Department of Neurology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Department of Neurology, Institute of Neuroscience, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
J Diabetes Investig. 2024 Oct;15(10):1365-1376. doi: 10.1111/jdi.14292. Epub 2024 Aug 22.
Diabetes mellitus (DM) is closely associated with Alzheimer's disease (AD), and is considered an accelerator of AD. Our previous study has confirmed that the Calpain inhibitor Calpeptin may alleviate AD-like complications of diabetes mellitus. This work further investigated its underlying mechanism.
Diabetes mellitus rat model was constructed by a high-fat and high-sugar diet combined with streptozotocin, followed by the administration of Calpeptin. Moreover, rats were micro-injected with LV-TXNIP-OE/vector into the CA1 region of the hippocampus one day before streptozotocin injection. The Morris water maze test assessed the spatial learning and memory ability of rats. Immunohistochemistry and western blotting detected the expression of the pericyte marker PDGFRβ, tight junction proteins occludin and ZO-1, calpain-1, calpain-2, APP, Aβ, Aβ-related, and TXNIP/NLRP3 inflammasome-related proteins. Immunofluorescence staining examined the blood vessel density and neurons in the hippocampus. Evans blue extravasation and fluorescence detected the permeability of the blood-brain barrier (BBB) in rats. Additionally, the oxidative stress markers and inflammatory-related factors were assessed by enzyme-linked immunosorbent assay.
Calpeptin effectively reduced the expression of Calpain-2 and TXNIP/NLRP3 inflammasome-related proteins, improved the decreased pericyte marker (PDGFR-β) and cognitive impairment in hippocampus of DM rats. The neuronal loss, microvessel density, permeability of BBB, Aβ accumulation, inflammation, and oxidative stress injury in the hippocampus of DM rats were also partly rescued by calpeptin treatment. The influence conferred by calpeptin treatment was reversed by TXNIP overexpression.
These data demonstrated that calpeptin treatment alleviated AD-like symptoms in DM rats through regulating TXNIP/NLRP3 inflammasome. Thus, calpeptin may be a potential drug to treat AD-like complications of diabetes mellitus.
糖尿病(DM)与阿尔茨海默病(AD)密切相关,被认为是 AD 的加速因素。我们之前的研究已经证实,钙蛋白酶抑制剂 Calpeptin 可能缓解糖尿病引起的 AD 样并发症。本研究进一步探讨了其潜在机制。
通过高脂肪高糖饮食联合链脲佐菌素构建糖尿病大鼠模型,随后给予 Calpeptin 治疗。此外,在链脲佐菌素注射前一天,将 LV-TXNIP-OE/载体微注射到海马 CA1 区。 Morris 水迷宫测试评估大鼠的空间学习和记忆能力。免疫组织化学和 Western blot 检测周细胞标志物 PDGFRβ、紧密连接蛋白 occludin 和 ZO-1、钙蛋白酶-1、钙蛋白酶-2、APP、Aβ、Aβ 相关、TXNIP/NLRP3 炎性体相关蛋白的表达。免疫荧光染色检测海马血管密度和神经元。伊文思蓝外渗和荧光检测大鼠血脑屏障(BBB)通透性。此外,通过酶联免疫吸附试验评估氧化应激标志物和炎症相关因子。
Calpeptin 可有效降低 Calpain-2 和 TXNIP/NLRP3 炎性体相关蛋白的表达,改善糖尿病大鼠海马认知障碍时降低的周细胞标志物(PDGFR-β)。Calpeptin 还部分挽救了糖尿病大鼠海马神经元丢失、微血管密度、BBB 通透性、Aβ 积累、炎症和氧化应激损伤。Calpeptin 处理的影响被 TXNIP 过表达逆转。
这些数据表明,Calpeptin 通过调节 TXNIP/NLRP3 炎性体缓解 DM 大鼠的 AD 样症状。因此,Calpeptin 可能是治疗糖尿病引起的 AD 样并发症的潜在药物。