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腺苷受体 A1 通过 PGC-1α 增强脑缺血后线粒体生物发生并发挥神经保护作用。

Adenosine receptor A1 enhanced mitochondrial biogenesis and exerted neuroprotection after cerebral ischemia through PGC-1α.

机构信息

Department of CT Diagnosis, The Affiliated Hospital of Yan'an University, Yan'an, 716000, Shaanxi, China.

Department of Anesthesiology and Perioperative Medicine, The Affiliated Hospital of Yan'an University, Yan'an, 716000, Shaanxi, China.

出版信息

Exp Brain Res. 2023 Jun;241(6):1471-1488. doi: 10.1007/s00221-023-06613-w. Epub 2023 Apr 20.

Abstract

Ischemic stroke is a common cause of morbidity and mortality worldwide. The current treatment fails to achieve satisfactory results, because interventional therapy as first-line treatment management has a strict time window. In recent years, a large number of studies have confirmed that adenosine, as an inhibitory neurotransmitter, has a protective effect on cerebral ischemic injury. Nevertheless, direct administration of adenosine has many side effects. Previous studies showed that adenosine exerted neuroprotective effects mainly through adenosine receptor A1 (A1 receptor). Therefore, further study on the mechanism of A 1 receptor induced neuroprotection may find new targets for stroke treament. Mitochondrial biogenesis (MB) is a therapeutic target for ischemic stroke, and the nuclear-encoded peroxisome proliferator-activated receptor-gamma coactivator 1α (PGC-1α) is a major regulator of MB. However, the influence of A1 receptor on MB and PGC-1α is unclear. In this study, using the middle cerebral artery occlusion (MCAO) model of mice, we evaluated the temporal and spatial effects of A1 receptor after ischemic stroke and verified the neuroprotection of A1 receptor. Neurological scores were used to assess functional changes in mice. At the same time, we observed the effect of activating A1 receptor on MB and PGC-1α, and the effect of knockdown PGC-1α on A1 receptor induced MB in vitro. WB and immunofluorescence were used to detect relevant indicators of MB. In addition, we downregulated PGC-1α in vivo to observe the effects on A1 receptor induced MB and neuroprotection. The findings indicated that A1 receptor was increased and mainly expressed on neurons in the penumbra, further activated A1 receptor after stroke had neuroprotection. In vitro, activation of A1 promotes MB and increases the expression level of PGC-1α, while downregulation of PGC-1α partially reverses the effect of A1 receptor after OGD/R. Down regulation of PGC-1α in the penumbra neurons can reverse the effects of activation of A1 receptor on MB and neuroprotection. Taken together, these findings indicated that A1receptor promotes MB and improves neurological function after ischemic stroke via PGC-1α.

摘要

缺血性脑卒中是全世界发病率和死亡率的常见原因。目前的治疗方法未能取得令人满意的效果,因为作为一线治疗管理的介入治疗有严格的时间窗。近年来,大量研究证实,腺苷作为一种抑制性神经递质,对脑缺血损伤具有保护作用。然而,直接给予腺苷有许多副作用。先前的研究表明,腺苷主要通过腺苷受体 A1(A1 受体)发挥神经保护作用。因此,进一步研究 A1 受体诱导的神经保护机制可能为中风治疗找到新的靶点。线粒体生物发生(MB)是缺血性中风的治疗靶点,核编码过氧化物酶体增殖物激活受体γ共激活因子 1α(PGC-1α)是 MB 的主要调节因子。然而,A1 受体对 MB 和 PGC-1α 的影响尚不清楚。在这项研究中,我们使用小鼠大脑中动脉闭塞(MCAO)模型,评估了缺血性中风后 A1 受体的时空效应,并验证了 A1 受体的神经保护作用。神经学评分用于评估小鼠的功能变化。同时,我们观察了激活 A1 受体对 MB 和 PGC-1α 的影响,以及体外敲低 PGC-1α对 A1 受体诱导 MB 的影响。WB 和免疫荧光用于检测 MB 的相关指标。此外,我们在体内下调 PGC-1α,观察其对 A1 受体诱导的 MB 和神经保护的影响。结果表明,A1 受体增加,主要表达于缺血半影区的神经元,中风后进一步激活 A1 受体具有神经保护作用。体外,激活 A1 可促进 MB 并增加 PGC-1α的表达水平,而 OGD/R 后下调 PGC-1α 可部分逆转 A1 受体的作用。下调缺血半影区神经元中的 PGC-1α 可逆转 A1 受体激活对 MB 和神经保护的影响。总之,这些发现表明,A1 受体通过 PGC-1α促进 MB 的发生,并改善缺血性中风后的神经功能。

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