School of Basic Medical Sciences and Nanjing Medical University, Nanjing, China.
Department of Pathology, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, China.
J Neurotrauma. 2022 Apr;39(7-8):530-543. doi: 10.1089/neu.2021.0466. Epub 2022 Feb 28.
Traumatic brain injury (TBI) is a global public health concern, and few effective treatments for its delayed damages are available. Oridonin (Ori) recently has been reported to show a promising neuroprotective efficacy, but its potential therapeutic effect on TBI has not been thoroughly elucidated. The TBI mouse models were established and treated with Ori or vehicle 30 min post-operation and every 24 h since then. Impairments in cognitive and motor function and neuropathological changes were evaluated and compared. The therapeutic efficacy and mechanisms of action of Ori were further investigated using animal tissues and cell cultures. Ori restored motor function and cognition after TBI-induced impairment and exerted neuroprotective effects by reducing cerebral edema and cortical lesion volume. Ori increased neuronal survival, ameliorating gliosis and the accumulation of macrophages after injury. It suppressed the increased production of reactive oxygen species, lipid peroxide, and malondialdehyde and reversed the decrease of mitochondrial membrane potential and adenosine triphosphate content, which was also identified in oxidatively stressed neuronal cultures. Further, Ori inhibited the expression of nucleotide-binding domain leucine-rich repeats family protein 3 (NLRP3) inflammasome proteins and NLRP3-dependent cytokine interleukin-1β that can be induced by oxidative stress after TBI. Regarding underlying mechanisms, Ori significantly enhanced expression of key proteins of the nuclear factor erythroid 2-related factor 2/heme oxygenase-1 (Nrf2/HO-1) pathway. Our results demonstrated that Ori effectively improved functional impairments and neuropathological changes in animals with TBI. By activating the Nrf2 pathway, it improved mitochondrial function and antioxidant capacity and suppressed the neuroinflammation induced by oxidative stress. The results therefore suggest Ori as a potent candidate for managing neurological damage after TBI.
颅脑创伤(TBI)是一个全球性的公共健康问题,目前针对其迟发性损伤的有效治疗方法很少。冬凌草甲素(Ori)最近被报道具有有前景的神经保护作用,但它对 TBI 的潜在治疗效果尚未得到充分阐明。在手术后 30 分钟和此后每 24 小时,用 Ori 或载体处理 TBI 小鼠模型。评估和比较认知和运动功能的损伤和神经病理学变化。使用动物组织和细胞培养进一步研究了 Ori 的治疗效果和作用机制。Ori 恢复了 TBI 引起的损伤后的运动功能和认知功能,并通过减少脑水肿和皮质损伤体积发挥神经保护作用。Ori 增加了神经元的存活,改善了损伤后的神经胶质增生和巨噬细胞的积累。它抑制了活性氧、脂质过氧化物和丙二醛的产生增加,并逆转了线粒体膜电位和三磷酸腺苷含量的降低,这些在氧化应激的神经元培养物中也被发现。此外,Ori 抑制了核苷酸结合域富含亮氨酸重复家族蛋白 3(NLRP3)炎症小体蛋白和 NLRP3 依赖性细胞因子白细胞介素-1β的表达,这些蛋白可以在 TBI 后的氧化应激中被诱导。关于潜在机制,Ori 显著增强了核因子红细胞 2 相关因子 2/血红素加氧酶-1(Nrf2/HO-1)途径的关键蛋白的表达。我们的结果表明,Ori 有效地改善了 TBI 动物的功能损伤和神经病理学变化。通过激活 Nrf2 途径,它改善了线粒体功能和抗氧化能力,并抑制了氧化应激引起的神经炎症。因此,结果表明 Ori 是管理 TBI 后神经损伤的一个有潜力的候选药物。
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