Department of Neurology, General Hospital of Northern Theater Command, 83 Wen Hua Road, Shenyang, 110016, China.
Department of Neurology, General Hospital of Northern Theater Command of China Medical University, Shenyang, 110013, China.
Transl Stroke Res. 2023 Dec;14(6):929-940. doi: 10.1007/s12975-022-01081-w. Epub 2022 Sep 28.
Ischemic preconditioning (IPC) could protect the blood-brain barrier (BBB), but the underlying mechanism is not well understood. This preclinical study aimed to investigate whether glycocalyx could be involved in the neuroprotective effect of IPC on cerebral ischemia-reperfusion injury (IRI) and the possible mechanism in rat middle cerebral artery occlusion/reperfusion (MCAO/R) model. Neurological deficit scores, infarct volume, and brain edema were measured to assess the neuroprotection of IPC. Several serum biomarkers related to glycocalyx damage, such as hyaluronic acid (HA), heparan sulfate (HS), and syndecan-1 (SYND1), were evaluated, and their changes were normalized to the ratio of postoperative/preoperative concentration. Western blot and immunofluorescence were used to evaluate the content and cellular location of HA-related metabolic enzymes. This study found that (1) IPC improved brain infarction and edema, neurological impairment, and BBB disruption in IRI rats; (2) IPC significantly up-regulated HA ratio and down-regulated HS ratio, but did not affect SYND1 ratio compared with the IRI group. Moreover, the increased HA ratio was negatively related to brain edema and neurological deficit score. (3) IPC affected HA metabolism by up-regulating hyaluronate synthase-1 and matrix metalloproteinase-2, and down-regulating hyaluronidase-1 in brain tissue. Together, this is the first report that the neuroprotective effect of IPC on IRI may be mediated through interfering with glycocalyx in the MCAO/R model.
缺血预处理(IPC)可以保护血脑屏障(BBB),但其潜在机制尚不清楚。本临床前研究旨在探讨糖萼是否参与 IPC 对脑缺血再灌注损伤(IRI)的神经保护作用,以及在大鼠大脑中动脉闭塞/再灌注(MCAO/R)模型中的可能机制。通过神经功能缺损评分、梗死体积和脑水肿来评估 IPC 的神经保护作用。评估了几种与糖萼损伤相关的血清生物标志物,如透明质酸(HA)、硫酸乙酰肝素(HS)和 syndecan-1(SYND1),并将其变化与术后/术前浓度的比值归一化。采用 Western blot 和免疫荧光法评估 HA 相关代谢酶的含量和细胞定位。本研究发现:(1)IPC 改善了 IRI 大鼠的脑梗死和水肿、神经损伤和 BBB 破坏;(2)IPC 显著上调了 HA 比值,下调了 HS 比值,但与 IRI 组相比,SYND1 比值没有变化。此外,HA 比值的增加与脑水肿和神经功能缺损评分呈负相关。(3)IPC 通过上调透明质酸合酶-1 和基质金属蛋白酶-2,下调脑组织中的透明质酸酶-1 来影响 HA 代谢。总之,这是首次报道 IPC 对 IRI 的神经保护作用可能是通过在 MCAO/R 模型中干扰糖萼来介导的。
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