Department of Emergency and Critical Care Medicine, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, China.
Clinical Medical Division, The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.
J Biochem Mol Toxicol. 2022 Dec;36(12):e23213. doi: 10.1002/jbt.23213. Epub 2022 Sep 16.
Stroke is a life-threatening disease with limited therapeutic options. Damage to the blood-brain barrier (BBB) is the key pathological feature of ischemic stroke. This study explored the role of the bradykinin (BK)/bradykinin 1 receptor (B1R) and its mechanism of action in the BBB. Human brain microvascular endothelial cells (BMECs) were used to test for cellular responses to BK by using the Cell Counting Kit-8 assay, 5-ethynyl-2'-deoxyuridine staining, enzyme-linked immunosorbent assay, flow cytometry, immunofluorescence, cellular permeability assays, and western blotting to evaluate cell viability, cytokine production, and reactive oxygen species (ROS) levels in vitro. A BBB induced by middle cerebral artery occlusion was used to evaluate BBB injuries, and the role played by BK/B1R in ischemic/reperfusion (I/R) was explored in a rat model. Results showed that BK reduced the viability of BMECs and increased the levels of proinflammatory cytokines (interleukin 6 [IL-6], IL-18, and monocyte chemoattractant protein-1) and ROS. Additionally, cellular permeability was increased by BK treatment, and the expression of tight junction proteins (claudin-5 and occludin) was decreased. Interestingly, Wnt3a expression was inhibited by BK and exogenous Wnt3a restored the effects of BK on BMECs. In an in vivo I/R rat model, knockdown of B1R significantly decreased infarct volume and inflammation in I/R rats. Our results suggest that BK might be a key inducer of BBB injury and B1R knockdown might provide a beneficial effect by upregulating Wnt3a.
中风是一种危及生命的疾病,治疗选择有限。血脑屏障(BBB)的损伤是缺血性中风的关键病理特征。本研究探讨了缓激肽(BK)/缓激肽 1 受体(B1R)及其在 BBB 中的作用机制。用人脑微血管内皮细胞(BMECs)通过细胞计数试剂盒-8 测定法、5-乙炔基-2'-脱氧尿苷染色、酶联免疫吸附测定、流式细胞术、免疫荧光、细胞通透性测定和 Western blot 检测 BK 对细胞反应,以评估细胞活力、细胞因子产生和体外活性氧(ROS)水平。采用大脑中动脉闭塞法评估 BBB 损伤,并在大鼠模型中探讨 BK/B1R 在缺血/再灌注(I/R)中的作用。结果表明,BK 降低了 BMECs 的活力,并增加了促炎细胞因子(白细胞介素 6 [IL-6]、IL-18 和单核细胞趋化蛋白-1)和 ROS 的水平。此外,BK 处理增加了细胞通透性,降低了紧密连接蛋白(claudin-5 和 occludin)的表达。有趣的是,BK 抑制了 Wnt3a 的表达,而外源性 Wnt3a 恢复了 BK 对 BMECs 的作用。在体内 I/R 大鼠模型中,B1R 的敲低显著减少了 I/R 大鼠的梗死体积和炎症。我们的结果表明,BK 可能是 BBB 损伤的关键诱导因子,B1R 的敲低可能通过上调 Wnt3a 发挥有益作用。