Department of Endocrinology and Metabolism, Institute of Endocrinology, NHC Key Laboratory of Diagnosis and Treatment of Thyroid Diseases, The First Hospital of China Medical University, No. 155 Nanjing North Street, Shenyang, 110001, China.
Department of Endocrinology and Metabolism, Peking University Third Hospital, Beijing, 100191, China.
Mol Neurobiol. 2021 Sep;58(9):4237-4250. doi: 10.1007/s12035-021-02403-z. Epub 2021 May 8.
Maternal subclinical hypothyroidism (SCH) during pregnancy can adversely affect the neurodevelopment of the offspring. The balance of nerve growth factor (NGF)-related tropomyosin receptor kinase A/p75 neurotrophin receptor (TrkA/p75) signaling in the hippocampus is important in brain development, and whether it affects cognitive function in maternal SCH's offspring is not clear. In this study, we found that compared with the control (CON) group, expression of proliferation-related proteins [NGF, p-TrkA, phospho-extracellular signal-regulated kinase 1/2 (p-ERK1/2) and phospho-cAMP response element-binding protein (p-CREB)] decreased in the hippocampus of the offspring in the SCH group, overt hypothyroidism (OHT) group, and the group with levothyroxine (L-T) treatment for SCH from gestational day 17 (E17). In contrast, expression of apoptosis-related proteins [pro-NGF, p75, phospho-C-Jun N-terminal kinase (p-JNK), p53, Bax and cleaved caspase-3] was increased. The two groups with treatment with L-T for SCH from E10 and E13, respectively, showed no significant difference compared with the CON group. L-T treatment enhanced relative expression of NGF by increasing NGF/proNGF ratio in offspring from maternal SCH rats. In conclusion, L-T treatment for SCH from early pregnancy dramatically ameliorated cognitive impairment via TrkA/p75 signaling, which involved activation of the neuronal proliferation and inhibition of neuronal apoptosis in SCH rats' offspring.
孕妇亚临床甲状腺功能减退症(SCH)可对后代的神经发育产生不良影响。海马中神经生长因子(NGF)相关原肌球蛋白受体激酶 A/p75 神经营养素受体(TrkA/p75)信号的平衡对大脑发育很重要,但其是否会影响母源性 SCH 后代的认知功能尚不清楚。在本研究中,我们发现与对照组(CON)相比,SCH 组、明显甲状腺功能减退(OHT)组和 L-T 治疗 SCH 组(从妊娠第 17 天(E17)开始)后代的海马中与增殖相关的蛋白 [NGF、p-TrkA、磷酸化细胞外信号调节激酶 1/2(p-ERK1/2)和磷酸化 cAMP 反应元件结合蛋白(p-CREB)]的表达降低,而与凋亡相关的蛋白 [pro-NGF、p75、磷酸化 c-Jun N-末端激酶(p-JNK)、p53、Bax 和 cleaved caspase-3]的表达增加。分别从 E10 和 E13 开始用 L-T 治疗 SCH 的两组与 CON 组相比无显著差异。L-T 治疗通过增加母源性 SCH 大鼠后代中 NGF/proNGF 比值来增强 NGF 的相对表达。总之,L-T 治疗早孕期 SCH 可通过 TrkA/p75 信号显著改善认知障碍,这涉及 SCH 大鼠后代中神经元增殖的激活和神经元凋亡的抑制。