Key Laboratory of Environmental Medicine Engineering, Ministry of Education, School of Public Health, Southeast University, Nanjing, China.
Medical School of Chinese PLA, Chinese PLA General Hospital, Beijing, China.
CNS Neurosci Ther. 2022 Sep;28(9):1339-1350. doi: 10.1111/cns.13869. Epub 2022 Jun 15.
Hypoxia causes plenty of pathologies in the central nervous system (CNS) including impairment of cognitive and memory function. Dehydroepiandrosterone (DHEA) has been proved to have therapeutic effects on CNS injuries by maintaining the homeostasis of synapses, yet its effect on hypoxia-induced CNS damage remains unknown.
In vivo and in vitro models were established. Concentrations of glutamate and γ GABA were tested by ELISA. Levels of synapse-associated proteins were measured by western blotting. Density of dendritic protrusions of hippocampal neurons was assessed by Golgi staining. Immunofluorescence was adopted to observe the morphology of primary neurons. The novel object recognition test (NORT) and shuttle box test were used to evaluate cognition.
Dehydroepiandrosterone reversed abnormal elevation of glutamate levels, shortenings of neuronal processes, decreases in the density of dendritic protrusions, downregulation of synaptosome-associated protein (SNAP25), and impaired cognition caused by hypoxia. Hypoxia also resulted in notably downregulation of syntaxin 1A (Stx-1A). Overexpression of Stx-1A dramatically attenuated hypoxia-induced elevation of glutamate. Treatment with DHEA reversed the Stx-1A downregulation caused by hypoxic exposure.
Dehydroepiandrosterone may exert a protective effect on hypoxia-induced memory impairment by maintaining synaptic homeostasis. These findings offer a novel understanding of the therapeutic effect of DHEA on hypoxia-induced cognitive dysfunction.
缺氧会导致中枢神经系统(CNS)出现多种病变,包括认知和记忆功能受损。脱氢表雄酮(DHEA)已被证明通过维持突触的内稳态对 CNS 损伤具有治疗作用,但它对缺氧诱导的 CNS 损伤的影响尚不清楚。
建立体内和体外模型。通过 ELISA 测试谷氨酸和γ GABA 的浓度。通过 Western blot 测量突触相关蛋白的水平。通过 Golgi 染色评估海马神经元树突突的密度。免疫荧光观察原代神经元的形态。采用新物体识别测试(NORT)和穿梭箱测试评估认知。
脱氢表雄酮逆转了由缺氧引起的谷氨酸水平异常升高、神经元过程缩短、树突突密度降低、突触小体相关蛋白(SNAP25)下调以及认知障碍。缺氧还导致突触融合蛋白 1A(Stx-1A)显著下调。Stx-1A 的过表达显著减弱了缺氧引起的谷氨酸升高。用 DHEA 处理可逆转缺氧暴露引起的 Stx-1A 下调。
脱氢表雄酮通过维持突触内稳态对缺氧诱导的记忆障碍发挥保护作用。这些发现为 DHEA 治疗缺氧诱导的认知功能障碍的治疗效果提供了新的认识。