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左乙拉西坦通过抑制神经元凋亡对脑缺血损伤的神经保护作用。

Neuroprotective effects of zonisamide on cerebral ischemia injury via inhibition of neuronal apoptosis.

机构信息

Department of Neurology, Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.

Department of Neurology, Hebei General Hospital, Shijiazhuang, Hebei, China.

出版信息

Braz J Med Biol Res. 2021 Feb 26;54(4):e10498. doi: 10.1590/1414-431X202010498. eCollection 2021.

Abstract

It is known that neuronal apoptosis contributes to pathology of cerebral ischemia injury. Zonisamide (ZNS) has shown anti-apoptosis effects in recent studies. The present study investigated whether the anti-apoptotic effect can account for the neuroprotective action of ZNS on cerebral ischemia. Neuronal cells were maintained under oxygen-glucose deprivation conditions to simulate cerebral ischemia and treated with ZNS simultaneously. The apoptosis of the cells and expression of apoptosis-related proteins were investigated by flow cytometry and western blot analysis, respectively. A cerebral ischemia mouse model was created via middle cerebral artery occlusion, and the mice were treated with ZNS. Neurological deficit scores and infarct volumes of the cerebral ischemia mice were measured. The apoptosis status of the neuronal cells was evaluated by TUNEL staining. In vitro, the ZNS treatment inhibited both the apoptosis of the neuronal cells and apoptosis-related protein expression (caspase-3, caspase-8, and calpain-1) induced by the oxygen-glucose deprivation. The anti-apoptosis effect of ZNS could occur through the blocking of reactive oxygen species. Moreover, ZNS treatment significantly ameliorated neurological deficits and reduced infarct volumes in the cerebral ischemia mice model. In this study, ZNS exerted neuroprotective effects by inhibition of apoptosis in neuronal cells in cerebral ischemia. Therefore, ZNS might be a promising therapy for cerebral ischemia.

摘要

已知神经元凋亡有助于脑缺血损伤的病理学。唑尼沙胺(ZNS)在最近的研究中显示出抗凋亡作用。本研究旨在探讨抗凋亡作用是否能解释 ZNS 对脑缺血的神经保护作用。将神经元细胞置于氧葡萄糖剥夺条件下以模拟脑缺血,并同时用 ZNS 处理。通过流式细胞术和 Western blot 分析分别研究细胞凋亡和凋亡相关蛋白的表达。通过大脑中动脉闭塞创建脑缺血小鼠模型,并对其进行 ZNS 治疗。测量脑缺血小鼠的神经功能缺损评分和梗死体积。通过 TUNEL 染色评估神经元细胞的凋亡状态。在体外,ZNS 处理抑制了氧葡萄糖剥夺诱导的神经元细胞凋亡和凋亡相关蛋白表达(caspase-3、caspase-8 和 calpain-1)。ZNS 的抗凋亡作用可能通过阻断活性氧来实现。此外,ZNS 治疗显著改善了脑缺血小鼠模型的神经功能缺损并减少了梗死体积。在这项研究中,ZNS 通过抑制脑缺血神经元细胞凋亡发挥神经保护作用。因此,ZNS 可能是治疗脑缺血的一种有前途的疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0548/7917778/cd16ae96f8bf/1414-431X-bjmbr-54-4-e10498-gf001.jpg

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