Department of Neurosurgery, The 904 Hospital of PLA Joint Logistic Support Force, Medical School of Anhui Medical University, Wuxi 214044, Jiangsu, China.
Department of Nursing, The 904 Hospital of PLA Joint Logistic Support Force, Medical School of Anhui Medical University, Wuxi 214044, Jiangsu, China.
Aging (Albany NY). 2021 Jan 21;13(2):3101-3111. doi: 10.18632/aging.202503.
Subarachnoid hemorrhage (SAH) is a life-threatening cerebrovascular disease, and most of the SAH patients experience sleep deprivation during their hospital stay. It is well-known that sleep deprivation is one of the key components of developing several neurological disorders, but its effect on brain damage after SAH has not been determined. Therefore, this study was designed to evaluate the effect of sleep deprivation using an experimental SAH model in rats. Induction of sleep deprivation for 24 h aggravated the SAH-induced brain damage, as evidenced by brain edema, neuronal apoptosis and activation of caspase-3. Sleep deprivation also worsened the neurological impairment and cognitive deficits after SAH. The results of immunostaining and western blot showed that sleep deprivation increased the activation of microglial cells. In addition, sleep deprivation differently regulated the expression of anti-inflammatory and pro-inflammatory cytokines. The results of immunofluorescence staining and western blot showed that sleep deprivation markedly increased the activation of Toll-like receptor 4 (TLR4) and myeloid differentiation primary response protein 88 (MyD88). Mechanically, treatment with the TLR4 inhibitor TAK-242 or the MyD88 inhibitor ST2825 significantly attenuated the brain damage and neuroinflammation induced by sleep deprivation after SAH. In conclusion, our results indicate that sleep deprivation aggravates brain damage and neurological dysfunction following experimental SAH in rats. These effects were mediated by the activation of the TLR4-MyD88 cascades and regulation of neuroinflammation.
蛛网膜下腔出血(SAH)是一种危及生命的脑血管疾病,大多数 SAH 患者在住院期间都经历睡眠剥夺。众所周知,睡眠剥夺是导致几种神经疾病的关键因素之一,但它对 SAH 后脑损伤的影响尚未确定。因此,本研究旨在通过大鼠实验性 SAH 模型评估睡眠剥夺的影响。24 小时的睡眠剥夺加重了 SAH 引起的脑损伤,表现为脑水肿、神经元凋亡和 caspase-3 的激活。睡眠剥夺还加重了 SAH 后的神经功能缺损和认知障碍。免疫染色和 Western blot 的结果表明,睡眠剥夺增加了小胶质细胞的激活。此外,睡眠剥夺对抗炎和促炎细胞因子的表达有不同的调节作用。免疫荧光染色和 Western blot 的结果表明,睡眠剥夺显著增加了 Toll 样受体 4(TLR4)和髓样分化初级反应蛋白 88(MyD88)的激活。在机制上,TLR4 抑制剂 TAK-242 或 MyD88 抑制剂 ST2825 的治疗显著减轻了 SAH 后睡眠剥夺引起的脑损伤和神经炎症。总之,我们的结果表明,睡眠剥夺加重了大鼠实验性 SAH 后的脑损伤和神经功能障碍。这些影响是通过 TLR4-MyD88 级联的激活和神经炎症的调节介导的。
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