Department of Physiology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Department of Medical Pharmacology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Physiol Rep. 2021 Jun;9(12):e14925. doi: 10.14814/phy2.14925.
Preeclampsia is a systemic, multi-organ endotheliopathy, associated with oxidative injury to the blood-brain barrier (BBB). Preeclampsia initiates a cascade of events that include neuroinflammation. Recently, it was documented that Wnt/β-catenin signaling pathway exerts neuroprotective effects and maintain BBB integrity. We investigate the protective effect of omega-3 against neurovascular complication of preeclampsia and its relation to Wnt/β-catenin signaling pathway.
After confirmation of day 0 pregnancy (G0), 24 adult pregnant female Wistar rats were divided into four groups control pregnant, pregnant supplemented with omega-3, preeclampsia (PE); female rats received N (ω)-nitro-L-arginine methyl ester (L-NAME) (50 mg/kg/day SC from day 7 to day 16 of pregnancy for induction of preeclampsia) and PE rats supplemented with omega-3. The intake of omega-3 started on day zero (0) of pregnancy until the end of the study (144 mg/kg\day orally).
We found that omega-3 supplementation significantly improved cognitive functions and EEG amplitude, decreased blood pressure, water contents of brain tissues, sFlt-1, oxidative stress, proteinuria, and enhanced Wnt\β-catenin proteins. Histological examination showed improved cerebral microangiopathy, increased expression of claudin-1 and -3, CD31, and VEGF in the cerebral cortical microvasculature and choroid plexus in PE rats treated with omega-3. A positive correlation between protein expression level of Wnt \β-catenin and cognitive functions, and a negative correlation between claudin-5 relative expression, claudin-1 and -3 area % from one side and water content of the brain tissues from the other side were observed.
Wnt/β-catenin signaling pathway suspected to have an important role to improve BBB integrity. Neuroprotective, antioxidant, and anti-inflammatory effects of omega-3 were observed and can be suggested as protective supplementation for preeclampsia.
子痫前期是一种系统性多器官内皮病,与血脑屏障(BBB)的氧化损伤有关。子痫前期引发了一系列事件,包括神经炎症。最近有文献记载,Wnt/β-连环蛋白信号通路具有神经保护作用,并维持 BBB 的完整性。我们研究了 ω-3 对子痫前期神经血管并发症的保护作用及其与 Wnt/β-连环蛋白信号通路的关系。
确认妊娠第 0 天(G0)后,将 24 只成年妊娠雌性 Wistar 大鼠分为四组:对照组妊娠、妊娠时补充 ω-3、子痫前期(PE);雌性大鼠从妊娠第 7 天至第 16 天每天接受 N(ω)-硝基-L-精氨酸甲酯(L-NAME)(50mg/kg/天 SC)以诱导子痫前期,PE 大鼠补充 ω-3。ω-3 的摄入量从妊娠第 0 天(0)开始,持续到研究结束(每天 144mg/kg 口服)。
我们发现,ω-3 补充显著改善了认知功能和脑电图幅度,降低了血压、脑组织含水量、sFlt-1、氧化应激、蛋白尿,并增强了 Wnt/β-连环蛋白蛋白。组织学检查显示,PE 大鼠补充 ω-3 后,大脑皮质微血管和脉络丛的脑微血管病得到改善,claudin-1 和 -3、CD31 和 VEGF 的表达增加。在大脑皮质微血管和脉络丛中,Wnt\β-连环蛋白蛋白的表达水平与认知功能呈正相关,而 claudin-5 相对表达、claudin-1 和 -3 面积百分比与脑组织含水量呈负相关。
Wnt/β-连环蛋白信号通路可能在改善 BBB 完整性方面发挥重要作用。ω-3 具有神经保护、抗氧化和抗炎作用,可作为子痫前期的保护补充剂。