Zhai Xiuli, Li Jinying, Li Liya, Sun Ye, Zhang Xiaonan, Xue Ying, Lv Jiaxin, Gao Ye, Li Shouxin, Yan Wei, Yin Shengming, Xiao Zhaoyang
Department of Anesthesiology, The Second Affiliated Hospital of Dalian Medical University, Dalian 116027, China.
Department of Physiology, Dalian Medical University, Dalian 116044, China.
Brain Res. 2020 Nov 1;1746:146945. doi: 10.1016/j.brainres.2020.146945. Epub 2020 Jun 9.
Currently, there is no efficacious pharmacological treatment for traumatic brain injury (TBI). Previous studies revealed that L-lactate preconditioning has shown rich neuroprotective effects against cerebral ischemia, and therefore has the potential to improve neurological outcomes after TBI. L-lactate played a neuroprotective role by activating GPR81 in diseases of the central nervous system (CNS) such as TBI and cerebral ischemia. In this study we investigated the effects of L-lactate preconditioning on TBI and explored the underlying mechanisms. In this study, the mNSS test revealed that L-lactate preconditioning alleviates the neurological deficit caused by TBI in rats. L-lactate preconditioning significantly increased the expression of GPR81, PSD95, GAP43, BDNF, and MCT2 24 h after TBI in the cortex and hippocampus compared with the sham group. Taken together, these data suggested that L-lactate preconditioning is an effective method with which to recover neurological function after TBI. This reveals the mechanism of L-lactate preconditioning on TBI and provides a potential therapeutic method for TBI in humans.
目前,对于创伤性脑损伤(TBI)尚无有效的药物治疗方法。先前的研究表明,L-乳酸预处理对脑缺血具有丰富的神经保护作用,因此有可能改善TBI后的神经功能结局。在诸如TBI和脑缺血等中枢神经系统(CNS)疾病中,L-乳酸通过激活GPR81发挥神经保护作用。在本研究中,我们研究了L-乳酸预处理对TBI的影响并探讨了其潜在机制。在本研究中,改良神经功能缺损评分(mNSS)测试显示,L-乳酸预处理可减轻大鼠TBI所致的神经功能缺损。与假手术组相比,L-乳酸预处理在TBI后24小时显著增加了皮质和海马中GPR81、PSD95、GAP43、脑源性神经营养因子(BDNF)和单羧酸转运蛋白2(MCT2)的表达。综上所述,这些数据表明L-乳酸预处理是TBI后恢复神经功能的有效方法。这揭示了L-乳酸预处理对TBI的作用机制,并为人类TBI提供了一种潜在的治疗方法。