Liang Tianyu, Liu Yongchun, Liu Renyang, Shen Xianmei, Xu Mingxia
Emergency and Critical Care Center, Intensive Care Unit, Zhejiang Provincial People's Hospital,(Affiliated People's Hospital)Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.
Department of Neurosurgery, Jiujiang People's Hospital, Jiujiang, 332399, Jiangxi, China.
Sci Rep. 2025 Aug 13;15(1):29643. doi: 10.1038/s41598-025-15239-7.
As a global public health issue, intracerebral hemorrhage (ICH) is characterized by high morbidity and mortality. Brain injury following ICH is composed of primary and secondary injury, with the latter being more severe and resulting in increased apoptosis. Sox11 (sex-determining region Y-related high-mobility-group 11), a vital member of the Sox gene family, is broadly discovered in the developing nervous system and may have a vital impact on neurogenesis, neuronal survival, and neurite outgrowth. The level and impacts of Sox11 in brain with ICH remain indistinct. The major objective of the current work was to explore the spatiotemporal expression of Sox11 and its roles in secondary brain injury under the ICH impairment. The ICH rat model was established by injecting autologous blood into the right basal ganglia of male Sprague-Dawley rats. It was observed that Sox11 expression was notably elevated in brain tissue after ICH. The enhancement of Sox11 expression through miR-221 reduced neuronal apoptosis and inflammation in the affected rats. Furthermore, overexpression of Sox11 mitigated ICH-induced brain edema, blood-brain barrier disruption, and cognitive impairments. In contrast, Sox11 knockdown resulted in opposing effects. These findings highlight the crucial role of Sox11 in alleviating secondary brain injury following ICH. Thus, upregulating Sox11 presents a promising therapeutic strategy to reduce secondary brain injury in clinical ICH cases.
作为一个全球性的公共卫生问题,脑出血(ICH)具有高发病率和高死亡率的特点。脑出血后的脑损伤由原发性损伤和继发性损伤组成,后者更为严重,并导致细胞凋亡增加。Sox11(性别决定区Y相关高迁移率族蛋白11)是Sox基因家族的重要成员,在发育中的神经系统中广泛存在,可能对神经发生、神经元存活和神经突生长产生重要影响。Sox11在脑出血后脑内的水平及影响仍不清楚。当前工作的主要目的是探讨Sox11在脑出血损伤下的时空表达及其在继发性脑损伤中的作用。通过将自体血注入雄性Sprague-Dawley大鼠的右侧基底节建立脑出血大鼠模型。观察到脑出血后脑组织中Sox11表达显著升高。通过miR-221增强Sox11表达可减少受影响大鼠的神经元凋亡和炎症。此外,Sox11过表达减轻了脑出血诱导的脑水肿、血脑屏障破坏和认知障碍。相反,敲低Sox11则产生相反的效果。这些发现突出了Sox11在减轻脑出血后继发性脑损伤中的关键作用。因此,上调Sox11为减少临床脑出血病例中的继发性脑损伤提供了一种有前景的治疗策略。
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