Zhilan Tu, Zengyu Zhang, Pengpeng Jin, Hualan Yang, Chao Li, Yan Xi, Zimin Guo, Shuangxing Hou, Weiwei Li
Department of Neurology, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai 201399, China.
Department of Neurology, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai 201399, China; Shanghai Medical College, Fudan University, Shanghai 200032, China.
J Adv Res. 2025 Feb;68:429-444. doi: 10.1016/j.jare.2024.02.019. Epub 2024 Feb 28.
Salidroside (SAL), extracted from Rhodiola rosea, has been widely used in coronary heart disease and myocardial ischemia for decades. Previous studies have demonstrated that SAL could reduce arteriosclerosis, and thus combat ischemic brain damage. However, the in-depth function of the salidroside in Cerebral Small Vascular Disease (CSVD) has not been discovered, and related molecular mechanism is still unclear.
The present study aims to explore the effects of salidroside in angiogenesis as well as repair of blood brain barrier (BBB) and its possible mechanisms.
We established a rat model of SHR via 2-vessel gradual occlusion (SHR-2VGO) to mimic the CSVD. Subsequently, the MRI, pathomorphism, as well as Morriss water maze test were conducted to determine CSVD-related indicators. 8 weeks post-surgery, animals were randomly administered SAL, DAPT, ATN161 or saline.The aim was to explore the protective effects of SAL in CSVD as well as its possible mechanism.
Here we found that SAL could attenuate cerebral hypoperfusion-induced BBB disruption, promote the pro-angiogenesis through enhancing the cell budding. Further investigations demonstrated that SAL could significantly increase the expression of Notch1, Hes1, Hes5, and ITGB1. In addition, we confirmed that SAL could activate Notch signal path, and then up-regulate ITGB1 to promote pro-angiogenesis and thus protect BBB from disruption.
The aforementioned findings demonstrated that SAL could protect BBB integrity through Notch-ITGB1 signaling path in CSVD, which indicated that SAL could be a potential medicine candidate for CSVD treatment.
红景天苷(SAL)从红景天中提取,数十年来已广泛应用于冠心病和心肌缺血治疗。以往研究表明,SAL可减轻动脉硬化,从而对抗缺血性脑损伤。然而,红景天苷在脑小血管病(CSVD)中的深入作用尚未发现,相关分子机制仍不清楚。
本研究旨在探讨红景天苷在血管生成以及血脑屏障(BBB)修复中的作用及其可能机制。
我们通过双血管渐进闭塞法建立了自发性高血压大鼠(SHR)模型(SHR-2VGO)以模拟CSVD。随后,进行磁共振成像(MRI)、病理形态学以及莫里斯水迷宫试验以确定与CSVD相关的指标。术后8周,将动物随机给予SAL、DAPT、ATN161或生理盐水。目的是探讨SAL对CSVD的保护作用及其可能机制。
我们发现SAL可减轻脑灌注不足引起的血脑屏障破坏,通过增强细胞出芽促进血管生成。进一步研究表明,SAL可显著增加Notch1、Hes1、Hes5和ITGB1的表达。此外,我们证实SAL可激活Notch信号通路,进而上调ITGB1以促进血管生成,从而保护血脑屏障免受破坏。
上述研究结果表明,SAL可通过Notch-ITGB1信号通路保护CSVD中的血脑屏障完整性,这表明SAL可能是CSVD治疗的潜在候选药物。