在蛛网膜下腔出血的体外模型中,触珠蛋白可以挽救血红蛋白的功能作用。
Functional effects of haemoglobin can be rescued by haptoglobin in an in vitro model of subarachnoid haemorrhage.
机构信息
School of Biological Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.
Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK.
出版信息
J Neurochem. 2023 Oct;167(1):90-103. doi: 10.1111/jnc.15936. Epub 2023 Sep 13.
During subarachnoid haemorrhage, a blood clot forms in the subarachnoid space releasing extracellular haemoglobin (Hb), which causes oxidative damage and cell death in surrounding tissues. High rates of disability and cognitive decline in SAH survivors are attributed to loss of neurons and functional connections during secondary brain injury. Haptoglobin sequesters Hb for clearance, but this scavenging system is overwhelmed after a haemorrhage. Whilst exogenous haptoglobin application can attenuate cytotoxicity of Hb in vitro and in vivo, the functional effects of sub-lethal Hb concentrations on surviving neurons and whether cellular function can be protected with haptoglobin treatment remain unclear. Here we use cultured neurons to investigate neuronal health and function across a range of Hb concentrations to establish the thresholds for cellular damage and investigate synaptic function. Hb impairs ATP concentrations and cytoskeletal structure. At clinically relevant but sub-lethal Hb concentrations, we find that synaptic AMPAR-driven currents are reduced, accompanied by a reduction in GluA1 subunit expression. Haptoglobin co-application can prevent these deficits by scavenging free Hb to reduce it to sub-threshold concentrations and does not need to be present at stoichiometric amounts to achieve efficacy. Haptoglobin itself does not impair measures of neuronal health and function at any concentration tested. Our data highlight a role for Hb in modifying synaptic function in surviving neurons, which may link to impaired cognition or plasticity after SAH and support the development of haptoglobin as a therapy for subarachnoid haemorrhage.
在蛛网膜下腔出血中,血液在蛛网膜下腔中凝结,释放出细胞外血红蛋白(Hb),这会导致周围组织发生氧化损伤和细胞死亡。蛛网膜下腔出血幸存者的高残疾率和认知能力下降归因于继发性脑损伤期间神经元和功能连接的丧失。触珠蛋白将 Hb 隔离以清除,但在出血后,这种清除系统会被淹没。虽然外源性触珠蛋白的应用可以减轻体外和体内 Hb 的细胞毒性,但亚致死 Hb 浓度对存活神经元的功能影响以及触珠蛋白治疗是否可以保护细胞功能仍然不清楚。在这里,我们使用培养的神经元来研究神经元的健康和功能,以研究 Hb 浓度范围内的细胞损伤阈值,并研究突触功能。Hb 会损害 ATP 浓度和细胞骨架结构。在临床相关但亚致死 Hb 浓度下,我们发现 AMPAR 驱动的突触电流减少,GluA1 亚基表达减少。触珠蛋白的共同应用可以通过清除游离 Hb 将其降低到亚阈值浓度来防止这些缺陷,并且不需要达到化学计量比就能达到疗效。触珠蛋白本身在任何测试浓度下都不会损害神经元健康和功能的测量。我们的数据强调了 Hb 在改变存活神经元中突触功能的作用,这可能与蛛网膜下腔出血后认知或可塑性受损有关,并支持开发触珠蛋白作为蛛网膜下腔出血的治疗方法。