Institute of New Frontier Research, Hallym University College of Medicine, Chuncheon, Korea.
Chuncheon Center, Korea Basic Science Institute, Chuncheon, Korea.
Sci Rep. 2021 Aug 13;11(1):16512. doi: 10.1038/s41598-021-96092-2.
Decreased mitochondrial membrane potential in cerebrospinal fluid (CSF) was observed in patients with subarachnoid hemorrhage (SAH) accompanied by delayed cerebral ischemia (DCI). However, whether abnormal mechanisms of mitochondria are associated with the development of DCI has not been reported yet. Under cerebral ischemia, mitochondria can transfer into the extracellular space. Mitochondrial dysfunction can aggravate neurologic complications. The objective of this study was to evaluate whether mitochondrial dysfunction might be associated with autophagy and mitophagy in CSF cells to provide possible insight into DCI pathogenesis. CSF samples were collected from 56 SAH patients (DCI, n = 21; and non-DCI, n = 35). We analyzed CSF cells using autophagy and mitophagy markers (DAPK1, BNIP3L, BAX, PINK1, ULK1, and NDP52) via qRT-PCR and western blotting of proteins (BECN1, LC3, and p62). Confocal microscopy and immunogold staining were performed to demonstrate the differentially expression of markers within dysfunctional mitochondria. Significant induction of autophagic flux with accumulation of autophagic vacuoles, increased expression of BECN1, LC3-II, and p62 degradation were observed during DCI. Compared to non-DCI patients, DCI patients showed significantly increased mRNA expression levels (2) of DAPK1, BNIP3L, and PINK1, but not BAX, ULK1, or NDP52. Multivariable logistic regression analysis revealed that Hunt and Hess grade ≥ IV (p = 0.023), DAPK1 (p = 0.003), and BNIP3L (p = 0.039) were related to DCI. Increased mitochondrial dysfunction associated with autophagy and mitophagy could play an important role in DCI pathogenesis.
在伴有迟发性脑缺血 (DCI) 的蛛网膜下腔出血 (SAH) 患者中观察到脑脊液 (CSF) 中线粒体膜电位降低。然而,线粒体的异常机制是否与 DCI 的发展有关尚未报道。在脑缺血的情况下,线粒体可以转移到细胞外空间。线粒体功能障碍会加重神经并发症。本研究旨在评估 CSF 细胞中线粒体功能障碍是否与自噬和噬线粒体有关,以提供对 DCI 发病机制的可能见解。从 56 例 SAH 患者 (DCI,n=21;非 DCI,n=35) 中收集 CSF 样本。我们通过 qRT-PCR 和蛋白质的 Western blot 分析了 CSF 细胞中的自噬和噬线粒体标记物 (DAPK1、BNIP3L、BAX、PINK1、ULK1 和 NDP52) (BECN1、LC3 和 p62)。共聚焦显微镜和免疫胶体金染色用于证明功能失调的线粒体中标记物的差异表达。在 DCI 期间观察到自噬通量的显著诱导,伴随着自噬小泡的积累,BECN1、LC3-II 和 p62 降解的表达增加。与非 DCI 患者相比,DCI 患者的 DAPK1、BNIP3L 和 PINK1 的 mRNA 表达水平显著增加(2),而 BAX、ULK1 或 NDP52 则没有。多变量逻辑回归分析显示,Hunt 和 Hess 分级≥IV(p=0.023)、DAPK1(p=0.003)和 BNIP3L(p=0.039)与 DCI 相关。与自噬和噬线粒体相关的线粒体功能障碍增加可能在 DCI 发病机制中起重要作用。
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