Department of Neurosurgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150086, P.R. China.
Mol Med Rep. 2019 Jan;19(1):327-337. doi: 10.3892/mmr.2018.9640. Epub 2018 Nov 9.
Early brain injury (EBI)‑induced neuronal apoptosis is primarily responsible for the subsequent complications of aneurysmal subarachnoid hemorrhage (aSAH), which may increase the risk of mortality in patients with aSAH. c‑Jun N‑terminal kinase (JNK) has been demonstrated to be a promoter of EBI‑induced cell apoptosis, although the mechanism has yet to be fully elucidated. The present study aimed to explore whether the role of JNK1 is associated with tumor protein p53 (p53), which is one of the most important factor that triggers cell apoptosis. JNK1 expression was downregulated via in vivo small interfering RNA transfection in an aSAH rat model in order to assess differences in the behavior, survival times, morphology and genetics of the experimental animals. The results revealed that JNK1 inhibition improved the neurological scores and survival times of SAH rats by interrupting cascaded neuronal apoptosis. The interruption of EBI‑induced neuronal apoptosis may originate from a decrease in the level of p53 phosphorylation and deactivation of the downstream mitochondrial apoptotic pathway. Taken together, these results suggest that JNK1 may be a promising target for improving the prognosis of patients with aSAH.
早期脑损伤 (EBI) 诱导的神经元凋亡是导致动脉瘤性蛛网膜下腔出血 (aSAH) 后并发症的主要原因,这可能会增加 aSAH 患者的死亡率。c-Jun N-末端激酶 (JNK) 已被证明是 EBI 诱导细胞凋亡的促进剂,尽管其机制尚未完全阐明。本研究旨在探讨 JNK1 的作用是否与肿瘤蛋白 p53 (p53) 有关,p53 是触发细胞凋亡的最重要因素之一。通过体内小干扰 RNA 转染下调 JNK1 的表达,以评估 aSAH 大鼠模型中实验动物行为、存活时间、形态和遗传学的差异。结果表明,通过中断级联神经元凋亡,JNK1 抑制可改善 SAH 大鼠的神经评分和存活时间。EBI 诱导的神经元凋亡的中断可能源于 p53 磷酸化水平的降低和下游线粒体凋亡途径的失活。综上所述,这些结果表明 JNK1 可能是改善 aSAH 患者预后的有前途的靶点。