospital of PLA , Beijing , PR China.

b Department of Neurology , No 261 Hospital of PLA , Beijing , PR China.

出版信息

Int J Neurosci. 2018 Dec;128(12):1118-1127. doi: 10.1080/00207454.2018.1486828. Epub 2018 Nov 4.

Abstract

BACKGROUND

Neurovascular dysfunction caused by traumatic brain injury (TBI) is characterized by cerebralvascular damage, blood-brain barrier (BBB) breakdown, brain edema, etc. This study was designed to assess the protective role of 5 days troxerutin cerebroprotein hydrolysate (TCH) injection treatment against TBI, as well as the potential mechanism.

METHODS

The weight-drop model of TBI in male Sprague-Dawley rats was chosen to induce TBI model, rats either with TCH or a vehicle via intraperitoneal injection were examined 3 days after TBI.

RESULTS

TCH resulted in alleviation of neurological deficits, reduction of infarct volume, improvement of regional cerebral blood flow (rCBF), amelioration of neuronal death, astrocyte proliferation, endothelial cell loss, and BBB dysintegrity. These effects of TCH treatment against TBI were through endothelial nitric oxide synthase (eNOS) coupling/decoupling status adjustment, which not only increased nitric oxide (NO) level, but also decreased peroxynitrate level expression.

CONCLUSIONS

All the results indicated that TCH injection has multifaceted protective effects of neurovascular unit (NVU) against TBI via eNOS pathway regulation.

摘要

背景

创伤性脑损伤(TBI)所致神经血管功能障碍的特征为脑血管损伤、血脑屏障(BBB)破坏、脑水肿等。本研究旨在评估为期5天的曲克芦丁脑蛋白水解物(TCH)注射治疗对TBI的保护作用及其潜在机制。

方法

选用雄性Sprague-Dawley大鼠的TBI重量下降模型诱导TBI模型,在TBI后3天对经腹腔注射TCH或赋形剂的大鼠进行检查。

结果

TCH可减轻神经功能缺损、减少梗死体积、改善局部脑血流量(rCBF)、改善神经元死亡、星形胶质细胞增殖、内皮细胞丢失及BBB完整性破坏。TCH治疗对TBI的这些作用是通过内皮型一氧化氮合酶(eNOS)偶联/解偶联状态调节实现的,这不仅增加了一氧化氮(NO)水平,但也降低了过氧亚硝酸盐水平的表达。

结论

所有结果表明,TCH注射通过eNOS途径调节对TBI具有神经血管单元(NVU)的多方面保护作用。

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