Chen Aiming, Xu Yin, Yuan Jun
Department of Pediatrics, The Second People's Hospital of Taizhou Affiliated to Yangzhou University, Taizhou, Jiangsu, China.
Department of Neonatology, The International Peace Maternity & Child Health Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Int J Dev Neurosci. 2018 Oct;69:106-111. doi: 10.1016/j.ijdevneu.2018.07.004. Epub 2018 Jul 17.
Perinatal hypoxic-ischemic (HI) insult is an important cause of brain injury in neonates. The development of novel treatment strategies for neonates with HI brain injury is urgently needed. Ginkgolide B (GB) is a main component of Ginkgo biloba extracts with a long history of use in traditional Chinese medicine. However, it is unknown whether GB could play a protective role in hypoxic stress in immature animals.
Using neonatal hypoxic-ischemic (HI) brain injury model of rat pups, neurological score, infarct size, and brain edema were evaluated after HI injury. The activation of microglia and the production of IL-1β and IL-18 were detected by immunohistochemistry and ELISA, respectively. A priming signal (NF-κB P65) and an activation signal (Caspase-1) of NLRP3 inflammasome activation were detected by western blot analyses.
GB administrated 30 min prior to ischemia induction can improve neurological disorder, reduce infarct volume and alleviate cerebral edema. Compared with the HI groups, GB inhibited the activation of microglia and decreased the production of IL-1β and IL-18 in neocortex. Furthermore, GB reduced NLRP3 expression mainly in microglia, and significantly inhibited the expression of Caspase-1 and the nuclear translocation of NF-κB P65, preventing NLRP3 inflammasome activation.
GB ameliorates hypoxic-ischemic brain injury in the neonatal male rat via inhibiting NLRP3 inflammasome activation.
围产期缺氧缺血性(HI)损伤是新生儿脑损伤的重要原因。迫切需要为HI脑损伤的新生儿开发新的治疗策略。银杏内酯B(GB)是银杏叶提取物的主要成分,在传统中药中使用历史悠久。然而,GB是否能在未成熟动物的缺氧应激中发挥保护作用尚不清楚。
使用新生大鼠幼崽的新生儿缺氧缺血性(HI)脑损伤模型,在HI损伤后评估神经功能评分、梗死面积和脑水肿情况。分别通过免疫组织化学和酶联免疫吸附测定法检测小胶质细胞的激活以及白细胞介素-1β(IL-1β)和白细胞介素-18(IL-18)的产生。通过蛋白质免疫印迹分析检测NLRP3炎性小体激活的启动信号(核因子κB P65)和激活信号(半胱天冬酶-1)。
在缺血诱导前30分钟给予GB可改善神经功能障碍,减少梗死体积并减轻脑水肿。与HI组相比,GB抑制了小胶质细胞的激活,并降低了新皮质中IL-1β和IL-18的产生。此外,GB主要在小胶质细胞中降低NLRP3表达,并显著抑制半胱天冬酶-1的表达和核因子κB P65的核转位,从而防止NLRP3炎性小体激活。
GB通过抑制NLRP3炎性小体激活改善新生雄性大鼠的缺氧缺血性脑损伤。