Teng Lingfang, Fan Linfeng, Peng Yujiang, He Xijun, Chen Huihui, Duan Hongyu, Yang Fan, Lin Da, Lin Zheng, Li Huiyong, Shao Bo
Department of Neurosurgery, The First People's Hospital of Wenling, Wenling, China.
Department of Pediatric Surgery, Capital Institute of Pediatrics, Beijing, China.
Front Neurosci. 2019 Mar 5;13:26. doi: 10.3389/fnins.2019.00026. eCollection 2019.
Carnosic acid (CA) has been reported to exhibit a variety of bioactivities including antioxidation, neuroprotection, and anti-inflammation; however, the impact of CA on subarachnoid hemorrhage (SAH) has never been elucidated. The current study was undertaken to explore the role of CA in early brain injury (EBI) secondary to SAH and the underlying mechanisms. Adult male Sprague-Dawley rats were perforated to mimic a clinical aneurysm with SAH. CA or vehicle was administered intravenously immediately after the SAH occurred. Mortality, SAH grade, neurologic function scores, brain water content, Evans blue extravasation, and the levels of reactive oxygen species (ROS) levels in the ipsilateral cortex were determined 24 h after the SAH occurred. Western blot, immunofluorescence, Fluoro-Jade C (FJC) and TUNEL staining were also performed. Our results showed that CA decreased ROS levels, alleviated brain edema and blood-brain barrier permeability, reduced neuronal cell death, and promoted neurologic function improvement. To probe into the potential mechanisms. We showed that CA increased SIRT1, MnSOD, and Bcl-2 expression, as well as decreased p66shc, Bax, and cleaved caspase-3 expression. Interestingly, sirtinol, a selective inhibitor of SIRT1, abolished the anti-apoptotic effects of CA. Taken together, these data revealed that CA has a neuroprotective role in EBI secondary to SAH. The potential mechanism may involve suppression of neuronal apoptosis through the SIRT1/p66shc signaling pathway. CA may provide a promising therapeutic regimen for management of SAH.
据报道,鼠尾草酸(CA)具有多种生物活性,包括抗氧化、神经保护和抗炎作用;然而,CA对蛛网膜下腔出血(SAH)的影响尚未阐明。本研究旨在探讨CA在SAH继发早期脑损伤(EBI)中的作用及其潜在机制。成年雄性Sprague-Dawley大鼠被穿孔以模拟临床动脉瘤伴SAH。SAH发生后立即静脉注射CA或赋形剂。在SAH发生24小时后,测定死亡率、SAH分级、神经功能评分、脑含水量、伊文思蓝外渗以及同侧皮质中活性氧(ROS)水平。还进行了蛋白质免疫印迹、免疫荧光、氟玉髓C(FJC)和TUNEL染色。我们的结果表明,CA降低了ROS水平,减轻了脑水肿和血脑屏障通透性,减少了神经元细胞死亡,并促进了神经功能改善。为了探究潜在机制。我们发现CA增加了SIRT1、MnSOD和Bcl-2的表达,同时降低了p66shc、Bax和裂解的caspase-3的表达。有趣的是,SIRT1的选择性抑制剂sirtinol消除了CA的抗凋亡作用。综上所述,这些数据表明CA在SAH继发的EBI中具有神经保护作用。潜在机制可能涉及通过SIRT1/p66shc信号通路抑制神经元凋亡。CA可能为SAH的治疗提供一种有前景的治疗方案。
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