Han Zhou, Song Yixuan, Qin Cheng, Zhou Haihui, Han Dan, Yan Simin, Ni Huanyu
Department of Pharmacy, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China.
Nanjing Medical Center for Clinical Pharmacy, Nanjing, Jiangsu, China.
CNS Neurosci Ther. 2025 Jan;31(1):e70199. doi: 10.1111/cns.70199.
Stroke is a major public health concern leading to high rates of death and disability worldwide, unfortunately with no effective treatment available for stroke recovery during the repair phase.
Photothrombotic stroke was induced in mice. Adeno-associated viruses (AAV) were microinjected into the peri-infarct cortex immediately after photothrombotic stroke. Grid-walking task and cylinder task were used to assess motor function. Western blotting, Golgi staining, and electrophysiology recordings were performed to uncover the mechanisms.
The ternary complex of neuronal nitric oxide synthase (nNOS), carboxy-terminal PDZ ligand of nNOS (CAPON) and dexamethasone-induced ras protein 1 (Dexras1) is structurally beneficial for S-nitrosylation of Dexras1 (SNO-Dexras1). In our previous study, uncoupling nNOS-CAPON interaction by Tat-CAPON-12C promoted functional recovery after stroke. Here, we show that ischemia elevated the levels of nNOS-Dexras1 complex and SNO-Dexras1 in the peri-infarct cortex in the days 4-10 after stroke induction, and as excepted, Tat-CAPON-12C, a peptide disrupting nNOS-CAPON interaction, significantly reversed these changes. The above information implies that repressed SNO-Dexras1 may mediate functional-promoting effects of Tat-CAPON-12C and SNO-Dexras1 could be the vital molecular substrate for post-stroke functional recovery in the repair phage. Inhibiting the ischemia-induced SNO-Dexras1 by AAV vector-mediated knockdown of Dexras1 or over-expression of dominant negative Dexras1 (Dexras1-C11S) produced sustained recovery of motor function from stroke. In contrast, up-regulation of SNO-Dexras1 by over-expressing Dexras1 worsened stroke outcome. Using electrophysiology recordings, we also observed that silence of Dexras1 in the peri-infarct cortex increased the spike number and the miniature excitatory postsynaptic currents (mEPSCs) frequency, suggesting enhancement of neuronal excitability. In addition, silence of Dexras1 increased dendritic complexity in cultured neuron and more importantly enhanced dendritic spine density in the peri-infarct cortex, implying dendritic remodeling.
Thus, inhibition of SNO-Dexras1 positively regulates post-stroke functional recovery via enhanced neuronal excitability and dendritic remodeling. Our results identify that SNO-Dexras1 may serve as a novel target for promoting motor functional restoration from stroke in the delayed phase, shedding light on stroke treatment.
中风是一个重大的公共卫生问题,在全球范围内导致高死亡率和高致残率,不幸的是,在修复阶段尚无有效的中风恢复治疗方法。
在小鼠中诱导光血栓性中风。光血栓性中风后立即将腺相关病毒(AAV)显微注射到梗死周围皮质。使用网格行走任务和圆筒任务评估运动功能。进行蛋白质免疫印迹、高尔基染色和电生理记录以揭示其机制。
神经元型一氧化氮合酶(nNOS)、nNOS的羧基末端PDZ配体(CAPON)和地塞米松诱导的ras蛋白1(Dexras1)的三元复合物在结构上有利于Dexras1的S-亚硝基化(SNO-Dexras1)。在我们之前的研究中,通过Tat-CAPON-12C解开nNOS-CAPON相互作用可促进中风后的功能恢复。在此,我们表明,缺血在中风诱导后4-10天内提高了梗死周围皮质中nNOS-Dexras1复合物和SNO-Dexras1的水平,并且如预期的那样,破坏nNOS-CAPON相互作用的肽Tat-CAPON-12C显著逆转了这些变化。上述信息表明,受抑制的SNO-Dexras1可能介导Tat-CAPON-12C的功能促进作用,并且SNO-Dexras1可能是修复阶段中风后功能恢复的重要分子底物。通过AAV载体介导的Dexras1基因敲低或显性负性Dexras1(Dexras1-C11S)的过表达抑制缺血诱导的SNO-Dexras1可使中风后的运动功能持续恢复。相反,通过过表达Dexras1上调SNO-Dexras1会恶化中风结局。使用电生理记录,我们还观察到梗死周围皮质中Dexras1的沉默增加了动作电位数量和微小兴奋性突触后电流(mEPSCs)频率,表明神经元兴奋性增强。此外,Dexras1的沉默增加了培养神经元中的树突复杂性,更重要的是增加了梗死周围皮质中的树突棘密度,这意味着树突重塑。
因此,抑制SNO-Dexras1通过增强神经元兴奋性和树突重塑来正向调节中风后的功能恢复。我们的结果表明,SNO-Dexras1可能是促进延迟期中风后运动功能恢复的新靶点,为中风治疗提供了新的思路。