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神经妥乐平对慢性脑低灌注大鼠似阿尔茨海默病改变及认知功能的影响。

Effect of neurotropin on Alzheimer's disease-like changes and cognitive function in rats with chronic cerebral hypoperfusion.

机构信息

Departments of Anesthesiology.

Anesthesia Operation, The First Affiliated Hospital of Nanchang University, Nanchang, China.

出版信息

Neuroreport. 2023 Feb 1;34(3):170-177. doi: 10.1097/WNR.0000000000001875. Epub 2023 Jan 20.

Abstract

Chronic cerebral hypoperfusion (CCH) is a main mechanism of cerebrovascular disease and is associated with various cerebrovascular and neurodegenerative diseases, including Alzheimer's disease. However, treatment of CCH in clinical practice is not ideal, but neurotropin (NTP) has been shown to have a neuroprotective effect. Therefore, this study examined the effect and possible mechanism of NTP in nerve injury caused by CCH. A rat CCH model was established by bilateral common carotid artery occlusion (2VO), and rats were treated with intragastric administration of NTP (200 nu/kg/day) for 28 consecutive days. After treatment, rats were subjected to the Morris water maze and novel object recognition test. Subsequently, an ELISA was applied to detect amyloid-β (Aβ) 1-40 and Aβ1-42 levels in rat hippocampal tissues, quantitative reverse transcription PCR assays were used to detect the mRNA expression levels of brain-derived neurotrophic factor (BDNF) and Trk B, and Western blots were used to detect the protein expression levels of BACE1, tau, p-tau, and protein kinase B (Akt)/glycogen synthase kinase 3β (GSK3β) pathway-related proteins. The rat model of CCH was successfully established by 2VO. Behavioral tests indicated that the cognitive ability of 2VO rats was severely impaired. NTP treatment greatly ameliorated the cognitive disability, reduced Aβ1-40 and Aβ1-42 levels and tau phosphorylation, and upregulated BACE1, Trk B, and BDNF expression in the hippocampus of 2VO rats. Finally, we found that NTP markedly activated Akt/GSK3β pathway activity. NTP can ameliorate cognitive disability in CCH rats possibly by reducing Aβ accumulation and tau phosphorylation in the hippocampus. These effects of NTP may be related to the Akt/GSK3β pathway activation. NTP may be a promising new drug candidate for CCH patients.

摘要

慢性脑灌注不足(CCH)是脑血管疾病的主要机制,与各种脑血管和神经退行性疾病有关,包括阿尔茨海默病。然而,在临床实践中,CCH 的治疗并不理想,但神经滋养素(NTP)已被证明具有神经保护作用。因此,本研究探讨了 NTP 对 CCH 引起的神经损伤的作用及可能机制。通过双侧颈总动脉闭塞(2VO)建立大鼠 CCH 模型,并用 NTP(200 nu/kg/天)灌胃治疗 28 天。治疗后,大鼠进行 Morris 水迷宫和新物体识别测试。随后,应用 ELISA 检测大鼠海马组织中淀粉样β(Aβ)1-40 和 Aβ1-42 水平,定量逆转录 PCR 检测脑源性神经营养因子(BDNF)和 Trk B 的 mRNA 表达水平,Western blot 检测 BACE1、tau、p-tau 和蛋白激酶 B(Akt)/糖原合成酶激酶 3β(GSK3β)通路相关蛋白的表达水平。2VO 成功建立了 CCH 大鼠模型。行为学测试表明,2VO 大鼠的认知能力严重受损。NTP 治疗显著改善了认知障碍,降低了 2VO 大鼠海马中 Aβ1-40 和 Aβ1-42 水平和 tau 磷酸化,并上调了 BACE1、Trk B 和 BDNF 的表达。最后,我们发现 NTP 显著激活了 Akt/GSK3β 通路活性。NTP 可通过减少海马中 Aβ 积累和 tau 磷酸化改善 CCH 大鼠的认知障碍。NTP 的这些作用可能与 Akt/GSK3β 通路的激活有关。NTP 可能是 CCH 患者有前途的新药候选物。

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