School of Special Education and Rehabilitation, Binzhou Medical University, Yantai 264003, Shandong, China; Department of Rehabilitation Medicine, Northern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou 225001, Jiangsu, China.
Department of Rehabilitation Medicine, Guangzhou First People's Hospital, Second Affiliated Hospital of South China University of Technology, Guangzhou 510180, Guangdong, China.
Brain Res. 2024 Dec 15;1845:149168. doi: 10.1016/j.brainres.2024.149168. Epub 2024 Aug 15.
Elucidate the pathogenesis mechanism of post-stroke cognitive impairment (PSCI) can help to develop precision interventions. In this study, we established a mouse model of PSCI using the photochemical method, and behavioral tests including Y-maze and Novel object recognition task for accessing cognitive impairment were observed at week 2 post-stroke. Besides, synaptic plasticity, theta nerve oscillatory and the activity of glutamatergic neurons related to the ventral hippocampal-medial prefrontal glutamatergic neural pathway in the non-affected hemisphere (contralateral hemisphere to the lesion site) were observed. The result indicated the cognitive function declined at week 2 post-stroke. Synaptic plasticity, theta nerve oscillatory synchronization and the activity of glutamatergic neurons of the ventral hippocampal-medial prefrontal glutamatergic neural pathway in the non-affected hemisphere was down-regulated in the PSCI group compared to those of the SHAM group. Therefore, we concluded that the declined function of the ventral hippocampal-medial prefrontal glutamatergic pathway in the non-affected hemisphere is a biomarker in the occurrence of cognitive dysfunction after stroke.
阐明卒中后认知障碍(PSCI)的发病机制有助于开发精准干预措施。在这项研究中,我们使用光化学方法建立了 PSCI 小鼠模型,并在卒中后 2 周观察了 Y 迷宫和新物体识别任务等行为测试,以评估认知障碍。此外,我们还观察了非损伤半球(损伤部位对侧半球)中海马腹侧部-前额叶内侧部谷氨酸能神经通路相关的突触可塑性、θ 神经振荡以及谷氨酸能神经元的活性。结果表明,卒中后 2 周认知功能下降。与假手术组相比,PSCI 组非损伤半球中海马腹侧部-前额叶内侧部谷氨酸能神经通路的突触可塑性、θ 神经振荡同步性以及谷氨酸能神经元的活性下调。因此,我们得出结论,非损伤半球中海马腹侧部-前额叶内侧部谷氨酸能通路功能下降是卒中后认知功能障碍发生的一个生物标志物。