Zhang Yue, Bai Yafan, Hou Xiaojuan, Yang Yixin, Ma Hui, Wang Guyan, Li Yunfeng
Department of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.
Beijing Institute of Basic Medical Sciences, Beijing 100850, China.
Chin Med J (Engl). 2025 Jan 14. doi: 10.1097/CM9.0000000000003400.
Neurological dysfunction is a common complication of traumatic brain injury (TBI), and early treatments are critical for the long-term prognosis. This study aimed to investigate whether hypidone hydrochloride (YL-0919) improves neurological function impairment in mice with TBI.
TBI was induced in adult male C57BL/6J mice using the controlled cortical impact (CCI) method. First, the modified neurological severity score (mNSS), rotarod test, and Morris water maze (MWM) test were conducted to assess the impact of YL-0919 on neurological function in mice with TBI. Next, immunofluorescence and laser speckle contrast imaging were utilized to measure the number and activation of microglia and cerebral blood flow (CBF) after TBI. Enzyme-linked immunosorbent assays (ELISAs) were employed to assess the inflammatory factors. Finally, Western blotting was performed to measure the expression of proteins. Golgi-Cox staining was utilized to investigate the structure of pyramidal neurons.
YL-0919 significantly alleviated neurological dysfunction in TBI+YL-0919 mice compared with TBI+Vehicle mice, increased the time spent on the rotarod (F = 1.297, P <0.05), and partially relieved cognitive dysfunction in TBI mice (for mNSS, F = 5.540, P <0.01; for MWM test, F = 30.78, P <0.05). Additionally, YL-0919 effectively inhibited the proliferation and activation of microglia (both P <0.01), promoted the recovery of CBF around the brain injury site and inhibited the expression of tumor necrosis factor-α (F = 9.142, P <0.05) and IL-1β (F = 4.662, P <0.05), and increased the concentration of IL-4 (F = 5.172, P <0.05). Furthermore, continuous gavage of YL-0919 (2.5 mg/kg) for seven days effectively increased the protein expression of brain-derived neurotrophic factor (BDNF), promoted the phosphorylation of mammalian target of rapamycin (mTOR), increased postsynaptic density protein 95 (PSD95) and synapsin1 levels, and increased the neuronal dendritic complexity and the dendritic spine density around the brain injury site (all P <0.05).
Our findings indicated that YL-0919 can ameliorate neurological dysfunction in mice after TBI through the suppression of inflammation and the stimulation of the BDNF-mTOR signaling pathway. These findings provide an insightful perspective on the potential pharmacological mechanism involved in the neuroprotective effect of YL-0919.
神经功能障碍是创伤性脑损伤(TBI)的常见并发症,早期治疗对长期预后至关重要。本研究旨在探讨盐酸海哌酮(YL-0919)是否能改善TBI小鼠的神经功能损伤。
采用控制性皮质撞击(CCI)法诱导成年雄性C57BL/6J小鼠发生TBI。首先,进行改良神经功能缺损评分(mNSS)、转棒试验和莫里斯水迷宫(MWM)试验,以评估YL-0919对TBI小鼠神经功能的影响。其次,利用免疫荧光和激光散斑对比成像技术测量TBI后小胶质细胞的数量和活化情况以及脑血流量(CBF)。采用酶联免疫吸附测定(ELISA)法评估炎症因子。最后,进行蛋白质免疫印迹法检测蛋白质表达。利用高尔基-考克斯染色法研究锥体神经元的结构。
与TBI+溶剂组小鼠相比,YL-0919显著减轻了TBI+YL-0919组小鼠的神经功能障碍,增加了小鼠在转棒上的停留时间(F = 1.297,P <0.05),并部分缓解了TBI小鼠的认知功能障碍(mNSS,F = 5.540,P <0.01;MWM试验,F = 30.78,P <0.05)。此外,YL-0919有效抑制了小胶质细胞的增殖和活化(均P <0.01),促进了脑损伤部位周围CBF的恢复,抑制了肿瘤坏死因子-α(F = 9.142,P <0.05)和白细胞介素-1β(F = 4.662,P <0.05)的表达,并增加了白细胞介素-4的浓度(F = 5.172,P <0.05)。此外,连续7天灌胃YL-0919(2.5 mg/kg)可有效增加脑源性神经营养因子(BDNF)的蛋白表达,促进雷帕霉素靶蛋白(mTOR)的磷酸化,增加突触后致密蛋白95(PSD95)和突触素1的水平,并增加脑损伤部位周围神经元的树突复杂性和树突棘密度(均P <0.05)。
我们的研究结果表明,YL-0919可通过抑制炎症和刺激BDNF-mTOR信号通路改善TBI小鼠的神经功能障碍。这些发现为YL-0919神经保护作用的潜在药理机制提供了有见地的观点。