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高压氧疗法通过调节微小 RNA 缓解创伤性脑损伤后肠道功能障碍。

Hyperbaric oxygen therapy alleviates intestinal dysfunction following traumatic brain injury via mA regulation.

机构信息

Department of Hyperbaric Oxygen, The Fourth Affiliated Hospital of Nanjing Medical University, 210031 Nanjing, China.

Department of Neurosurgery, The Fourth Affiliated Hospital of Nanjing Medical University, 210031 Nanjing, China.

出版信息

Int J Med Sci. 2024 Aug 19;21(12):2272-2284. doi: 10.7150/ijms.97682. eCollection 2024.

Abstract

Hyperbaric oxygen (HBO) therapy can attenuate neurological impairment after traumatic brain injury (TBI) and alleviate intestinal dysfunction. However, the role and mechanism of HBO therapy in intestinal dysfunction following TBI remain unclear. Herein, by establishing a mouse model of controlled cortical impact (CCI), we found that HBO therapy reduced histopathological lesions and decreased the levels of inflammatory and oedema proteins in the intestinal tissues of mice 10 days after TBI. We also showed that HBO therapy improved microbiome abundance and probiotic (particularly ) colonisation in mice post-CCI. Then, we identified that the mA level imcreased notably in injured cortical tissue of CCI+HBO group compared with the CCI group following CCI. Thus, our results suggested that HBO therapy could alleviate TBI-induced intestinal dysfunction and mA might participate in this regulation process, which provides new insights for exploring the specific mechanism and targets of HBO in the treatment of intestinal dysfunction after TBI, thereby improving the therapeutic effect of HBO.

摘要

高压氧(HBO)治疗可减轻创伤性脑损伤(TBI)后的神经功能障碍,并缓解肠道功能障碍。然而,HBO 治疗在 TBI 后肠道功能障碍中的作用和机制尚不清楚。在此,通过建立控制皮质撞击(CCI)的小鼠模型,我们发现 HBO 治疗可减轻 TBI 后 10 天小鼠肠道组织的组织病理学损伤,并降低炎症和水肿蛋白水平。我们还表明,HBO 治疗可改善 CCI 后小鼠肠道微生物组的丰度和益生菌(特别是)定植。然后,我们发现与 CCI 组相比,CCI+HBO 组损伤皮质组织中的 mA 水平明显升高。因此,我们的研究结果表明,HBO 治疗可减轻 TBI 引起的肠道功能障碍,mA 可能参与这种调节过程,这为探索 HBO 治疗 TBI 后肠道功能障碍的具体机制和靶点提供了新的思路,从而提高 HBO 的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea65/11413893/a67a6c3cc56f/ijmsv21p2272g001.jpg

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