Song Wen-Ting, Cao Hui, Zhang Ye-Hao, Zheng Xiao-Yu, Liu Jian-Xun
Beijing Key Laboratory of Pharmacology of Chinese Materia Medica, Institute of Basic Medical Sciences of Xiyuan Hospital, China Academy of Chinese Medical Sciences Beijing 100091, China.
Beijing Key Laboratory of Pharmacology of Chinese Materia Medica, Institute of Basic Medical Sciences of Xiyuan Hospital, China Academy of Chinese Medical Sciences Beijing 100091, China Beijing University of Chinese Medicine Beijing 100029, China.
Zhongguo Zhong Yao Za Zhi. 2022 Oct;47(19):5284-5291. doi: 10.19540/j.cnki.cjcmm.20220613.703.
This study aims to observe the therapeutic effect of salidroside on cerebral ischemia-reperfusion(I/R) model rats, and to specifically explore the protection of salidroside on endothelial cell barrier after I/R and the mechanism. In the experiment, SD rats were randomized into sham group, model group, and high-, medium-, and low-dose(10, 5, and 2.5 mg·kg~(-1)) salidroside groups. The suture method was used to induce I/R in rats. The infarct area, neurobehavioral evaluation, and brain water content were used to evaluate the efficacy of salidroside. As for the experiment on the mechanism, high-dose and low-dose salidroside groups were designed. The pathological morphology was observed based on hematoxylin and eosin(HE) staining, and ultrastructure of vascular endothelial cells based on transmission electron microscopy. The content of nitric oxide(NO) in serum, four indexes of blood coagulation, and the content of von Willebrand factor(vWF) in plasma were measured. Western blot(WB) and immunofluorescence(IF) were employed to determine the expression of tight junction proteins(ZO-1, occluding, and claudin-1) and matrix metalloproteinase 9(MMP-9) in the cortex. The results showed that the model group had obvious neurological deficit, obvious infarct in the right brain tissue, and significant increase in water content in brain tissue compared with the sham group. Compared with the model group, high-dose and low-dose salidroside groups showed decrease in neurobehavioral score, and the high-, medium-, and low-dose salidroside groups demonstrated obviously small infarct area and significant decrease in water content in brain tissue. The results of HE staining and transmission electron microscopy showed that rats had necrosis of neurons, damage of original physiological structure of endothelial cells, and disintegration of the tight junction between endothelial cells after I/R compared with the sham group. Compared with the model group, the high-dose and low-dose salidroside groups showed alleviation of neuron injury and intact physiological structure of endothelial cells. The model group had significantly lower serum level of NO, significantly higher plasma levels of vWF and fibrinogen(FIB), and significantly shorter thrombin time(TT) and prothrombin time(PT) than the sham group. Compared with model group, the high-dose and low-dose salidroside groups increased the serum content of NO in serum, decreased the plasma levels of FIB and vWF, and significantly prolonged TT and PT. WB and IF results showed that the model group had significantly lower levels of ZO-1, occluding, and claudin-1 among endothelial cells and significantly higher level of MMP-9 than the sham group. Compared with the model group, high-dose and low-dose salidroside significantly increased the levels of ZO-1, occluding, and claudin-1 in the cortex. The above experimental results show that salidroside has clear therapeutic effect on I/R rats and protects the brain. To be specific, it alleviates the damage of endothelial cells by increasing NO synthesis in endothelial cells, inhibiting coagulation reaction and MMP-9 expression, up-regulating the expression of ZO-1, occludin, and claudin-1, thereby protecting the brain.
本研究旨在观察红景天苷对脑缺血再灌注(I/R)模型大鼠的治疗作用,并具体探讨红景天苷对I/R后内皮细胞屏障的保护作用及其机制。实验中,将SD大鼠随机分为假手术组、模型组以及高、中、低剂量(10、5和2.5 mg·kg⁻¹)红景天苷组。采用线栓法诱导大鼠I/R。通过梗死面积、神经行为学评价和脑含水量来评估红景天苷的疗效。在机制实验方面,设计了高剂量和低剂量红景天苷组。基于苏木精-伊红(HE)染色观察病理形态,基于透射电子显微镜观察血管内皮细胞超微结构。检测血清中一氧化氮(NO)含量、四项凝血指标以及血浆中血管性血友病因子(vWF)含量。采用蛋白质免疫印迹法(WB)和免疫荧光法(IF)测定皮层中紧密连接蛋白(ZO-1、闭合蛋白和Claudin-1)和基质金属蛋白酶9(MMP-9)的表达。结果显示,与假手术组相比,模型组有明显的神经功能缺损表现,右侧脑组织有明显梗死灶,脑组织含水量显著增加。与模型组相比,高剂量和低剂量红景天苷组神经行为学评分降低,高、中、低剂量红景天苷组梗死面积明显减小,脑组织含水量显著降低。HE染色和透射电子显微镜结果显示,与假手术组相比,I/R后大鼠神经元坏死,内皮细胞原有生理结构受损,内皮细胞间紧密连接解体。与模型组相比,高剂量和低剂量红景天苷组神经元损伤减轻,内皮细胞生理结构完整。模型组血清NO水平显著低于假手术组,血浆vWF和纤维蛋白原(FIB)水平显著高于假手术组,凝血酶时间(TT)和凝血酶原时间(PT)显著缩短。与模型组相比,高剂量和低剂量红景天苷组血清NO含量增加,血浆FIB和vWF水平降低,TT和PT显著延长。WB和IF结果显示,与假手术组相比,模型组内皮细胞中ZO-1、闭合蛋白和Claudin-1水平显著降低,MMP-9水平显著升高。与模型组相比,高剂量和低剂量红景天苷显著增加皮层中ZO-1、闭合蛋白和Claudin-1水平。上述实验结果表明,红景天苷对I/R大鼠有明确的治疗作用并能保护脑组织。具体而言,它通过增加内皮细胞中NO合成、抑制凝血反应和MMP-9表达、上调ZO-1、闭合蛋白和Claudin-1的表达来减轻内皮细胞损伤,从而保护脑组织。