Department of Neurology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
J Cell Mol Med. 2021 Aug;25(16):7783-7795. doi: 10.1111/jcmm.16669. Epub 2021 Jun 23.
Cognitive dysfunction is one of the complications of diabetes. Unfortunately, there is no effective methods to block its progression currently. One of the pathophysiological mechanisms is synaptic protein damage and neuronal signal disruption because of glucose metabolism disorder. Dystroglycan protein, located in the post-synaptic membrane of neurons, links the intracellular cytoskeleton with extracellular matrix. Abnormal expression of dystroglycan protein affects neuronal biological functions and leads to cognitive impairment. However, there are no relevant studies to observe the changes of β-dystroglycan protein in diabetes rat brain and in primary neurons under high glucose exposure. Our data demonstrated the alterations of cognitive abilities in the diabetic rats; β-dystroglycan protein degradation occurred in hippocampal and cortical tissues in diabetic rat brain. We further explored the mechanisms underlying of this phenomenon. When neurons are exposed to high glucose environment in long-term period, microRNA-132 (miR-132) would be down-regulated in neurons. Matrix Metalloproteinases-9 (MMP-9) mRNA, as a target of miR-132, could be up-regulated; higher expression and overlay activity of MMP-9 protein could increase β-DG protein degradation. In this way, β-DG degradation may affect structure and functions among the synapses, which related to cognition decline. It may provide some theoretical basis for elucidating the molecular mechanism of diabetes-induced cognitive dysfunction.
认知功能障碍是糖尿病的并发症之一。目前,尚无有效的方法来阻止其进展。其中一个病理生理机制是由于葡萄糖代谢紊乱导致突触蛋白损伤和神经元信号中断。位于神经元突触后膜的糖蛋白聚糖(Dystroglycan protein)将细胞内的细胞骨架与细胞外基质连接起来。糖蛋白聚糖蛋白的异常表达会影响神经元的生物学功能,导致认知障碍。然而,目前还没有相关研究来观察高血糖暴露下糖尿病大鼠大脑和原代神经元中β-糖蛋白聚糖蛋白的变化。我们的数据表明,糖尿病大鼠的认知能力发生了改变;β-糖蛋白聚糖蛋白在糖尿病大鼠大脑的海马和皮质组织中发生了降解。我们进一步探讨了这种现象的机制。当神经元长期暴露于高葡萄糖环境中时,神经元中的 microRNA-132 (miR-132) 会下调。基质金属蛋白酶-9 (MMP-9) mRNA 作为 miR-132 的靶标,可能上调;MMP-9 蛋白的高表达和过表达活性可增加β-DG 蛋白的降解。这样,β-DG 的降解可能会影响突触之间的结构和功能,这与认知能力下降有关。这可能为阐明糖尿病引起的认知功能障碍的分子机制提供了一些理论依据。