Fang Yuan-Yuan, Luo Miao, Yue Shuang, Han Yin, Zhang Huo-Jun, Zhou Yu-Hao, Liu Kui, Liu Hui-Guo
Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan, 430030, China.
Sleep Breath. 2022 Mar;26(1):287-295. doi: 10.1007/s11325-021-02400-5. Epub 2021 May 15.
Chronic intermittent hypoxia (CIH) plays a key role in the complications of obstructive sleep apnea (OSA), which is strongly associated with retinal and optic nerve diseases. Additionally, the brain-derived neurotrophic factor (BDNF)/tropomyosin receptor kinase B (TrkB) signaling pathway plays an important protective role in neuronal injury. In the present study, we investigated the role of 7,8-dihydroxyflavone (7,8-DHF) in regulating CIH-induced injury in mice retinas and rat primary retinal ganglion cells (RGCs).
C57BL/6 mice and in vitro primary RGCs were exposed to CIH or normoxia and treated with or without 7,8-DHF. The mice eyeballs or cultured cells were then taken for histochemistry, immunofluorescence or biochemistry, and the protein expression of the BDNF/TrkB signaling pathway analysis.
Our results showed that CIH induced oxidative stress (OS) in in vivo and in vitro models and inhibited the conversion of BDNF precursor (pro-BDNF) to a mature form of BDNF, which increased neuronal cell apoptosis. 7,8-DHF reduced the production of reactive oxygen species (ROS) caused by CIH and effectively activated TrkB signals and downstream protein kinase B (Akt) and extracellular signal-regulated kinase (Erk) survival signaling pathways, which upregulated the expression of mature BDNF. ANA-12 (a TrkB specific inhibitor) blocked the protective effect of 7,8-DHF.
In short, the activation of the BDNF/TrkB signaling pathway alleviated CIH-induced oxidative stress damage of the optic nerve and retinal ganglion cells. 7,8-DHF may serve as a promising agent for OSA related neuropathy.
慢性间歇性缺氧(CIH)在阻塞性睡眠呼吸暂停(OSA)并发症中起关键作用,而OSA与视网膜和视神经疾病密切相关。此外,脑源性神经营养因子(BDNF)/原肌球蛋白受体激酶B(TrkB)信号通路在神经元损伤中发挥重要的保护作用。在本研究中,我们探究了7,8 - 二羟基黄酮(7,8 - DHF)在调节CIH诱导的小鼠视网膜和大鼠原代视网膜神经节细胞(RGCs)损伤中的作用。
将C57BL/6小鼠和体外原代RGCs暴露于CIH或常氧环境,并给予或不给予7,8 - DHF处理。然后取小鼠眼球或培养细胞进行组织化学、免疫荧光或生物化学检测,并分析BDNF/TrkB信号通路的蛋白表达。
我们的结果表明,CIH在体内和体外模型中均诱导氧化应激(OS),并抑制BDNF前体(pro - BDNF)向成熟形式BDNF的转化,从而增加神经元细胞凋亡。7,8 - DHF减少了CIH引起的活性氧(ROS)产生,并有效激活TrkB信号以及下游蛋白激酶B(Akt)和细胞外信号调节激酶(Erk)生存信号通路,上调了成熟BDNF的表达。ANA - 12(一种TrkB特异性抑制剂)阻断了7,8 - DHF的保护作用。
简而言之,BDNF/TrkB信号通路的激活减轻了CIH诱导的视神经和视网膜神经节细胞氧化应激损伤。7,8 - DHF可能成为治疗与OSA相关神经病变的一种有前景的药物。