Department of Medicinal and Biological Chemistry, College of Pharmacy and Pharmaceutical Sciences, University of Toledo, OH, USA.
Department of Medicinal and Biological Chemistry, College of Pharmacy and Pharmaceutical Sciences, University of Toledo, OH, USA.
Neurochem Int. 2021 Oct;149:105151. doi: 10.1016/j.neuint.2021.105151. Epub 2021 Aug 1.
Diabetes Mellitus (DM) is a major comorbid condition that increases susceptibility to stroke. Intracerebral hemorrhage (ICH), a devastating type of stroke, accounts for only 13% of the total stroke cases but is associated with higher mortality. Multimorbid models of DM and ischemic stroke have been widely studied; however, fewer pieces of evidence are available on the impact of DM on the outcomes of ICH injury. In this study, we investigated the effect of DM on ICH-induced injury and cognitive impairments. Streptozotocin (STZ) induced type-I DM (T1DM) animal model was used, and experimental ICH was induced by intrastriatal injection of collagenase. Our results demonstrated that DM is associated with a significant increase in hematoma volume and deficits in post-stroke locomotor, sensorimotor, and cognitive behavior in mice. The levels of neuroinflammation, oxidative/nitrosative stress, and glial cell activation were also increased in the diabetic mice following ICH injury. This study provides a better understanding of the influence of DM comorbidity on hemorrhagic stroke outcomes and uncovers the important pathological mechanisms underlying DM-induced exacerbation of ICH injury.
糖尿病(DM)是一种主要的合并症,会增加中风的易感性。脑出血(ICH)是一种破坏性的中风类型,仅占总中风病例的 13%,但与更高的死亡率相关。DM 和缺血性中风的多合并症模型已被广泛研究;然而,关于 DM 对 ICH 损伤结果的影响的证据较少。在这项研究中,我们研究了 DM 对 ICH 诱导的损伤和认知障碍的影响。使用链脲佐菌素(STZ)诱导的 1 型糖尿病(T1DM)动物模型,通过纹状体注射胶原酶诱导实验性 ICH。我们的结果表明,DM 与血肿体积的显著增加以及小鼠中风后运动、感觉运动和认知行为的缺陷有关。在 ICH 损伤后,糖尿病小鼠的神经炎症、氧化/硝化应激和神经胶质细胞激活水平也升高。这项研究更好地了解了 DM 合并症对出血性中风结果的影响,并揭示了 DM 诱导的 ICH 损伤加重的重要病理机制。