Department of Neurosurgery, People's Hospital of Dongxihu District, Wuhan, Hubei 430040, China.
Department of Neurosurgery, Wuhan Third Hospital, Tongren Hospital of Wuhan University, China.
Comput Math Methods Med. 2022 Oct 14;2022:1860925. doi: 10.1155/2022/1860925. eCollection 2022.
Epidemiological surveys show that a large number of cerebrovascular diseases occur in China every year, and among these cerebrovascular diseases, ischemic diseases are predominant. Ischemia leads to irreversible degenerative necrosis of a large number of brain neurons and severe neurological deficits.
This study is aimed at exploring the mechanism of the major regulatory effect of hypoxia-inducible factor 1 (HIF-1) pathway on proangiogenesis and providing new ideas for the treatment of ischemic stroke.
The rats were randomly divided into normal and ischemic control groups, and the ischemic control group was subjected to the middle cerebral artery occlusion (MCAO) cerebral ischemia model by the wire embolization method, and the rats were executed in batches at 6 h, 1 d, and 3 d after ischemia-reperfusion, and the brain tissue specimens were taken for examination to investigate the effect of hypoxia-inducible factor 1 (HIF-l) signaling pathway on acute ischemic stroke.
At 3 d, the number of VEGFR2 positive cells increased significantly, and there was a significant difference compared with the control group ( < 0.05). At 3 d, the number of HIF-1-positive cells increased significantly, and there was a significant difference compared with the control group ( < 0.05). The number of Hes1+factor VIII positive cells in the ischemic cortex increased significantly on the 1st and 3rd day, and there was a significant difference compared with the control group ( < 0.05). The expression of Hes1 protein was significantly lower than the normal level after 6 h of ischemia, and the protein expression was significantly increased at 1 d and 3 d after ischemia ( < 0.05).
By detecting the expression changes of Hesl+factor VII in the ischemic area, the results show that ischemia and hypoxia activate the HIF-1, making the HIF-l the main regulatory pathway in the process of angiogenesis after ischemia.
流行病学调查显示,中国每年有大量脑血管病发生,其中缺血性疾病占多数。缺血导致大量脑神经元发生不可逆转的退行性坏死,导致严重的神经功能缺损。
本研究旨在探讨缺氧诱导因子 1(HIF-1)通路对促血管生成的主要调节作用机制,为缺血性脑卒中的治疗提供新的思路。
将大鼠随机分为正常组和缺血对照组,缺血对照组采用线栓法制作大脑中动脉闭塞(MCAO)脑缺血模型,缺血再灌注后 6h、1d、3d 分批处死大鼠,取脑组织标本,观察缺氧诱导因子 1(HIF-1)信号通路对急性缺血性脑卒中的影响。
3d 时 VEGFR2 阳性细胞数明显增加,与对照组比较差异有统计学意义( < 0.05)。3d 时 HIF-1 阳性细胞数明显增加,与对照组比较差异有统计学意义( < 0.05)。缺血皮质区 Hes1+因子 VIII 阳性细胞数在第 1 天和第 3 天明显增加,与对照组比较差异有统计学意义( < 0.05)。缺血 6h 后 Hes1 蛋白表达明显低于正常水平,缺血 1d 和 3d 后蛋白表达明显升高( < 0.05)。
通过检测缺血区 Hes1+因子 VIII 的表达变化,结果表明缺血缺氧激活 HIF-1,使 HIF-1 成为缺血后血管生成过程中的主要调节通路。