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异常神经发生的消除可改善小鼠中风后的认知障碍。

Abolition of aberrant neurogenesis ameliorates cognitive impairment after stroke in mice.

机构信息

Departamento de Farmacología y Toxicología, Facultad de Medicina, Universidad Complutense de Madrid (UCM), and Instituto de Investigación Hospital 12 de Octubre (i+12), Madrid, Spain.

Instituto Universitario de Investigación en Neuroquímica (IUIN), UCM, Madrid, Spain.

出版信息

J Clin Invest. 2019 Apr 1;129(4):1536-1550. doi: 10.1172/JCI120412. Epub 2019 Feb 25.

Abstract

Poststroke cognitive impairment is considered one of the main complications during the chronic phase of ischemic stroke. In the adult brain, the hippocampus regulates both encoding and retrieval of new information through adult neurogenesis. Nevertheless, the lack of predictive models and studies based on the forgetting processes hinders the understanding of memory alterations after stroke. Our aim was to explore whether poststroke neurogenesis participates in the development of long-term memory impairment. Here, we show a hippocampal neurogenesis burst that persisted 1 month after stroke and that correlated with an impaired contextual and spatial memory performance. Furthermore, we demonstrate that the enhancement of hippocampal neurogenesis after stroke by physical activity or memantine treatment weakened existing memories. More importantly, stroke-induced newborn neurons promoted an aberrant hippocampal circuitry remodeling with differential features at ipsi- and contralesional levels. Strikingly, inhibition of stroke-induced hippocampal neurogenesis by temozolomide treatment or using a genetic approach (Nestin-CreERT2/NSE-DTA mice) impeded the forgetting of old memories. These results suggest that hippocampal neurogenesis modulation could be considered as a potential approach for treatment of poststroke cognitive impairment.

摘要

脑卒中后认知障碍被认为是缺血性脑卒中慢性期的主要并发症之一。在成人的大脑中,海马体通过成人神经发生调节新信息的编码和检索。然而,由于缺乏基于遗忘过程的预测模型和研究,阻碍了对脑卒中后记忆改变的理解。我们的目的是探讨脑卒中后神经发生是否参与长期记忆障碍的发展。在这里,我们显示出脑卒中后持续 1 个月的海马体神经发生爆发,这与情景和空间记忆表现受损有关。此外,我们证明脑卒中后通过体力活动或美金刚治疗增强海马体神经发生会削弱现有的记忆。更重要的是,脑卒中诱导的新生神经元促进了异常的海马回路重塑,在同侧和对侧水平具有不同的特征。引人注目的是,用替莫唑胺治疗或通过遗传方法(Nestin-CreERT2/NSE-DTA 小鼠)抑制脑卒中诱导的海马体神经发生,可阻碍旧记忆的遗忘。这些结果表明,海马体神经发生的调节可能被认为是治疗脑卒中后认知障碍的一种潜在方法。

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