Lee Jae-Min, Park Jongmin, Lee Joo-Hee, Song Min Kyung, Kim Youn-Jung
College of Nursing Science, Kyung Hee University, Seoul, Korea.
College of Nursing, Research Institute of Nursing Science, Pusan National University, Yangsan, Korea.
Int Neurourol J. 2021 Nov;25(Suppl 2):S72-80. doi: 10.5213/inj.2142340.170. Epub 2021 Nov 30.
Silent information regulator 1 (SIRT1) in the brain is essential for maintaining cellular homeostasis and plays a neuroprotective role in cerebral ischemia and neurodegenerative disorders. The effect of preischemic treadmill exercise on chronic cerebral hypoperfusion (CCH)-induced spatial learning memory impairment, microvascular injury, and blood-brain barrier (BBB) disruption in relation with SIRT1 expression was evaluated.
Prior to bilateral common carotid artery occlusion (BCCAO) surgery, the rats in the exercise groups performed low-intensity treadmill running for 30 minutes once daily during 8 weeks. BCCAO surgery was performed on male Wistar rats at 12 weeks of age. Spatial learning memory was measured using the Morris water maze test. Neuronal nuclear antigen, SIRT1, and rat endothelial cells antigen 1 were determined by immunohistochemistry and platelet-derived growth factor receptor beta was determined by immunofluorescence.
Preischemic treadmill exercise ameliorated spatial learning memory impairment and enhanced SIRT1 expression in the BCCAO rats. Preischemic treadmill exercise ameliorated BCCAO-induced damage to microvasculature and pericytes that make up the BBB. The effect of preischemic treadmill exercise was lost with sirtinol treatment.
These results can apply treadmill exercise prior to cerebral ischemia as a rational preventive and therapeutic intervention strategy to improve cognitive dysfunction in CCH patients.
大脑中的沉默信息调节因子1(SIRT1)对于维持细胞稳态至关重要,并且在脑缺血和神经退行性疾病中发挥神经保护作用。评估缺血前跑步机运动对慢性脑灌注不足(CCH)诱导的空间学习记忆障碍、微血管损伤以及与SIRT1表达相关的血脑屏障(BBB)破坏的影响。
在双侧颈总动脉闭塞(BCCAO)手术前,运动组大鼠在8周内每天进行一次30分钟的低强度跑步机跑步。12周龄的雄性Wistar大鼠接受BCCAO手术。使用Morris水迷宫试验测量空间学习记忆。通过免疫组织化学测定神经元核抗原、SIRT1和大鼠内皮细胞抗原1,通过免疫荧光测定血小板衍生生长因子受体β。
缺血前跑步机运动改善了BCCAO大鼠的空间学习记忆障碍并增强了SIRT1表达。缺血前跑步机运动改善了BCCAO诱导的对构成BBB的微血管和周细胞的损伤。西司他丁处理后,缺血前跑步机运动的效果消失。
这些结果表明,脑缺血前进行跑步机运动可作为一种合理的预防和治疗干预策略,以改善CCH患者的认知功能障碍。