靶向泛连接蛋白1的三磷酸腺苷释放抑制剂可改善脊髓损伤后的恢复情况。
Adenosine triphosphate release inhibitors targeting pannexin1 improve recovery after spinal cord injury.
作者信息
Morishita Kazuaki, Nakashima Hiroaki, Machino Masaaki, Ito Sadayuki, Segi Naoki, Miyairi Yuichi, Morita Yoshinori, Imagama Shiro
机构信息
Department of Orthopedics, Nagoya University Graduate School of Medicine, Nagoya, Japan.
出版信息
Nagoya J Med Sci. 2024 Aug;86(3):392-406. doi: 10.18999/nagjms.86.3.392.
Traumatic spinal cord injury is characterized by immediate and irreversible tissue loss at the lesion site and secondary tissue damage. Secondary injuries should, in principle, be preventable, although no effective treatment options currently exist for patients with acute spinal cord injury. Traumatized tissues release excessive amounts of adenosine triphosphate and activate the P2X purinoceptor 7/pannexin1 complex, which is associated with secondary injury. We investigated the neuroprotective effects of the blue dye Brilliant Blue FCF, a selective inhibitor of P2X purinoceptor 7/pannexin1 that is approved for use as a food coloring, by comparing it with Brilliant Blue G, a P2X7 purinoceptor antagonist, and carbenoxolone, which attenuates P2X purinoceptor 7/pannexin1 function, in a rat spinal cord injury model. Brilliant Blue FCF administered early after spinal cord injury reduced spinal cord anatomical damage and improved motor recovery without apparent toxicity. Brilliant Blue G had the highest effect on this neurological recovery, with Brilliant Blue FCF and carbenoxolone having comparable improvement. Furthermore, Brilliant Blue FCF administration reduced local astrocytic and microglial activation and neutrophil infiltration, and no differences in these histological effects were observed between compounds. Thus, Brilliant Blue FCF protects spinal cord neurons after spinal cord injury and suppresses local inflammatory responses as well as Brilliant Blue G and carbenoxolone.
创伤性脊髓损伤的特征是损伤部位立即出现不可逆的组织损失以及继发性组织损伤。原则上,继发性损伤是可以预防的,尽管目前对于急性脊髓损伤患者尚无有效的治疗选择。受创伤的组织会释放过量的三磷酸腺苷并激活P2X嘌呤受体7/泛连接蛋白1复合物,这与继发性损伤有关。我们通过在大鼠脊髓损伤模型中,将蓝色染料亮蓝FCF(一种被批准用作食用色素的P2X嘌呤受体7/泛连接蛋白1的选择性抑制剂)与P2X7嘌呤受体拮抗剂亮蓝G以及减弱P2X嘌呤受体7/泛连接蛋白1功能的生胃酮进行比较,研究了其神经保护作用。脊髓损伤后早期给予亮蓝FCF可减少脊髓解剖损伤并改善运动恢复,且无明显毒性。亮蓝G对这种神经恢复的效果最佳,亮蓝FCF和生胃酮的改善效果相当。此外,给予亮蓝FCF可减少局部星形胶质细胞和小胶质细胞的激活以及中性粒细胞浸润,且各化合物之间在这些组织学效应上未观察到差异。因此,亮蓝FCF在脊髓损伤后可保护脊髓神经元,并抑制局部炎症反应,其效果与亮蓝G和生胃酮相当。