Department of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Department I of Neurology, Xiaogan Hospital, Wuhan University of Science and Technology, Xiaogan, 432000, China.
Curr Med Sci. 2018 Aug;38(4):656-665. doi: 10.1007/s11596-018-1927-9. Epub 2018 Aug 20.
The purpose of this study was to evaluate the roles of different housing environments in neurological function, cerebral metabolism, cerebral infarction and neuron apoptosis after focal cerebral ischemia. Twenty-eight Sprague-Dawley rats were divided into control group (CG) and cerebral ischemia group, and the latter was further divided into subgroups of different housing conditions: standard environment (SE) subgroup, individual living environment (IE) subgroup, and enriched environment (EE) subgroup. Focal cerebral ischemia was induced by the middle cerebral artery occlusion (MCAO). Beam walking test was used to quantify the changes of overall motor function. Cerebral infarction and cerebral metabolism were studied by in vivo magnetic resonance imaging and H-magnetic resonance spectra, respectively. Neuron necrosis and apoptosis were detected by hematoxylin-eosin and TUNEL staining methods, respectively. The results showed that performance on the beam-walk test was improved in EE subgroup when compared to SE subgroup and IE subgroup. Cerebral infarct volume in IE subgroup was significantly larger than that in SE subgroup (P<0.05) and EE subgroup (P<0.05) on day 14 after MCAO. NAA/Cr and Cho/Cr ratios were lower in MCAO groups under different housing conditions as compared to those in CG (P<0.05). NAA/Cr ratio was lower in IE subgroup (P<0.05) and higher in EE subgroup (P<0.05) than that in SE subgroup. NAA/ Cr ratio in EE was significantly higher than that in IE subgroup (P<0.05). Cho/Cr ratio was decreased in MCAO groups as compared to that in CG (P<0.05). A significant decrease in normal neurons in cerebral cortex was observed in MCAO groups as compared to CG (P<0.05). The amount of normal neurons was less in IE subgroup (P<0.05), and more in EE subgroup (P<0.05) than that in SE subgroup after MCAO. The amount of normal neurons in EE subgroup was significantly more than that in IE subgroup after MCAO (P<0.05). The ratio of TUNEL-positive neurons in EE was significantly lower than that in SE subgroup (P<0.05) and IE subgroup (P<0.05). Correlation analysis showed that the beam walking test was negatively correlated with NAA/Cr ratio (P<0.05). Cerebral infarct volume was negatively correlated with both NAA/Cr ratio (P<0.01) and Cho/Cr ratio (P<0.01). The amount of normal cortical neurons was positively correlated with both NAA/Cr ratio (P<0.01) and Cho/Cr ratio (P<0.05). The TUNEL-positive neurons showed a negative correlation with both NAA/Cr ratio (P<0.01) and Cho/Cr ratio (P<0.01). This study goes further to show that EE may improve neurological functional deficit and cerebral metabolism, decrease cerebral infarct volume, neuron necrosis and apoptosis, while IE may aggravate brain damage after MCAO.
本研究旨在评估不同居住环境在局灶性脑缺血后神经功能、脑代谢、脑梗死和神经元凋亡中的作用。将 28 只 Sprague-Dawley 大鼠分为对照组(CG)和脑缺血组,后者进一步分为不同居住条件亚组:标准环境(SE)亚组、个体居住环境(IE)亚组和丰富环境(EE)亚组。通过大脑中动脉闭塞(MCAO)诱导局灶性脑缺血。通过走棒试验来量化整体运动功能的变化。通过体内磁共振成像和 H 磁共振波谱分别研究脑梗死和脑代谢。通过苏木精-伊红和 TUNEL 染色方法分别检测神经元坏死和凋亡。结果显示,与 SE 亚组和 IE 亚组相比,EE 亚组在走棒试验中的表现有所改善。MCAO 后第 14 天,IE 亚组的脑梗死体积明显大于 SE 亚组(P<0.05)和 EE 亚组(P<0.05)。与 CG 相比,不同居住环境下 MCAO 组的 NAA/Cr 和 Cho/Cr 比值均降低(P<0.05)。IE 亚组的 NAA/Cr 比值降低(P<0.05),EE 亚组的 NAA/Cr 比值升高(P<0.05)。EE 组的 NAA/Cr 比值明显高于 IE 组(P<0.05)。与 CG 相比,MCAO 组的 Cho/Cr 比值降低(P<0.05)。与 CG 相比,MCAO 组大脑皮质的正常神经元数量减少(P<0.05)。与 SE 亚组相比,IE 亚组(P<0.05)和 EE 亚组(P<0.05)的正常神经元数量减少。MCAO 后,EE 亚组的正常神经元数量明显多于 IE 亚组(P<0.05)。EE 组 TUNEL 阳性神经元的比例明显低于 SE 亚组(P<0.05)和 IE 亚组(P<0.05)。相关性分析显示,走棒试验与 NAA/Cr 比值呈负相关(P<0.05)。脑梗死体积与 NAA/Cr 比值(P<0.01)和 Cho/Cr 比值(P<0.01)均呈负相关。皮质正常神经元数量与 NAA/Cr 比值(P<0.01)和 Cho/Cr 比值(P<0.05)均呈正相关。TUNEL 阳性神经元与 NAA/Cr 比值(P<0.01)和 Cho/Cr 比值(P<0.01)均呈负相关。本研究进一步表明,EE 可能改善局灶性脑缺血后的神经功能缺损和脑代谢,减少脑梗死体积、神经元坏死和凋亡,而 IE 可能加重 MCAO 后的脑损伤。