Department of Anesthesiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
School of Medicine, South China University of Technology, Guangzhou, 510006, China.
Neurotox Res. 2023 Dec;41(6):589-603. doi: 10.1007/s12640-023-00655-2. Epub 2023 Sep 5.
Heart failure (HF) is a major health burden worldwide, with approximately half of HF patients having a comorbid cognitive impairment (CI). However, it is still unclear how CI develops in patients with HF. In the present study, a mice model of heart failure was established by ligating the left anterior descending coronary artery. Echocardiography 1 month later confirmed the decline in ejection fraction and ventricular remodeling. Cognitive function was examined by the Pavlovian fear conditioning and the Morris water maze. HF group cued fear memory, spatial memory, and learning impairment, accompanied by activation of glial cells (astrocytes, microglia, and oligodendrocytes) in the hippocampus. In addition, the mitochondrial biogenesis genes TFAM and SIRT1 decreased, and the fission gene DRP1 increased in the hippocampus. Damaged mitochondria release excessive ROS, and the ability to produce ATP decreases. Damaged swollen mitochondria with altered morphology and aberrant inner-membrane crista were observed under a transmission electron microscope. Finally, Akt/mTOR signaling was upregulated in the hippocampus of heart failure mice. These findings suggest that activation of Akt/mTOR signaling, glial activation, and mitochondrial dynamics imbalance could trigger cognitive impairment in the pathological process of heart failure mice.
心力衰竭(HF)是全球范围内的一个主要健康负担,大约一半的 HF 患者存在合并认知障碍(CI)。然而,HF 患者的 CI 如何发展仍不清楚。在本研究中,通过结扎左前降支冠状动脉建立了心力衰竭小鼠模型。1 个月后的超声心动图证实射血分数下降和心室重构。通过条件性恐惧和 Morris 水迷宫检测认知功能。HF 组提示恐惧记忆、空间记忆和学习能力受损,同时海马中的神经胶质细胞(星形胶质细胞、小胶质细胞和少突胶质细胞)激活。此外,海马中的线粒体生物发生基因 TFAM 和 SIRT1 减少,分裂基因 DRP1 增加。受损的线粒体释放过多的 ROS,产生 ATP 的能力下降。在透射电子显微镜下观察到形态改变和内膜嵴异常的肿胀受损线粒体。最后,HF 小鼠海马中的 Akt/mTOR 信号被上调。这些发现表明,Akt/mTOR 信号的激活、神经胶质细胞的激活和线粒体动力学失衡可能会引发心力衰竭小鼠病理过程中的认知障碍。
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