Department of Neurology, The Third People's Hospital of Longgang Shenzhen, Shenzhen, China.
Environ Toxicol. 2024 May;39(5):2623-2633. doi: 10.1002/tox.24136. Epub 2024 Jan 11.
This study utilized middle cerebral artery occlusion (MCAO) mouse models and HT-22 cell oxygen and glucose deprivation/reoxygenation (OGD/R) models to investigate the therapeutic effects of melatonin on ischemic brain injury. In the experiments, MCAO mice were treated with 5 and 10 mg/kg doses of melatonin, and H-T22 cells underwent OGD/R treatment and were administered different concentrations of melatonin. The results showed that melatonin significantly reduced ischemic brain area, neural damage, cerebral edema, and neuronal apoptosis in MCAO mice. In the HT-22 cell model, melatonin also improved cell proliferation ability, reduced apoptosis, and ROS production. Further mechanistic studies found that melatonin exerts protective effects by inhibiting ferroptosis, an iron-dependent form of regulated cell death, through regulation of the ACSL4/CYP1B1 pathway. In MCAO mice, melatonin decreased lipid peroxidation, ROS production, and ACSL4 protein expression. Overexpression of CYP1B1 increased ACSL4 ubiquitination and degradation, thereby increasing cell tolerance to ferroptosis, reducing ACSL4 protein levels, and decreasing ROS production. CYP1B1 knockdown obtained opposite results. The CYP1B1 metabolite 20-HETE induces expression of the E3 ubiquitin ligase FBXO10 by activating PKC signaling, which promotes ACSL4 degradation. In the OGD/R cell model, inhibition of CYP1B1 expression reversed the therapeutic effects of melatonin. In summary, this study demonstrates that melatonin protects the brain from ischemic injury by inhibiting ferroptosis through regulation of the ACSL4/CYP1B1 pathway, providing evidence for new therapeutic targets for ischemic brain injury.
本研究利用大脑中动脉阻塞(MCAO)小鼠模型和 HT-22 细胞氧葡萄糖剥夺/复氧(OGD/R)模型,探讨褪黑素对缺血性脑损伤的治疗作用。在实验中,用 5 和 10mg/kg 剂量的褪黑素处理 MCAO 小鼠,用不同浓度的褪黑素处理 HT-22 细胞进行 OGD/R 处理。结果表明,褪黑素可显著减少 MCAO 小鼠的缺血脑区、神经损伤、脑水肿和神经元凋亡。在 HT-22 细胞模型中,褪黑素还可提高细胞增殖能力,减少细胞凋亡和 ROS 产生。进一步的机制研究发现,褪黑素通过调节 ACSL4/CYP1B1 通路抑制铁依赖性细胞死亡形式的铁死亡,发挥保护作用。在 MCAO 小鼠中,褪黑素降低了脂质过氧化、ROS 产生和 ACSL4 蛋白表达。CYP1B1 的过表达增加了 ACSL4 的泛素化和降解,从而增加了细胞对铁死亡的耐受性,降低了 ACSL4 蛋白水平,并减少了 ROS 的产生。CYP1B1 的敲低则得到了相反的结果。CYP1B1 代谢产物 20-HETE 通过激活 PKC 信号通路诱导 E3 泛素连接酶 FBXO10 的表达,从而促进 ACSL4 的降解。在 OGD/R 细胞模型中,抑制 CYP1B1 表达逆转了褪黑素的治疗作用。综上所述,本研究表明,褪黑素通过调节 ACSL4/CYP1B1 通路抑制铁死亡来保护大脑免受缺血性损伤,为缺血性脑损伤的新治疗靶点提供了证据。