He Jia, Zhou Dong, Yan Bo
Department of Neurology, West China Hospital, Sichuan University, Chengdu 610041, China.
Department of Neurology, 363 Hospital, Chengdu 610041, China.
Ann Transl Med. 2020 Jun;8(12):757. doi: 10.21037/atm-20-4258.
Cerebral ischemia (CI) can lead to ischemic stroke. The most effective therapy for cerebral ischemic stroke is the early restoration of blood reperfusion. However, reperfusion after CI can result in cerebral ischemia reperfusion (CI/R) injury. This study aimed to detect the effect of eriocitrin on cerebral I/R injury and investigate the underlying mechanism.
Seventy male Sprague-Dawley (SD) rats were randomly divided into 5 groups: the control group, the cerebral I/R group, the I/R + eriocitrin 8 mg/kg group, the I/R + eriocitrin 16 mg/kg group, and the I/R + eriocitrin 32 mg/kg group. Different doses of eriocitrin or 0.5% carboxymethyl cellulose sodium were administrated to the rats once daily for 7 days before middle cerebral artery occlusion (MCAO). PCR staining was performed to observe cerebral infarction. Hematoxylin and eosin (H&E) staining was carried out to observe the damage to the brain tissue. Terminal-deoxynucleotidyl transferase mediated nick end labeling (TUNEL) was used to detect apoptosis. Quantitative real-time polymerase chain reaction (qRT-PCR) was used to detect the relative mRNA levels of related molecules. Western blot was used to detect the expression of related proteins. The detection kits were used to detect superoxide dismutase (SOD) and lactic dehydrogenase (LDH) activity, and malondialdehyde (MDA) content respectively. Enzyme-linked immunosorbent assay (ELISA) was used to detect TNF-radiation, interleukin-6 (IL-6), and interleukin-10 (IL-10).
The results showed that Eriocitrin significantly reduced the cerebral infarct volume, cerebral water content, and cerebral indexes. Eriocitrin treatment alleviated pathological injury, promoted cell proliferation, and inhibited cell apoptosis. Eriocitrin upregulated SOD activity and downregulated MDA and LDH content. Eriocitrin also effectively decreased the levels of IL-6 and tumor necrosis factor-α (TNF-α), but increased the content of IL-10 in serum and brain tissues. Furthermore, Eriocitrin increased the phosphorylation of nuclear factor erythroid 2-related factor (Nrf2), as well as the expressions of heme-oxygenase-1 (HO-1) and quinine oxidoreductase 1 (NQO1). Moreover, Eriocitrin decreased the phosphorylation of nuclear factor-κB (NF-κB) p65.
Our results indicated that Eriocitrin attenuated oxidative injury and inflammatory response in rats with CI/R via the Nrf2/HO-1/NQO1/NF-κB signaling pathway.
脑缺血(CI)可导致缺血性中风。治疗脑缺血性中风最有效的方法是早期恢复血液再灌注。然而,CI后的再灌注可导致脑缺血再灌注(CI/R)损伤。本研究旨在检测圣草枸橼苷对脑I/R损伤的影响并探讨其潜在机制。
将70只雄性Sprague-Dawley(SD)大鼠随机分为5组:对照组、脑I/R组、I/R + 8 mg/kg圣草枸橼苷组、I/R + 16 mg/kg圣草枸橼苷组和I/R + 32 mg/kg圣草枸橼苷组。在大脑中动脉闭塞(MCAO)前7天,每天给大鼠灌胃不同剂量的圣草枸橼苷或0.5%羧甲基纤维素钠,连续7天。采用PCR染色观察脑梗死情况。进行苏木精-伊红(H&E)染色观察脑组织损伤。采用末端脱氧核苷酸转移酶介导的缺口末端标记法(TUNEL)检测细胞凋亡。采用定量实时聚合酶链反应(qRT-PCR)检测相关分子的相对mRNA水平。采用蛋白质免疫印迹法检测相关蛋白的表达。分别使用检测试剂盒检测超氧化物歧化酶(SOD)和乳酸脱氢酶(LDH)活性以及丙二醛(MDA)含量。采用酶联免疫吸附测定(ELISA)检测肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)和白细胞介素-10(IL-10)。
结果显示,圣草枸橼苷显著降低脑梗死体积、脑含水量和脑指数。圣草枸橼苷治疗减轻了病理损伤,促进了细胞增殖,并抑制了细胞凋亡。圣草枸橼苷上调了SOD活性,下调了MDA和LDH含量。圣草枸橼苷还有效降低了血清和脑组织中IL-6和TNF-α的水平,但增加了IL-10的含量。此外,圣草枸橼苷增加了核因子红细胞2相关因子(Nrf2)的磷酸化水平,以及血红素加氧酶-1(HO-1)和醌氧化还原酶1(NQO1)的表达。而且,圣草枸橼苷降低了核因子-κB(NF-κB)p65的磷酸化水平。
我们的结果表明,圣草枸橼苷通过Nrf2/HO-1/NQO1/NF-κB信号通路减轻CI/R大鼠的氧化损伤和炎症反应。