Sama Diana M, Carlson Shaun W, Joseph Binoy, Saenger Stefanie, Metzger Friedrich, Saatman Kathryn E
Spinal Cord and Brain Injury Research Center, University of Kentucky College of Medicine, Lexington, KY, USA.
Present address: Department of Neurological Surgery, Safar Center for Resuscitation Research, University of Pittsburgh, PA, USA.
Restor Neurol Neurosci. 2018;36(4):559-569. doi: 10.3233/RNN-180831.
Traumatic brain injury can result in lasting cognitive dysfunction due to degeneration of mature hippocampal neurons as well as the loss of immature neurons within the dentate gyrus. While endogenous neurogenesis affords a partial recovery of the immature neuron population, hippocampal neurogenesis may be enhanced through therapeutic intervention. Insulin-like growth factor-1 (IGF-1) has the potential to improve cognitive function and promote neurogenesis after TBI, but its short half-life in the systemic circulation makes it difficult to maintain a therapeutic concentration. IGF-1 modified with a polyethylene glycol moiety (PEG-IGF-1) exhibits improved stability and half-life while retaining its ability to enter the brain from the periphery, increasing its viability as a translational approach.
The goal of this study was to evaluate the ability of systemic PEG-IGF-1 administration to attenuate acute neuronal loss and stimulate the recovery of hippocampal immature neurons in brain-injured mice.
In a series of studies utilizing a well-established contusion brain injury model, PEG-IGF-1 was administered subcutaneously after injury. Serum levels of PEG were verified using ELISA and histological staining was used to investigate numbers of degenerating neurons and cortical contusion size at 24 h after injury. Immunofluorescent staining was used to evaluate numbers of immature neurons at 10 d after injury.
Although subcutaneous injections of PEG-IGF-1 increased serum IGF-1 levels in a dose-dependent manner, no effects were observed on cortical contusion size, neurodegeneration within the dentate gyrus, or recovery of hippocampal immature neuron numbers.
In contrast to its efficacy in rodent models of neurodegenerative diseases, PEG- IGF-1 was not effective in ameliorating early neuronal loss after contusion brain trauma.
创伤性脑损伤可导致持久的认知功能障碍,这是由于成熟海马神经元的退化以及齿状回内未成熟神经元的丢失所致。虽然内源性神经发生可使未成熟神经元群体部分恢复,但通过治疗干预可增强海马神经发生。胰岛素样生长因子-1(IGF-1)有改善创伤性脑损伤后认知功能和促进神经发生的潜力,但其在体循环中的半衰期较短,难以维持治疗浓度。用聚乙二醇部分修饰的IGF-1(PEG-IGF-1)具有更好的稳定性和半衰期,同时保留了从外周进入大脑的能力,增加了其作为转化方法的可行性。
本研究的目的是评估全身给予PEG-IGF-1减轻脑损伤小鼠急性神经元丢失和刺激海马未成熟神经元恢复的能力。
在一系列利用成熟的挫伤性脑损伤模型的研究中,损伤后皮下给予PEG-IGF-1。使用酶联免疫吸附测定法(ELISA)验证血清中PEG的水平,并在损伤后24小时使用组织学染色研究退化神经元的数量和皮质挫伤大小。在损伤后10天使用免疫荧光染色评估未成熟神经元的数量。
虽然皮下注射PEG-IGF-1以剂量依赖性方式增加血清IGF-1水平,但未观察到对皮质挫伤大小、齿状回内神经变性或海马未成熟神经元数量恢复的影响。
与在神经退行性疾病啮齿动物模型中的疗效相反,PEG-IGF-1在改善挫伤性脑外伤后早期神经元丢失方面无效。