Department of Anesthesiology, Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine, Hangzhou, China.
Department of Anesthesiology, School of Medicine, The Second Affiliated Hospital, Zhejiang University, Hangzhou, China.
Eur J Clin Invest. 2023 Oct;53(10):e14040. doi: 10.1111/eci.14040. Epub 2023 Jun 19.
Hypothermia is an effective method of reducing brain injury caused by a variety of neurological insults. It is aimed to elucidate whether a change in the expression of PERK-mediated pathway proteins is an indicator of the neuroprotective effect of mild hypothermia after cerebral ischaemia/reperfusion.
One hundred and ninety-two male C57BL/6 mice were randomly divided into three groups: a sham group, a cerebral normothermic ischaemia/reperfusion (I/R) group and a cerebral hypothermic I/R group. A cerebral ischaemia model was established by ligating the bilateral common carotid artery for 15 min. Mice in the hypothermia group stayed in a cage that was set at 33°C, sprayed with a spray of 70% ethanol, and blown with two high-speed fans. The state of neurons was assessed on micropreparations stained with haematoxylin-eosin and TUNEL. The expressions of GRP78, p-perk, p-eif2α, ATF4 and CHOP were measured by western blot analysis 6, 12, 24 and 72 h after reperfusion.
The number of surviving cells was significantly higher in the hypothermia group than in the group without hypothermia (p < .05). The GRP78 expression in the hypothermia group was statistically higher (p < .05) than in the ischaemia/reperfusion group. Optical densities of p-perk, p-eif2α and ATF4 in hippocampus CA1 neurons ischaemia were statistically significantly lower in the hypothermia group than in the ischaemia/reperfusion group (p < .05). The CHOP expression in the hypothermia group was statistically lower (p < .05) than in the ischaemia/reperfusion group.
Mild hypothermia for 6 h promoted moderate neuroprotection by mediating the expression of GRP78, p-PERK, p-eIF2α, ATF4 and CHOP.
低温是减少各种神经损伤引起的脑损伤的有效方法。本研究旨在阐明 PERK 介导的通路蛋白表达的变化是否是脑缺血/再灌注后轻度低温的神经保护作用的指标。
192 只雄性 C57BL/6 小鼠随机分为三组:假手术组、脑常温缺血/再灌注(I/R)组和脑低温 I/R 组。通过结扎双侧颈总动脉 15 分钟建立脑缺血模型。低温组的小鼠待在温度设定为 33°C 的笼子里,用 70%乙醇喷雾,并用两个高速风扇吹风。用苏木精-伊红染色和 TUNEL 染色的微切片评估神经元状态。用 Western blot 分析在再灌注后 6、12、24 和 72 小时测量 GRP78、p-perk、p-eif2α、ATF4 和 CHOP 的表达。
与未低温组相比,低温组存活细胞数明显更高(p<0.05)。低温组的 GRP78 表达明显高于缺血/再灌注组(p<0.05)。低温组海马 CA1 神经元缺血 p-perk、p-eif2α 和 ATF4 的光密度明显低于缺血/再灌注组(p<0.05)。低温组的 CHOP 表达明显低于缺血/再灌注组(p<0.05)。
6 小时的轻度低温通过调节 GRP78、p-PERK、p-eIF2α、ATF4 和 CHOP 的表达促进中度神经保护。