Alhadidi Qasim M, Nash Kevin M, Bahader Ghaith A, Zender Emily, McInerney Marcia F, Shah Zahoor A
Department of Medicinal and Biological Chemistry, College of Pharmacy and Pharmaceutical Sciences, University of Toledo, Toledo, OH 43606, USA.
Department of Pharmacy, Al-Yarmok University College, Diyala 21163, Iraq.
Biomedicines. 2024 Aug 15;12(8):1867. doi: 10.3390/biomedicines12081867.
Intracerebral hemorrhage (ICH) is a severe type of stroke with high mortality. Persistent hyperglycemia following ICH is linked to deteriorated neurological functions and death. However, the exacerbating effect of hyperglycemia on ICH injury at the molecular level is still unclear. Therefore, this study explores the impact of diabetes on ICH injury using a non-obese diabetic (NOD) mouse model of type I diabetes mellitus.
NOD and non-diabetic (non-obese resistant) mice subjected to ICH by intrastriatal injection of collagenase were sacrificed three days following the ICH. Brains were collected for hematoma volume measurement and immunohistochemistry. Neurobehavioral assays were conducted 24 h before ICH and then repeated at 24, 48 and 72 h following ICH.
NOD mice showed increased hematoma volume and impairment in neurological function, as revealed by rotarod and grip strength analyses. Immunohistochemical staining showed reduced glial cell activation, as indicated by decreased GFAP and Iba1 staining. Furthermore, the expression of oxidative/nitrosative stress markers represented by 3-nitrotyrosine and inducible nitric oxide synthase was reduced in the diabetic group.
Overall, our findings support the notion that hyperglycemia exacerbates ICH injury and worsens neurological function and that the mechanism of injury varies depending on the type of diabetes model used.
脑出血(ICH)是一种严重的中风类型,死亡率很高。脑出血后持续高血糖与神经功能恶化和死亡有关。然而,高血糖在分子水平上对脑出血损伤的加剧作用仍不清楚。因此,本研究使用I型糖尿病的非肥胖糖尿病(NOD)小鼠模型探讨糖尿病对脑出血损伤的影响。
通过纹状体内注射胶原酶使NOD小鼠和非糖尿病(非肥胖抵抗)小鼠发生脑出血,脑出血后三天处死小鼠。收集大脑用于测量血肿体积和进行免疫组织化学分析。在脑出血前24小时进行神经行为学检测,然后在脑出血后24、48和72小时重复进行。
如转棒试验和握力分析所示,NOD小鼠血肿体积增加,神经功能受损。免疫组织化学染色显示神经胶质细胞活化减少,表现为胶质纤维酸性蛋白(GFAP)和离子钙结合衔接分子1(Iba1)染色降低。此外,糖尿病组中以3-硝基酪氨酸和诱导型一氧化氮合酶为代表的氧化/亚硝化应激标志物的表达降低。
总体而言,我们的研究结果支持高血糖会加剧脑出血损伤并使神经功能恶化这一观点,并且损伤机制因所使用的糖尿病模型类型而异。