Wang Qinghua, Piao Jifeng, Li Yulong, Tu Huiru, Lv Dingyi, Hu Libin, Zhang Run, Zhong Zhenzhong
Department of Neurosurgery, Zhujiang Hospital, Southern Medical University, The National Key Clinical Specialty, The Engineering Technology Research Center of Education Ministry of China, Guangdong Provincial Key Laboratory on Brain Function Repair and Regeneration, Guangzhou, China.
Department of Neurosurgery, Zhujiang Hospital, Southern Medical University, The National Key Clinical Specialty, The Engineering Technology Research Center of Education Ministry of China, Guangdong Provincial Key Laboratory on Brain Function Repair and Regeneration, Guangzhou, China.
Exp Neurol. 2023 Jun;364:114387. doi: 10.1016/j.expneurol.2023.114387. Epub 2023 Mar 21.
There are no specific treatment methods for intracerebral hemorrhage (ICH). Neuroinflammation triggered by microglial pyroptosis plays an important role in ICH pathophysiology. Bone marrow mesenchymal stem cells (BMSCs) are widely used in the treatment of neurological diseases because of their paracrine function. In this study, we aimed to clarify whether BMSCs can alleviate microglial pyroptosis after ICH by secreting C1q/tumor necrosis factor-related protein 3 (CTRP3), a adiponectin paralog with established metabolic regulatory properties and neuroprotective effects.
In an in vitro study, microglia were stimulated with hemin for pyroptosis and then co-cultured with BMSCs, CTRP3, or CTRP3-small interfering RNA (siRNA)-BMSC; in an in vivo study, intracerebroventricular transplantation of BMSCs or siRNA-CTRP3-BMSCs was performed after ICH surgery. The expression of inflammation-related factors was detected by qRT-PCR and ELISA. Western blotting and immunofluorescence staining were performed to detect the expression of pyroptotic protein, and western blotting was used to detect the activation of phosphoinositide 3-kinase (PI3K), protein kinase B (AKT) and splenic tyrosine kinase (Syk). Behavioral changes were detected 7 days after transplantation.
ELISA and qRT-PCR results showed that the production of inflammatory cytokines in hemin-stimulated microglia was significantly downregulated following pretreatment with BMSCs or CTRP3. The Caspase-1 activity assay kit and western blotting results showed that BMSCs attenuated microglial pyroptosis by secreting CTRP3. Furthermore, the modulation functions of BMSCs or CTRP3 involve the promotion of PI3K/AKT and inhibition of Syk signaling pathway activation. Neurological deficits, edema, and disruption of tight junction protein were completely alleviated, while inflammation-related factors and microglial pyroptosis after ICH were significantly downregulated after BMSCs administration.
BMSCs can inhibit neuroinflammation by inhibiting microglial pyroptosis, thus alleviate ICH symptoms, likely by suppressing the Syk signaling pathway while promoting the PI3K/AKT signaling pathway activation through producing CTRP3.
脑出血(ICH)尚无特异性治疗方法。小胶质细胞焦亡引发的神经炎症在ICH病理生理学中起重要作用。骨髓间充质干细胞(BMSCs)因其旁分泌功能而被广泛应用于神经疾病治疗。在本研究中,我们旨在阐明BMSCs是否可通过分泌C1q/肿瘤坏死因子相关蛋白3(CTRP3)来减轻ICH后的小胶质细胞焦亡,CTRP3是一种具有既定代谢调节特性和神经保护作用的脂联素类似物。
在体外研究中,用血红素刺激小胶质细胞使其发生焦亡,然后将其与BMSCs、CTRP3或CTRP3-小干扰RNA(siRNA)-BMSCs共培养;在体内研究中,ICH手术后进行BMSCs或siRNA-CTRP3-BMSCs的脑室内移植。通过qRT-PCR和ELISA检测炎症相关因子的表达。采用蛋白质免疫印迹法和免疫荧光染色检测焦亡蛋白的表达,并用蛋白质免疫印迹法检测磷酸肌醇3激酶(PI3K)、蛋白激酶B(AKT)和脾酪氨酸激酶(Syk)的激活情况。移植后7天检测行为变化。
ELISA和qRT-PCR结果显示,用BMSCs或CTRP3预处理后,血红素刺激的小胶质细胞中炎性细胞因子的产生显著下调。半胱天冬酶-1活性检测试剂盒和蛋白质免疫印迹结果表明,BMSCs通过分泌CTRP3减轻小胶质细胞焦亡。此外,BMSCs或CTRP3的调节功能涉及促进PI3K/AKT和抑制Syk信号通路激活。给予BMSCs后,神经功能缺损、水肿和紧密连接蛋白的破坏完全缓解,而ICH后的炎症相关因子和小胶质细胞焦亡显著下调。
BMSCs可通过抑制小胶质细胞焦亡来抑制神经炎症,从而减轻ICH症状,可能是通过产生CTRP3抑制Syk信号通路,同时促进PI3K/AKT信号通路激活。