Center for Neuroscience Research, School of Basic Medicine, Chongqing Medical University, Chongqing 400016, China; Chongqing Traditional Chinese Medicine Hospital, Chongqing 400021, China.
Center for Neuroscience Research, School of Basic Medicine, Chongqing Medical University, Chongqing 400016, China.
Brain Res Bull. 2024 Jul;213:110986. doi: 10.1016/j.brainresbull.2024.110986. Epub 2024 May 27.
Cerebral ischemia-reperfusion injury (CIRI), a prevalent stroke-related complication, can lead to severe brain damage. Inflammation is a crucial factor in CIRI pathogenesis, and the complement component 3a receptor (C3aR) could be a key mediator in the post-CIRI inflammatory cascade. In this study, the role of C3aR in CIRI was investigated utilizing a middle cerebral artery occlusion (MCAO) model in C3aR knockout (KO) mice. Magnetic resonance imaging (MRI) and neurofunctional assessments revealed that C3aR KO mice exhibited significantly diminished cerebral infarction and improved neurological impairments. Consequently, the focus shifted to searching for a small molecule antagonist of C3aR. JR14a, a new potent thiophene antagonist of C3aR, was injected intraperitoneally into mice 1-h post-MCAO model implementation. The mass spectrometry (MS) results indicated the ability of JR14a to penetrate the blood-brain barrier. Subsequent TTC staining and neurofunctional assessments revealed the efficacy of JR14a in reducing cerebral infarct volume and neurological impairment following MCAO. In addition, immunofluorescence (IF) and immunohistochemistry (IHC) demonstrated attenuated microglial activation, neutrophil infiltration, and blood-brain barrier disruption by JR14a in the MCAO model. Furthermore, enzyme-linked immunosorbent assay (ELISA) and Western blotting supported the role of JR14a in downregulating the expression levels of C3aR, tumor necrosis factor-alpha (TNF-α), and interleukin-6 (IL-6), as well as the phosphorylation of p65. In conclusion, the findings suggested that C3aR could be a potential therapeutic target for CIRI, and JR14a emerged as a promising treatment candidate.
脑缺血再灌注损伤(CIRI)是一种常见的中风相关并发症,可导致严重的脑损伤。炎症是 CIRI 发病机制中的一个关键因素,补体成分 3a 受体(C3aR)可能是再灌注后炎症级联反应的关键介质。在这项研究中,利用 C3aR 敲除(KO)小鼠的大脑中动脉闭塞(MCAO)模型研究了 C3aR 在 CIRI 中的作用。磁共振成像(MRI)和神经功能评估显示,C3aR KO 小鼠的脑梗死明显减少,神经功能损伤得到改善。因此,研究重点转向寻找 C3aR 的小分子拮抗剂。JR14a 是一种新的强效噻吩类 C3aR 拮抗剂,在 MCAO 模型实施后 1 小时通过腹腔注射入小鼠体内。质谱(MS)结果表明 JR14a 能够穿透血脑屏障。随后的 TTC 染色和神经功能评估显示,JR14a 能够减少 MCAO 后的脑梗死体积和神经功能损伤。此外,免疫荧光(IF)和免疫组织化学(IHC)显示,JR14a 可减轻 MCAO 模型中小胶质细胞活化、中性粒细胞浸润和血脑屏障破坏。此外,酶联免疫吸附测定(ELISA)和 Western blot 支持 JR14a 下调 C3aR、肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)表达水平以及 p65 磷酸化的作用。综上所述,这些发现表明 C3aR 可能是 CIRI 的潜在治疗靶点,JR14a 是一种有前途的治疗候选药物。