Shao Jiang, Wu Qi, Lv Sheng-Yin, Zhou Xiao-Ming, Zhang Xiang-Sheng, Wen Li-Li, Xue Jin, Zhang Xin
Department of Neurosurgery, Jinling Hospital, School of Medicine, Southern Medical University (Guangzhou), 305 East Zhongshan Road, Nanjing 210002, Jiangsu Province, China.
Department of Neurosurgery, Jinling Hospital, School of Medicine, Nanjing University, 305 East Zhongshan Road, Nanjing 210002, Jiangsu Province, China.
J Clin Neurosci. 2019 May;63:202-208. doi: 10.1016/j.jocn.2019.01.024. Epub 2019 Feb 15.
Early Brain Injury, rather than Cerebral Vasospasm, has been demonstrated to be more important for patients with Subarachnoid hemorrhage. It is considered that allicin can make sense in a wide range of pharmacological areas and can be taken as a therapeutic method in many pathologic situations. We have explored the potential effect of allicin and possible mechanisms in Early Brain Injury after Experimental Subarachnoid Hemorrhage in Rats. With therapy (70 mg/kg Allicin, rather than 30 mg/kg) 30 min post SAH, groups showed better neurological scores in 24 h. Significant differences could be found in body weight ratio between the SAH + vehicle groups and SAH + Allicin groups. Treatment with 70 mg/kg, not 30 mg/kg, Allicin significantly reduced brain edema and EB extravasation in 24 h after SAH. Assessments in 24 h after SAH showed that treatment with 70 mg/kg Allicin in 30 min after SAH significantly restrained the expression of cleaved caspase-3, mitigated the severity of neuronal degeneration, decreased the proportion of apoptotic neurons and the elevated MDA levels, and increased the suppressed GSH and SOD levels. We demonstrated for the first time that Allicin extenuated brain edema and blood-brain barrier dysfunction, improved neurological outcomes by the suppression of apoptosis and oxidative stress damage after SAH in experimental models, which may shade new light on the treatments of SAH.
早期脑损伤而非脑血管痉挛,已被证明对蛛网膜下腔出血患者更为重要。人们认为大蒜素在广泛的药理学领域都有意义,并且在许多病理情况下都可作为一种治疗方法。我们探讨了大蒜素在大鼠实验性蛛网膜下腔出血后早期脑损伤中的潜在作用及可能机制。在蛛网膜下腔出血后30分钟进行治疗(70mg/kg大蒜素,而非30mg/kg),各治疗组在24小时时神经功能评分更佳。蛛网膜下腔出血+赋形剂组与蛛网膜下腔出血+大蒜素组之间的体重比存在显著差异。70mg/kg而非30mg/kg大蒜素治疗可在蛛网膜下腔出血后24小时显著减轻脑水肿和伊文思蓝外渗。蛛网膜下腔出血后24小时的评估显示,蛛网膜下腔出血后30分钟用70mg/kg大蒜素治疗可显著抑制裂解的半胱天冬酶-3的表达,减轻神经元变性的严重程度,降低凋亡神经元的比例以及升高的丙二醛水平,并提高被抑制的谷胱甘肽和超氧化物歧化酶水平。我们首次证明,在实验模型中,大蒜素可减轻脑水肿和血脑屏障功能障碍,通过抑制蛛网膜下腔出血后的细胞凋亡和氧化应激损伤改善神经功能结局,这可能为蛛网膜下腔出血的治疗提供新的思路。