Amin Nashwa, Wu Fei, Zhao Bing-Xin, Shi Zongjie, Abdelsadik Ahmed, Elshazly Younis Abuelhassan, Naz Abbasi Irum, Sundus Javaria, Badry Hussein Azhar, Geng Yu, Fang Marong
Center for Rehabilitation Medicine, Department of Neurology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.
Department of Neurology, Children's Hospital of Zhejiang University School of Medicine, National Clinical Research Centre for Child Health, Hangzhou, China.
Expert Opin Drug Deliv. 2025 Jan;22(1):121-138. doi: 10.1080/17425247.2024.2435458. Epub 2024 Dec 4.
Hypoxia-inducible factor 1α [HIF1α] regulates gene expression, allowing the organism to respond to low oxygen levels. Meanwhile, astrocytes participate in inflammatory processes and are associated with neurotoxic chemicals that can increase stroke volume, contributing considerably to the devastating effects of a stroke.
To evaluate whether ablation from the central nervous system is implicated in motor dysfunction and ischemic brain damage following stroke. Furthermore, to explore if ablation affects the therapeutic impact of NeuroD1 gene-based therapy.
Endothelin-1 [ET-1] was injected to induce ischemic stroke in mice. Both wild-type and Hypoxia-inducible factor 1α conditional knockout [ CKO] mice were used. The effect of ablation was assessed by the neuron numbers, astrocyte activity, vascular endothelial growth factor [VEGF] expression, and behavioral tests. Moreover, western blot, ELISA, and RNA sequencing were used. Then, we used pAAV2/9-GfaABC1D-NeuroD1-P2A-EGFP-WPRE injection to examine the impact of NeuroD1 in CKO mice following ischemic stroke.
We found that following stroke, motor dysfunction significantly increased in CKO mice. Furthermore, elevation of apoptosis and activation in both microglia and astrocytes were observed, consequently up-regulating neuroinflammation. Meanwhile, ablation significantly decreased the efficiency of NeuroD1 gene-based therapy.
Our findings demonstrate that ablation from the nervous system is implicated in ischemic stroke pathogenesis mainly by increasing neuron cell death and inducing astrocytes as well as decreasing the efficiency of NeuroD1. These data support the idea that manipulating HIF-1α is a viable therapeutic for ischemic stroke.
缺氧诱导因子1α[HIF1α]调节基因表达,使机体能够对低氧水平作出反应。同时,星形胶质细胞参与炎症过程,并与可增加中风体积的神经毒性化学物质相关,对中风的毁灭性影响有很大贡献。
评估中枢神经系统中的[具体内容缺失]缺失是否与中风后的运动功能障碍和缺血性脑损伤有关。此外,探讨[具体内容缺失]缺失是否会影响基于NeuroD1基因的治疗效果。
注射内皮素-1[ET-1]诱导小鼠缺血性中风。使用野生型和缺氧诱导因子1α条件性敲除[CKO]小鼠。通过神经元数量、星形胶质细胞活性、血管内皮生长因子[VEGF]表达和行为测试评估[具体内容缺失]缺失的影响。此外,还使用了蛋白质印迹法、酶联免疫吸附测定法和RNA测序。然后,我们使用pAAV2/9-GfaABC1D-NeuroD1-P2A-EGFP-WPRE注射来检查缺血性中风后NeuroD1对CKO小鼠的影响。
我们发现,中风后,CKO小鼠的运动功能障碍显著增加。此外,观察到小胶质细胞和星形胶质细胞的凋亡增加和激活,从而上调神经炎症。同时,[具体内容缺失]缺失显著降低了基于NeuroD1基因的治疗效率。
我们的研究结果表明,神经系统中的[具体内容缺失]缺失主要通过增加神经元细胞死亡和诱导星形胶质细胞以及降低NeuroD1的效率而与缺血性中风发病机制有关。这些数据支持了操纵HIF-1α是缺血性中风可行治疗方法的观点。