State Key Laboratory of Bioactive Substances and Functions of Natural Medicines, Institute of Materia Medica, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100050, China.
Acta Pharmacol Sin. 2024 Feb;45(2):248-267. doi: 10.1038/s41401-023-01177-5. Epub 2023 Oct 13.
There are few effective and safe neuroprotective agents for the treatment of ischemic stroke currently. Caffeic acid is a phenolic acid that widely exists in a number of plant species. Previous studies show that caffeic acid ameliorates brain injury in rats after cerebral ischemia/reperfusion. In this study we explored the protective mechanisms of caffeic acid against oxidative stress and ferroptosis in permanent cerebral ischemia. Ischemia stroke was induced on rats by permanent middle cerebral artery occlusion (pMCAO). Caffeic acid (0.4, 2, 10 mg·kg·d, i.g.) was administered to the rats for 3 consecutive days before or after the surgery. We showed that either pre-pMCAO or post-pMCAO administration of caffeic acid (2 mg·kg·d) effectively reduced the infarct volume and improved neurological outcome. The therapeutic time window could last to 2 h after pMCAO. We found that caffeic acid administration significantly reduced oxidative damage as well as neuroinflammation, and enhanced antioxidant capacity in pMCAO rat brain. We further demonstrated that caffeic acid down-regulated TFR1 and ACSL4, and up-regulated glutathione production through Nrf2 signaling pathway to resist ferroptosis in pMCAO rat brain and in oxygen glucose deprivation/reoxygenation (OGD/R)-treated SK-N-SH cells in vitro. Application of ML385, an Nrf2 inhibitor, blocked the neuroprotective effects of caffeic acid in both in vivo and in vitro models, evidenced by excessive accumulation of iron ions and inactivation of the ferroptosis defense system. In conclusion, caffeic acid inhibits oxidative stress-mediated neuronal death in pMCAO rat brain by regulating ferroptosis via Nrf2 signaling pathway. Caffeic acid might serve as a potential treatment to relieve brain injury after cerebral ischemia. Caffeic acid significantly attenuated cerebral ischemic injury and resisted ferroptosis both in vivo and in vitro. The regulation of Nrf2 by caffeic acid initiated the transcription of downstream target genes, which were shown to be anti-inflammatory, antioxidative and antiferroptotic. The effects of caffeic acid on neuroinflammation and ferroptosis in cerebral ischemia were explored in a primary microglia-neuron coculture system. Caffeic acid played a role in reducing neuroinflammation and resisting ferroptosis through the Nrf2 signaling pathway, which further suggested that caffeic acid might be a potential therapeutic method for alleviating brain injury after cerebral ischemia.
目前,用于治疗缺血性中风的有效且安全的神经保护剂很少。咖啡酸是一种广泛存在于多种植物物种中的酚酸。先前的研究表明,咖啡酸可改善脑缺血再灌注后大鼠的脑损伤。在这项研究中,我们探讨了咖啡酸对永久性大脑中动脉闭塞(pMCAO)引起的氧化应激和铁死亡的保护机制。通过永久性大脑中动脉闭塞(pMCAO)诱导大鼠中风。在手术前或手术后连续 3 天,给予大鼠咖啡酸(0.4、2、10mg·kg·d,ig)。结果表明,pMCAO 前或 pMCAO 后给予咖啡酸(2mg·kg·d)可有效减少梗死体积并改善神经功能缺损。治疗时间窗可延长至 pMCAO 后 2 小时。我们发现,咖啡酸给药可显著降低氧化损伤和神经炎症,并增强 pMCAO 大鼠大脑中的抗氧化能力。我们进一步证明,咖啡酸通过 Nrf2 信号通路下调 TFR1 和 ACSL4,并上调谷胱甘肽产生,从而抵抗 pMCAO 大鼠脑和体外氧葡萄糖剥夺/再氧合(OGD/R)处理的 SK-N-SH 细胞中的铁死亡。应用 Nrf2 抑制剂 ML385 阻断了咖啡酸在体内和体外模型中的神经保护作用,这表现为铁离子的过度积累和铁死亡防御系统的失活。总之,咖啡酸通过 Nrf2 信号通路调节铁死亡,抑制 pMCAO 大鼠脑内氧化应激介导的神经元死亡。咖啡酸可能作为一种潜在的治疗方法,用于缓解脑缺血后的脑损伤。咖啡酸在体内和体外均显著减轻脑缺血损伤并抵抗铁死亡。咖啡酸对 Nrf2 的调节启动了下游靶基因的转录,这些基因表现出抗炎、抗氧化和抗铁死亡作用。在原代小胶质细胞-神经元共培养系统中研究了咖啡酸对脑缺血后神经炎症和铁死亡的影响。咖啡酸通过 Nrf2 信号通路在减轻神经炎症和抵抗铁死亡方面发挥作用,这进一步表明咖啡酸可能是一种缓解脑缺血后脑损伤的潜在治疗方法。
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