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圣桂三生散通过肠血管活性肽维持缺血性脑卒中后血脑屏障的完整性。

Shengui Sansheng Pulvis maintains blood-brain barrier integrity by vasoactive intestinal peptide after ischemic stroke.

机构信息

State Key Laboratory of Quality Research in Chinese Medicine, Faculty of Chinese Medicine, Macau University of Science and Technology, Taipa, Macao.

The Second Department of Neurosurgery, First Affiliated Hospital of Kunming Medical University, Kunming, China.

出版信息

Phytomedicine. 2020 Feb;67:153158. doi: 10.1016/j.phymed.2019.153158. Epub 2019 Dec 23.

Abstract

Background Shengui Sansheng Pulvis (SSP) has about 300 years history used for stroke treatment, and evidences suggest it has beneficial effects on neuro-angiogenesis and cerebral energy metabolic amelioration post-stroke. However, its protective action and mechanisms on blood-brain barrier (BBB) is still unknown. Purpose Based on multiple neuroprotective properties of vasoactive intestinal peptide (VIP) in neurological disorders, we investigate if SSP maintaining BBB integrity is associated with VIP pathway in rat permanent middle cerebral artery occlusion (MCAo) model. Methods Three doses of SSP extraction were administered orally. Evaluations of motor and balance abilities and detection of brain edema were performed, and BBB permeability were assessed by Evans blue (EB) staining. Primary brain microvascular endothelial cells (BMECs) were subjected to oxygen-glucose deprivation, and incubated with high dose SSP drug-containing serum and VIP-antagonist respectively. Transendothelial electrical resistance (TEER) assay and Tetramethylrhodamine isothiocyanate (TRITC)-dextran (4.4 kDa) and fluorescein isothiocyanate (FITC)-dextran (70 kDa) were used to evaluate the features of paracellular junction. Western blot detected the expressions of Claudin-5, ZO-1, Occludin and VE-cadherin, matrix metalloproteinase (MMP) 2/9 and VIP receptors 1/2, and immunofluorescence staining tested VIP and Claudin-5 expressions. Results Our results show that SSP significantly reduces EB infiltration in dose-dependent manner in vivo and attenuates TRITC- dextran and FITC-dextran diffusion in vitro, and strengthens endothelial junctional complexes as represented by decreasing Claudin-5, ZO-1, Occludin and VE-cadherin degradations and MMP 2/9 expression, as well as promoting TEER in BMECs after ischemia. Moreover, it suggests that SSP notably enhances VIP and its receptors 1/2 expressions. VIP-antagonist exacerbates paracellular barrier of BMECs, while the result is reversed after incubation with high dose SSP drug-containing serum. Additionally, SSP also improve brain edema and motor and balance abilities after ischemic stroke. Conclusions we firstly demonstrate that the ameliorated efficacy of SSP on BBB permeability is related to the enhancements of VIP and its receptors, suggesting SSP might be an effective therapeutic agent on maintaining BBB integrity post-stroke.

摘要

背景

生髓生血散(SSP)已有约 300 年的治疗中风的历史,有证据表明它对中风后神经血管生成和脑能量代谢改善有有益作用。然而,其对血脑屏障(BBB)的保护作用及其机制尚不清楚。目的:基于血管活性肠肽(VIP)在神经疾病中的多种神经保护特性,我们研究 SSP 是否通过 VIP 通路维持 BBB 完整性与大鼠永久性大脑中动脉闭塞(MCAo)模型有关。方法:通过口服给予 SSP 提取物三种剂量。评估运动和平衡能力,并通过 Evans 蓝(EB)染色检测脑水肿,通过测定 BBB 通透性来评估。将原代脑微血管内皮细胞(BMEC)进行氧葡萄糖剥夺,分别用高剂量 SSP 药物含血清和 VIP 拮抗剂孵育。用跨内皮电阻(TEER)测定和四甲基罗丹明异硫氰酸酯(TRITC)-葡聚糖(4.4 kDa)和荧光素异硫氰酸酯(FITC)-葡聚糖(70 kDa)来评估细胞旁连接的特征。Western blot 检测 Claudin-5、ZO-1、Occludin 和 VE-cadherin、基质金属蛋白酶(MMP)2/9 和 VIP 受体 1/2 的表达,免疫荧光染色检测 VIP 和 Claudin-5 的表达。结果:我们的结果表明,SSP 可显著降低体内 EB 渗透,呈剂量依赖性,体外降低 TRITC-葡聚糖和 FITC-葡聚糖扩散,并通过减少 Claudin-5、ZO-1、Occludin 和 VE-cadherin 的降解和 MMP 2/9 的表达,增强内皮连接复合体,以及在 BMECs 缺血后增强 TEER。此外,它表明 SSP 还显著增强了 VIP 及其受体 1/2 的表达。VIP 拮抗剂可加重 BMEC 的细胞旁屏障,而在用高剂量 SSP 药物含血清孵育后,结果则相反。此外,SSP 还可改善缺血性中风后的脑水肿和运动及平衡能力。结论:我们首次证明,SSP 改善 BBB 通透性的疗效与 VIP 及其受体的增强有关,提示 SSP 可能是一种有效的治疗药物,可维持中风后 BBB 的完整性。

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