重组脂联素肽通过抑制 Drp1 介导的线粒体分裂抑制星形胶质细胞源性炎症改善脑出血后的脑损伤。

Recombinant Adiponectin Peptide Ameliorates Brain Injury Following Intracerebral Hemorrhage by Suppressing Astrocyte-Derived Inflammation via the Inhibition of Drp1-Mediated Mitochondrial Fission.

机构信息

Department of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.

出版信息

Transl Stroke Res. 2020 Oct;11(5):924-939. doi: 10.1007/s12975-019-00768-x. Epub 2020 Jan 4.

Abstract

Intracerebral hemorrhage (ICH) is a life-threatening subtype of cerebral stroke with high morbidity and mortality; however, effective treatment for ICH is still lacking. Adiponectin (APN) is a a kind of fat-derived plasma protein with beneficial effects in cerebrovascular disorders. In this study, we aimed to investigate the protective effects of recombinant APN peptide (APNp) on brain injury after ICH in adult male C57BL/6J mice and further explored the underlying molecular mechanisms of these effects. APNp treatment exerted dose-dependent neuroprotective effects including improved neurological function, decreased brain edema, reduced neural apoptosis, and alleviated blood-brain barrier (BBB) disruption in ICH mice. We found the massive accumulation of APNp on reactive astrocytes around brain microvessels under hemorrhage conditions by immunofluorescence analysis. mRNA sequencing (mRNA-seq) and transcriptome analysis indicated that APNp significantly attenuated the inflammatory response and mitochondrial respiratory dysfunction in astrocytes. Further study revealed that this process was, at least in part, reliant on the inhibition of Drp1-mediated excessive mitochondrial fission. More specifically, APNp increased AMP-activated protein kinase (AMPK) activation-dependent Drp1 serine 637 (S637) phosphorylation, which inhibited the translocation of Drp1 to the mitochondrial membrane and reduced mitochondrial fragmentation and the production of mitochondrial superoxide, ultimately attenuating inflammatory brain injury induced by hemorrhage. In conclusion, we propose APNp as a potential therapeutic agent for ICH. We provide the first mechanistic evidence that APNp can modulate Drp1-mediated mitochondrial fission, which then contributes to alleviating astrocyte-derived inflammation.

摘要

脑出血 (ICH) 是一种危及生命的脑卒中亚型,具有高发病率和死亡率;然而,有效的 ICH 治疗方法仍然缺乏。脂联素 (APN) 是一种脂肪衍生的血浆蛋白,对脑血管疾病有有益作用。在本研究中,我们旨在研究重组 APN 肽 (APNp) 对成年雄性 C57BL/6J 小鼠 ICH 后脑损伤的保护作用,并进一步探讨这些作用的潜在分子机制。APNp 治疗表现出剂量依赖性的神经保护作用,包括改善神经功能、减少脑水肿、减少神经细胞凋亡和减轻 ICH 小鼠血脑屏障 (BBB) 破坏。我们通过免疫荧光分析发现,在出血情况下,APNp 大量积聚在反应性星形胶质细胞周围的脑微血管上。mRNA 测序 (mRNA-seq) 和转录组分析表明,APNp 显著减弱了星形胶质细胞中的炎症反应和线粒体呼吸功能障碍。进一步的研究表明,这一过程至少部分依赖于抑制 Drp1 介导的过度线粒体裂变。更具体地说,APNp 增加了 AMP 激活蛋白激酶 (AMPK) 激活依赖性 Drp1 丝氨酸 637 (S637) 磷酸化,抑制了 Drp1 向线粒体膜的易位,减少了线粒体片段化和线粒体超氧化物的产生,最终减轻了出血引起的炎症性脑损伤。总之,我们提出 APNp 作为 ICH 的一种潜在治疗剂。我们提供了第一个机制证据,表明 APNp 可以调节 Drp1 介导的线粒体裂变,从而有助于减轻星形胶质细胞源性炎症。

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