创伤性脑损伤时间蛋白质组学指导 KCC2 靶向治疗。

Traumatic Brain Injury Temporal Proteome Guides KCC2-Targeted Therapy.

机构信息

Department of Anatomy and Neurobiology, Virginia Commonwealth University, Richmond, Virginia.

出版信息

J Neurotrauma. 2019 Nov 15;36(22):3092-3102. doi: 10.1089/neu.2019.6415. Epub 2019 Jul 31.

Abstract

Advancing therapeutics for traumatic brain injury (TBI) remains a challenge, necessitating testable targets with interventions appropriately timed to intercede on evolving secondary insults. Neuroproteomics provides a global molecular approach to deduce the complex post-translational processes that underlie secondary events after TBI. Yet method advancement has outpaced approaches to interrogate neuroproteomic complexity, in particular when addressing the well-recognized temporal evolution of TBI pathobiology. Presented is a detailed account of the temporal neuroproteomic response to mild-moderate rat controlled cortical impact within perilesioned somatosensory neocortex across the first two weeks after injury. Further, this investigation assessed use of artificial neural network and functional enrichment analyses to discretize the temporal response across some 2047 significantly impacted proteins. Results were efficiently narrowed onto ion transporters with phenotypic relevance to abnormal GABAergic transmission and a delayed decline amenable to intervention under managed care conditions. The prototypical target potassium/chloride co-transporter 2 (KCC2 or SLC12A5) was investigated further with the KCC2-selective modulator CLP290. Guided by post-translational processing revealed one-day after insult to precede KCC2 protein loss a day after, CLP290 was highly effective at restoring up to 70% of lost KCC2 localization, which was significantly correlated with recovery of sham-level function in assessed somatosensory behavioral tasks. The timing of administration was important, with no significant improvement observed if given earlier, one-hour after insult, or later when KCC2 protein decline begins. Results portend importance for a detailed post-translational characterization when devising TBI treatments, and support the therapeutic promise of KCC2-targeted CLP290 intervention for positive functional recovery after brain injury.

摘要

推进创伤性脑损伤 (TBI) 的治疗仍然是一个挑战,需要有可测试的靶点,并在不断发展的继发性损伤中进行适当时间的干预。神经蛋白质组学提供了一种全局分子方法来推断 TBI 后继发性事件的复杂翻译后过程。然而,方法的进步已经超过了研究神经蛋白质组复杂性的方法,特别是在解决 TBI 病理生物学公认的时间演变时。本文详细介绍了在损伤后两周内,轻度至中度大鼠皮质控制冲击对损伤体感新皮层内近损伤区的时间神经蛋白质组反应。此外,本研究评估了使用人工神经网络和功能富集分析来离散大约 2047 个受显著影响的蛋白质的时间反应。结果有效地缩小到与异常 GABA 能传递相关的表型和可在管理护理条件下进行干预的延迟下降有关的离子转运体。进一步研究了钾/氯离子共转运体 2(KCC2 或 SLC12A5)的原型靶标,使用 KCC2 选择性调节剂 CLP290。在受影响后一天发现 KCC2 蛋白丢失之前的一天,指导翻译后处理,CLP290 非常有效地恢复了多达 70%的丢失的 KCC2 定位,这与评估体感行为任务中假手术水平功能的恢复显著相关。给药时间很重要,如果在损伤后一小时内或 KCC2 蛋白下降开始后给药,不会观察到显著改善。结果预示着在设计 TBI 治疗时进行详细的翻译后表征的重要性,并支持 KCC2 靶向 CLP290 干预对脑损伤后积极功能恢复的治疗潜力。

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