Chinese Materia Medica College, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, China.
Chinese Materia Medica College, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, China; Tianjin State Key Laboratory of Modern Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, China.
Brain Res Bull. 2021 Oct;175:99-106. doi: 10.1016/j.brainresbull.2021.07.017. Epub 2021 Jul 23.
Cognitive dysfunction is increasingly recognized as an important complication of diabetes mellitus (DM). Accumulating evidence indicates that the abnormality of cerebrovascular structure and function plays an essential role in diabetic cognitive impairment (DCI), however, changes in cerebrovascular factors have been blurred during the development of diabetes.
To evaluate the changes in the structure and function of cerebrovascular in DCI mice and to investigate the changes of cerebral angiogenesis and stability factors during the development of DM.
Diabetes was induced by feeding with high-fat diet combined with intraperitoneal injection of streptozotocin (STZ,120 mg/kg). Cognitive function was evaluated at different stages of DM, cerebral neovascularization, blood-brain barrier (BBB) permeability and hippocampal neurons were measured of DCI mice, and the expression of vascular endothelial growth factor (VEGF) and platelet-derived growth factor receptor β (PDGFRβ) in hippocampus was detected during the development of DM.
With the progress of diabetes, the learning and memory ability of mice gradually decreased, and DCI mice showed neuronal degeneration, increased BBB permeability and pathological cerebral neovascularization. Moreover, the expression of VEGF in the hippocampus increased first and then decreased at DM+8week, PDGFRβ decreased continuously with the development of diabetes.
Our results demonstrate that DCI may be attributed to the dynamic expression of VEGF/PDGFRβ in diabetic hippocampus, and pathological cerebral neovascularization, increased BBB permeability and neuronal degeneration are the key links.
认知功能障碍日益被认为是糖尿病(DM)的重要并发症。越来越多的证据表明,脑血管结构和功能的异常在糖尿病性认知障碍(DCI)中起着重要作用,然而,在糖尿病的发展过程中,脑血管因素的变化一直模糊不清。
评估 DCI 小鼠脑血管结构和功能的变化,并探讨 DM 发展过程中脑内血管生成和稳定性因素的变化。
采用高脂饮食联合腹腔注射链脲佐菌素(STZ,120mg/kg)诱导糖尿病。在 DM 的不同阶段评估认知功能,测量 DCI 小鼠的脑内血管生成、血脑屏障(BBB)通透性和海马神经元,并检测 DM 发展过程中海马中血管内皮生长因子(VEGF)和血小板衍生生长因子受体β(PDGFRβ)的表达。
随着糖尿病的进展,小鼠的学习和记忆能力逐渐下降,DCI 小鼠表现出神经元变性、BBB 通透性增加和病理性脑血管生成。此外,DM+8 周时,海马 VEGF 的表达先增加后减少,PDGFRβ随糖尿病的发展持续减少。
我们的研究结果表明,DCI 可能归因于糖尿病海马中 VEGF/PDGFRβ的动态表达,而病理性脑内血管生成、BBB 通透性增加和神经元变性是关键环节。