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废用对大鼠缺血性中风后预处理运动诱导的神经保护潜能的影响。

Effects of detraining on preconditioning exercise-induced neuroprotective potential after ischemic stroke in rats.

作者信息

Otsuka Shotaro, Sakakima Harutoshi, Tani Akira, Nakanishi Kazuki, Takada Seiya, Norimatsu Kosuke, Maejima Hiroshi, Maruyama Ikuro

机构信息

Department of Systems Biology in Thromboregulation, Kagoshima University Graduate School of Medical and Dental Science, Kagoshima, Japan.

Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, 8-35-1, Sakuragaoka, Kagoshima, 890-8544, Japan.

出版信息

Brain Struct Funct. 2021 Sep;226(7):2169-2180. doi: 10.1007/s00429-021-02317-5. Epub 2021 Jun 10.

Abstract

Preconditioning exercise prior to stroke exerts neuroprotection, which is an endogenous strategy that leads the brain cells to express several intrinsic factors and inhibits their apoptosis. However, it is unclear how long these benefits last after exercise cessation. The aim of this study was to investigate the effects of detraining on preconditioning exercise-induced neuroprotective potential after stroke. Rats were trained using a treadmill for aerobic exercise 5 days each week for 3 weeks, and their neuroprotective effects were examined until 3 weeks after exercise cessation. Stroke was induced by 60 min of left middle cerebral artery occlusion at 3 days, 1, 2, and 3 weeks after exercise cessation. Infarct volume, neurological deficits, sensorimotor function, expression levels of brain-derived neurotrophic factor (BDNF), hypoxia-induced factor-1α (HIF-1α), glial fibrillary acidic protein (GFAP), and P2X7 receptors, and apoptosis activity were examined using immunohistochemical and western blot analyses. Preconditioning exercise significantly reduced infarct volume and ameliorated sensorimotor function after stroke, and its beneficial effects were observed until 2 weeks after exercise cessation. The expression level of BDNF in the ischemic brain was significantly upregulated at 3 days after exercise cessation; however, the expression levels of HIF-1α, GFAP, and P2X7 receptor were significantly increased until 2 weeks after exercise cessation; thereby, significant anti-apoptotic effects were lost at 3 weeks of detraining. Our findings suggest that preconditioning exercise-induced neuroprotective potential may be lost shortly after exercise cessation. Neuroprotection through intrinsic protective factors, such as BDNF and HIF-1α, may provide different neuroprotective mechanisms in a time-dependent manner during detraining.

摘要

中风前的预处理运动具有神经保护作用,这是一种内源性策略,可使脑细胞表达多种内在因子并抑制其凋亡。然而,运动停止后这些益处能持续多久尚不清楚。本研究的目的是探讨停训对中风后预处理运动诱导的神经保护潜能的影响。大鼠每周使用跑步机进行5天有氧运动,持续3周,然后在运动停止后3周内检测其神经保护作用。在运动停止后3天、1周、2周和3周,通过左侧大脑中动脉闭塞60分钟诱导中风。采用免疫组织化学和蛋白质印迹分析检测梗死体积、神经功能缺损、感觉运动功能、脑源性神经营养因子(BDNF)、缺氧诱导因子-1α(HIF-1α)、胶质纤维酸性蛋白(GFAP)和P2X7受体的表达水平以及细胞凋亡活性。预处理运动显著减少了中风后的梗死体积并改善了感觉运动功能,其有益效果在运动停止后2周内均可观察到。运动停止后3天,缺血脑中BDNF的表达水平显著上调;然而,HIF-1α、GFAP和P2X7受体的表达水平在运动停止后2周内显著增加;因此,在停训3周时显著的抗凋亡作用消失。我们的研究结果表明,预处理运动诱导的神经保护潜能可能在运动停止后不久就会丧失。通过BDNF和HIF-1α等内在保护因子实现的神经保护可能在停训期间以时间依赖性方式提供不同的神经保护机制。

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