Department of Anesthesiology, Hebei Province Cangzhou Hospital of Integrated Traditional and Western Medicine (Cangzhou No.2 Hospital), Cangzhou, China.
Hebei University of Chinese Medicine, Shijiazhuang, China; Hebei Province Key Laboratory of Integrated Traditional and Western Medicine in Neurological Rehabilitation, Cangzhou, China.
Int Immunopharmacol. 2024 Dec 5;142(Pt B):113255. doi: 10.1016/j.intimp.2024.113255. Epub 2024 Sep 26.
Hemorrhagic shock and resuscitation (HSR) cause inflammatory responses in the gastrointestinal tract and is associated with substantial morbidity and mortality rates. Hydrogen sulfide (HS), a gasotransmitter with pleiotropic activity, exhibits anti-inflammatory benefits at physiological levels. However, deleterious effects are observed when its concentration increases. In this investigation, we employed a mouse model of HSR to examine the effects of an HS scavenger on the gastrointestinal tract and brain, with emphasis on N-Methyl-d-Aspartate (NMDA) receptor function.
Mice were immediately administered dl-propargylglycine (PAG) intragastrically as an HS scavenger after HSR exposure. The O-maze and buried beads tests were used to assess compulsive- and anxiety-like behaviors. Pathological changes in the intestine were evaluated at 24 and 30 days after HSR. Subsequently, at 30 days after HSR, we examined electrophysiological and pathological changes in the amygdala.
Within 24 h of HSR exposure, animals treated with PAG showed significantly lower colonic injury. Additionally, compared to the HSR-treated mice 30 days after HSR, the PAG-treated mice displayed reduced buried beads, increased open-arm time, lower blood levels of Diamine Oxidase (DAO) and considerably improved ZO-1 intensity, a stronger association between the delta rhythm phase and beta activity amplitude, and lower neuroinflammatory response in the amygdala. MK-801, an NMDA receptor inhibitor, significantly reversed HS-induced intestinal and cerebral injury.
This experimental data suggests that HS-induced excessive activation of NMDA receptors contributes to anxiety- and compulsive-like behaviors caused by HSR.
出血性休克和复苏(HSR)会引起胃肠道的炎症反应,并与较高的发病率和死亡率相关。硫化氢(HS)作为一种具有多种活性的气体递质,在生理水平下表现出抗炎作用。然而,当其浓度增加时,会产生有害作用。在本研究中,我们采用 HSR 小鼠模型,研究 HS 清除剂对胃肠道和大脑的影响,重点关注 N-甲基-D-天冬氨酸(NMDA)受体功能。
HSR 暴露后,小鼠立即经胃内给予 dl-丙炔甘氨酸(PAG)作为 HS 清除剂。O 迷宫和埋藏珠试验用于评估强迫和焦虑样行为。HSR 后 24 和 30 天评估肠道的病理变化。随后,在 HSR 后 30 天,我们检查杏仁核的电生理和病理变化。
在 HSR 暴露后 24 小时内,给予 PAG 的动物结肠损伤明显降低。此外,与 HSR 处理后的小鼠相比,30 天后给予 PAG 的小鼠埋藏珠减少,开放臂时间增加,DAO 水平降低,ZO-1 强度增加,δ节律相位与β活动幅度之间的相关性增强,杏仁核的神经炎症反应减轻。NMDA 受体抑制剂 MK-801 显著逆转了 HS 引起的肠道和脑损伤。
这些实验数据表明,HS 引起的 NMDA 受体过度激活可能导致 HSR 引起的焦虑和强迫样行为。