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mTOR/NF-κB信号通路介导糖尿病性脑病中的神经炎症和突触可塑性。

The mTOR/NF-κB Pathway Mediates Neuroinflammation and Synaptic Plasticity in Diabetic Encephalopathy.

作者信息

Xu Ting, Liu Jiao, Li Xin-Rui, Yu Yinghua, Luo Xuan, Zheng Xian, Cheng Yuan, Yu Pei-Quan, Liu Yi

机构信息

Jiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Xuzhou, 221004, Jiangsu, China.

Jiangsu Key Laboratory of Immunity and Metabolism, Department of Pathogen Biology and Immunology, Xuzhou Medical University, Xuzhou, 221004, Jiangsu, China.

出版信息

Mol Neurobiol. 2021 Aug;58(8):3848-3862. doi: 10.1007/s12035-021-02390-1. Epub 2021 Apr 15.

Abstract

Diabetic encephalopathy, a severe complication of diabetes mellitus, is characterized by neuroinflammation and aberrant synaptogenesis in the hippocampus leading to cognitive decline. Mammalian target of rapamycin (mTOR) is associated with cognition impairment. Nuclear factor-κB (NF-κB) is a transcription factor of proinflammatory cytokines. Although mTOR has been ever implicated in processes occurring in neuroinflammation, the role of this enzyme on NF-κB signaling pathway remains unclear in diabetic encephalopathy. In the present study, we investigated whether mTOR regulates the NF-κB signaling pathway to modulate inflammatory cytokines and synaptic plasticity in hippocampal neurons. In vitro model was constructed in mouse HT-22 hippocampal neuronal cells exposed to high glucose. With the inhibition of mTOR or NF-κB by either chemical inhibitor or short-hairpin RNA (shRNA)-expressing lentivirus-vector, we examined the effects of mTOR/NF-κB signaling on proinflammatory cytokines and synaptic proteins. The diabetic mouse model induced by a high-fat diet combined with streptozotocin injection was administrated with rapamycin (mTOR inhibitor) and PDTC (NF-κB inhibitor), respectively. High glucose significantly increased mTOR phosphorylation in HT-22 cells. While inhibiting mTOR by rapamycin or shmTOR significantly suppressed high glucose-induced activation of NF-κB and its regulators IKKβ and IκBα, suggesting mTOR is the upstream regulator of NF-κB. Furthermore, inhibiting NF-κB by PDTC and shNF-κB decreased proinflammatory cytokines expression (IL-6, IL-1β, and TNF-α) and increased brain-derived neurotrophic factor (BDNF) and synaptic proteins (synaptophysin and PSD-95) in HT-22 cells under high glucose conditions. Besides, the mTOR and NF-κB inhibitors improved cognitive decline in diabetic mice. The inhibition of mTOR and NF-κB suppressed mTOR/NF-κB signaling pathway, increased synaptic proteins, and improved ultrastructural synaptic plasticity in the hippocampus of diabetic mice. Activating mTOR/NF-κB signaling pathway regulates the pathogenesis of diabetic encephalopathy, such as neuroinflammation, synaptic proteins loss, and synaptic ultrastructure impairment. The findings provide the implication that mTOR/NF-κB is potential new drug targets to treat diabetic encephalopathy.

摘要

糖尿病性脑病是糖尿病的一种严重并发症,其特征是神经炎症和海马体中异常的突触发生,导致认知能力下降。雷帕霉素靶蛋白(mTOR)与认知障碍有关。核因子-κB(NF-κB)是促炎细胞因子的转录因子。尽管mTOR曾被认为参与神经炎症过程,但在糖尿病性脑病中,这种酶对NF-κB信号通路的作用仍不清楚。在本研究中,我们调查了mTOR是否调节NF-κB信号通路,以调节海马神经元中的炎性细胞因子和突触可塑性。在暴露于高糖环境的小鼠HT-22海马神经元细胞中构建体外模型。通过化学抑制剂或表达短发夹RNA(shRNA)的慢病毒载体抑制mTOR或NF-κB,我们研究了mTOR/NF-κB信号对促炎细胞因子和突触蛋白的影响。对通过高脂饮食联合链脲佐菌素注射诱导的糖尿病小鼠模型分别给予雷帕霉素(mTOR抑制剂)和PDTC(NF-κB抑制剂)。高糖显著增加了HT-22细胞中mTOR的磷酸化。用雷帕霉素或shmTOR抑制mTOR可显著抑制高糖诱导的NF-κB及其调节因子IKKβ和IκBα的激活,表明mTOR是NF-κB的上游调节因子。此外,在高糖条件下,用PDTC和shNF-κB抑制NF-κB可降低HT-22细胞中促炎细胞因子(IL-6、IL-1β和TNF-α)的表达,并增加脑源性神经营养因子(BDNF)和突触蛋白(突触素和PSD-95)的表达。此外,mTOR和NF-κB抑制剂可改善糖尿病小鼠的认知能力下降。抑制mTOR和NF-κB可抑制mTOR/NF-κB信号通路,增加突触蛋白,并改善糖尿病小鼠海马体中的超微结构突触可塑性。激活mTOR/NF-κB信号通路调节糖尿病性脑病的发病机制,如神经炎症、突触蛋白丢失和突触超微结构损伤。这些发现提示mTOR/NF-κB是治疗糖尿病性脑病潜在的新药物靶点。

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