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抑制前列腺素 E2 受体 EP3 部分通过调节 p38MAPK/FOXO3/Mul1/Mfn2 通路减轻大鼠蛛网膜下腔出血后的氧化应激和神经元凋亡。

Inhibition of Prostaglandin E2 Receptor EP3 Attenuates Oxidative Stress and Neuronal Apoptosis Partially by Modulating p38MAPK/FOXO3/Mul1/Mfn2 Pathway after Subarachnoid Hemorrhage in Rats.

机构信息

Department of Neurosurgery, The Third Xiangya Hospital of Central South University, 138 Tongzipo Road, Changsha, Hunan 410013, China.

Department of Physiology and Pharmacology, School of Medicine, Loma Linda University, Loma Linda, CA 92350, USA.

出版信息

Oxid Med Cell Longev. 2022 Dec 9;2022:7727616. doi: 10.1155/2022/7727616. eCollection 2022.

Abstract

Oxidative stress and neuronal apoptosis contribute to pathological processes of early brain injury (EBI) after subarachnoid hemorrhage (SAH). Previous studies demonstrated that the inhibition of prostaglandin E2 receptor EP3 suppressed oxidative stress and apoptotic effects after Alzheimer's disease and intracerebral hemorrhage. This study is aimed at investigating the antioxidative stress and antiapoptotic effect of EP3 inhibition and the underlying mechanisms in a rat mode of SAH. A total of 263 Sprague-Dawley male rats were used. SAH was induced by endovascular perforation. Selective EP3 antagonist L798106 was administered intranasally at 1 h, 25 h, and 49 h after SAH induction. EP3 knockout CRISPR and FOXO3 activation CRISPR were administered intracerebroventricularly at 48 h prior to SAH, while selective EP3 agonist sulprostone was administered at 1 h prior to SAH. SAH grade, neurological deficits, western blots, immunofluorescence staining, Fluoro-Jade C staining, TUNEL staining, 8-OHdG staining, and Nissl staining were conducted after SAH. The expression of endogenous PGES2 increased and peaked at 12 h while the expression of EP1, EP2, EP3, EP4, and Mul1 increased and peaked at 24 h in the ipsilateral brain after SAH. EP3 was expressed mainly in neurons. The inhibition of EP3 with L798106 or EP3 KO CRISPR ameliorated the neurological impairments, brain tissue oxidative stress, and neuronal apoptosis after SAH. To examine potential downstream mediators of EP3, we examined the effect of the increased expression of activated FOXO3 following the administration of FOXO3 activation CRISPR. Mechanism studies demonstrated that L798106 treatment significantly decreased the expression of EP3, p-p38, p-FOXO3, Mul1, 4-HNE, Bax, and cleaved caspase-3 but upregulated the expression of Mfn2 and Bcl-2 in SAH rats. EP3 agonist sulprostone or FOXO3 activation CRISPR abolished the neuroprotective effects of L798106 and its regulation on expression of p38MAPK/FOXO3/Mul1/Mfn2 in the ipsilateral brain after SAH. In conclusion, the inhibition of EP3 by L798106 attenuated oxidative stress and neuronal apoptosis partly through p38MAPK/FOXO3/Mul1/Mfn2 pathway post-SAH in rats. EP3 may serve as a potential therapeutic target for SAH patients.

摘要

氧化应激和神经元凋亡导致蛛网膜下腔出血 (SAH) 后的早期脑损伤 (EBI) 病理过程。先前的研究表明,前列腺素 E2 受体 EP3 的抑制可抑制阿尔茨海默病和脑出血后的氧化应激和凋亡作用。本研究旨在探讨 EP3 抑制在 SAH 大鼠模型中的抗氧化应激和抗凋亡作用及其潜在机制。共使用 263 只雄性 Sprague-Dawley 大鼠。通过血管内穿孔诱导 SAH。SAH 诱导后 1 h、25 h 和 49 h 经鼻给予选择性 EP3 拮抗剂 L798106。SAH 前 48 h 经脑室给予 EP3 基因敲除 CRISPR 和 FOXO3 激活 CRISPR,SAH 前 1 h 经脑室给予选择性 EP3 激动剂舒普罗通。SAH 后进行 SAH 分级、神经功能缺损评分、Western blot、免疫荧光染色、Fluoro-Jade C 染色、TUNEL 染色、8-OHdG 染色和尼氏染色。SAH 后,同侧大脑中内源性 PGES2 的表达增加,并在 12 h 时达到峰值,而 EP1、EP2、EP3、EP4 和 Mul1 的表达增加,并在 24 h 时达到峰值。EP3 主要表达于神经元。用 L798106 或 EP3 KO CRISPR 抑制 EP3 可改善 SAH 后神经损伤、脑组织氧化应激和神经元凋亡。为了研究 EP3 的潜在下游介质,我们研究了 FOXO3 激活 CRISPR 给药后激活 FOXO3 的表达增加的影响。机制研究表明,L798106 处理显著降低了 SAH 大鼠中 EP3、p-p38、p-FOXO3、Mul1、4-HNE、Bax 和 cleaved caspase-3 的表达,但上调了 Mfn2 和 Bcl-2 的表达。EP3 激动剂舒普罗通或 FOXO3 激活 CRISPR 消除了 L798106 的神经保护作用及其对 SAH 后同侧大脑中 p38MAPK/FOXO3/Mul1/Mfn2 表达的调节作用。总之,L798106 抑制 EP3 可部分通过 p38MAPK/FOXO3/Mul1/Mfn2 通路减轻 SAH 后大鼠的氧化应激和神经元凋亡。EP3 可能是 SAH 患者的潜在治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b30/9757947/153c0d74bbf2/OMCL2022-7727616.001.jpg

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