School of Pharmacy, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Engineering Research Center of Shanghai Colleges for TCM New Drug Discovery, Shanghai, 201203, China.
Acta Pharmacol Sin. 2024 Dec;45(12):2474-2486. doi: 10.1038/s41401-024-01334-4. Epub 2024 Jun 27.
Reperfusion injury, which is distinct from ischaemic injury, occurs when blood flow is restored in previously ischaemic brain tissue, further compromising neurons and other cells and worsening the injury. There is currently a lack of pharmaceutical agents and therapeutic interventions that specifically mitigate cerebral ischaemia/reperfusion (I/R) injury. Ginsenoside Rg1 (Rg1), a protopanaxatriol-type saponin isolated from Panax ginseng C. A. Meyer, has been found to protect against cerebral I/R injury, but its intricate protective mechanisms remain to be elucidated. Numerous studies have shown that autophagy plays a crucial role in protecting brain tissue during the I/R process and is emerging as a promising therapeutic strategy for effective treatment. In this study, we investigated whether Rg1 protected against I/R damage in vitro and in vivo by regulating autophagy. Both MCAO and OGD/R models were established. SK-N-AS and SH-SY5Y cells were subjected to OGD followed by reperfusion with Rg1 (4-32 μM). MCAO mice were injected with Rg1 (30 mg·kg·d. i.p.) for 3 days before and on the day of surgery. Rg1 treatment significantly mitigated ischaemia/reperfusion injury both in vitro and in vivo. Furthermore, we demonstrated that the induction of autophagy contributed to I/R injury, which was effectively inhibited by Rg1 in both in vitro and in vivo models of cerebral I/R injury. Rg1 inhibited autophagy through multiple steps, including impeding autophagy initiation, inducing lysosomal dysfunction and inhibiting cathepsin enzyme activities. We revealed that mTOR activation was pivotal in mediating the inhibitory effect of Rg1 on autophagy. Treatment with Torin-1, an autophagy inducer and mTOR-specific inhibitor, significantly reversed the impact of Rg1 on autophagy, decreasing its protective efficacy against I/R injury both in vitro and in vivo. In conclusion, our results suggest that Rg1 may serve as a promising drug candidate against cerebral I/R injury by inhibiting autophagy through activation of mTOR signalling.
再灌注损伤与缺血损伤不同,发生在先前缺血的脑组织血流恢复时,进一步损害神经元和其他细胞,使损伤恶化。目前,缺乏专门减轻脑缺血/再灌注(I/R)损伤的药物和治疗干预措施。人参皂苷 Rg1(Rg1)是从人参 Panax ginseng C. A. Meyer 中分离得到的一种原人参三醇型皂苷,已被发现可预防脑 I/R 损伤,但它复杂的保护机制仍有待阐明。许多研究表明,自噬在 I/R 过程中保护脑组织中起着至关重要的作用,并且正在成为一种有前途的治疗策略。在这项研究中,我们研究了 Rg1 是否通过调节自噬来保护体外和体内 I/R 损伤。均建立 MCAO 和 OGD/R 模型。SK-N-AS 和 SH-SY5Y 细胞在 OGD 后用 Rg1(4-32 μM)再灌注。MCAO 小鼠在手术前 3 天和当天每天腹腔注射 Rg1(30 mg·kg·d)。Rg1 治疗显著减轻了体外和体内的缺血/再灌注损伤。此外,我们证明了自噬的诱导导致 I/R 损伤,Rg1 在体外和体内脑 I/R 损伤模型中均有效地抑制了自噬。Rg1 通过多个步骤抑制自噬,包括阻碍自噬起始、诱导溶酶体功能障碍和抑制组织蛋白酶酶活性。我们揭示了 mTOR 激活在介导 Rg1 对自噬的抑制作用中起着关键作用。用 Torin-1(一种自噬诱导剂和 mTOR 特异性抑制剂)治疗可显著逆转 Rg1 对自噬的影响,降低其对体外和体内 I/R 损伤的保护作用。总之,我们的研究结果表明,Rg1 通过激活 mTOR 信号通路抑制自噬,可能成为治疗脑 I/R 损伤的有希望的药物候选物。
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