Department of Orthopedics, Ningbo First Hospital, Ningbo, China.
Department of Emergency Medicine, Ningbo First Hospital, Ningbo, China.
Aging (Albany NY). 2022 Apr 10;14(7):3216-3232. doi: 10.18632/aging.204009.
Spinal cord injury (SCI) is the main cause of severe damage to the central nervous system and leads to irreversible tissue loss and neurological dysfunction. Ferroptosis is a cell death pattern, newly discovered in recent years. Ferroptosis is an oxidizing cell death induced by small molecules, and is an iron-dependent process caused by the imbalance between the generation and degradation of lipid reactive oxygen species (ROS) in cells. As an antioxidant, trehalose can effectively prevent lipid peroxidation. Studies have reported that trehalose can improve the prognosis of SCI. However, it is unclear whether these benefits are related to ferroptosis. In this study, we demonstrated for the first time that trehalose reduces the degeneration and iron accumulation of neurons by inhibiting the production of ROS and ferroptosis caused by lipid peroxides after SCI, thus promoting the survival of neurons and improving the recovery of motor function. More specifically, we found that trehalose inhibited the expansion of cavities in the nerve tissue of mice with SCI, inhibited neuron loss, and improved functional recovery. In terms of mechanism, our results indicate that the neuroprotective effect of trehalose is due to the activation of the NRF2/HO-1 pathway, which in turn inhibits ferroptosis and ferroptosis-related inflammation. Our findings provide important insights into the previously unknown role of trehalose in SCI, as well as new evidence supporting the hypothesis that suppression of ferroptosis plays a key neuroprotective role in SCI.
脊髓损伤 (SCI) 是中枢神经系统严重损伤的主要原因,导致不可逆转的组织损失和神经功能障碍。铁死亡是近年来新发现的一种细胞死亡模式。铁死亡是由小分子诱导的氧化细胞死亡,是细胞内脂质活性氧 (ROS) 的产生和降解失衡引起的一种铁依赖性过程。海藻糖作为一种抗氧化剂,可以有效防止脂质过氧化。研究报道海藻糖可以改善 SCI 的预后。然而,目前尚不清楚这些益处是否与铁死亡有关。在本研究中,我们首次证明海藻糖通过抑制 SCI 后脂质过氧化物引起的 ROS 产生和铁死亡,减少神经元变性和铁积累,从而促进神经元存活并改善运动功能恢复。更具体地说,我们发现海藻糖抑制了 SCI 小鼠神经组织中的腔隙扩张,抑制了神经元丢失,并改善了功能恢复。在机制方面,我们的结果表明,海藻糖的神经保护作用是由于 NRF2/HO-1 通路的激活,进而抑制铁死亡和铁死亡相关炎症。我们的研究结果提供了关于海藻糖在 SCI 中以前未知的作用的重要见解,以及支持铁死亡抑制在 SCI 中发挥关键神经保护作用的假说的新证据。