Fan Qiqi, Liu Yuanyue, Sheng Lei, Lv Shuang, Yang Li, Zhang Zhaoming, Guo Jiaping, Fan Yafei, Hu Dan
Department of Neurology, The Second Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu 210017, China.
Department of Neurology, The Second Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu 210017, China; School of Chinese Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210023, China.
Biomed Pharmacother. 2023 Apr;160:114385. doi: 10.1016/j.biopha.2023.114385. Epub 2023 Feb 10.
Post-stroke depression (PSD) is one of the most common neuropsychiatric consequence of stroke, affecting cognitive function, recovery of somatic function, and patient survival. The aim of this study was to evaluate whether Chaihu-Shugan-San, a traditional Chinese medicine formula used clinically to treat depression, could improve symptoms in a rat model for PSD, to investigate the potential mechanisms, and to validate the findings in an in vitro oxygen and glucose deprivation (OGD) model. Male rats were subjected to middle cerebral artery occlusion (MCAO) and to chronic unpredictable mild stress (CUMS). The rats were then allocated to experimental groups (n = 15) that were treated with Chaihu-Shugan-San, a JAK-STAT3 inhibitor, a GSK3β overexpressing virus, or an empty virus (control). The subjects allocated to each group, as well as those that received no treatment and rats that did not undergo MCAO/CUMS, were then subjected to forced swimming, tail suspension, and sugar water preference tests, and their neurological deficit score was determined. Inflammatory factor levels and the expression of proteins related to the JAK/STAT3-GSK3β/PTEN/Akt pathway were measured, and the synaptic ultrastructure was observed using transmission electron microscopy. Flow cytometry showed microglia polarization towards the M1 phenotype in an in vitro PSD model, which was reversed after treatment with a GSK3β overexpression virus, Chaihu-Shugan-San, or a JAK-STAT3 inhibitor. The results showed that Chaihu-Shugan-San has a therapeutic effect on an in vivo model for PSD and can regulate microglia polarization through the activation of the JAK/STAT3-GSK3β/PTEN/Akt pathway, suggesting that it exerts its effect via the inhibition of neuroinflammation.
中风后抑郁症(PSD)是中风最常见的神经精神后果之一,会影响认知功能、躯体功能恢复和患者生存。本研究的目的是评估临床用于治疗抑郁症的中药方剂柴胡疏肝散是否能改善PSD大鼠模型的症状,探究其潜在机制,并在体外氧糖剥夺(OGD)模型中验证研究结果。雄性大鼠接受大脑中动脉闭塞(MCAO)和慢性不可预测轻度应激(CUMS)。然后将大鼠分为实验组(n = 15),分别用柴胡疏肝散、JAK-STAT3抑制剂、GSK3β过表达病毒或空病毒(对照)进行治疗。将分配到每组的实验对象,以及未接受治疗的对象和未进行MCAO/CUMS的大鼠,进行强迫游泳、悬尾和糖水偏好测试,并测定其神经功能缺损评分。检测炎症因子水平以及与JAK/STAT3-GSK3β/PTEN/Akt通路相关的蛋白表达,并使用透射电子显微镜观察突触超微结构。流式细胞术显示在体外PSD模型中,小胶质细胞向M1表型极化,在用GSK3β过表达病毒、柴胡疏肝散或JAK-STAT3抑制剂治疗后这种极化得到逆转。结果表明,柴胡疏肝散对PSD体内模型具有治疗作用,并且可以通过激活JAK/STAT3-GSK3β/PTEN/Akt通路调节小胶质细胞极化,提示其通过抑制神经炎症发挥作用。
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