Marcotti Aída, De la Fuente Sofía, Formica María Lina, Montivero Agustín Jorge, Ramires Martina, Romero Verónica Leonor, Constantin María Florencia, Silvero María Jazmín, Becerra María Cecilia, Calfa Gastón Diego, Virgolini Miriam Beatriz, Palma Santiago Daniel, Pérez Mariela Fernanda
Universidad Nacional De Córdoba, Facultad De Ciencias Químicas, Departamento De Farmacología Otto Orshinger, Córdoba, Argentina.
CONICET, Instituto De Farmacología Experimental De Córdoba (IFEC), Córdoba, Argentina.
Front Behav Neurosci. 2025 Aug 12;19:1638417. doi: 10.3389/fnbeh.2025.1638417. eCollection 2025.
INTRODUCTION: Traumatic brain injury is the leading cause of death and disability in individuals under 40 years old. It induces various neuropathological outcomes, including cognitive, emotional, and physiological deficits, likely linked to early neuroinflammatory processes. In an animal model, mild traumatic brain injury (mTBI) has been shown to elevate oxidative stress biomarkers, such as advanced oxidation protein products (AOPP) and malondialdehyde (MDA), which persist for over a week. Despite extensive research on anti-inflammatory and neuroprotective therapies, most preclinical and clinical studies report limited efficacy. Synthetic glucocorticoids offer potential for early treatment of TBI-induced neuroinflammation, but clinical use is hindered by adverse effects and poor central nervous system biodistribution. Triamcinolone possesses anti-inflammatory, anti-angiogenic, and microglial inhibitory properties, although it has poor solubility and limited blood-brain barrier (BBB) penetration. Lipid nanocapsules (LNCs) may enhance TR solubility, bioavailability, BBB permeation, and intracellular delivery. This study aimed to evaluate the efficacy of triamcinolone-loaded LNCs (NT) on oxidative stress and cognitive-emotional outcomes following mTBI. METHODS: Adult male Wistar rats were subjected to closed-head mTBI via a 45 g weight-drop method, under anesthesia. Animals received NT, conventional triamcinolone, or empty LNCs, 15 minutes and 24 hours post-injury. They were sacrificed 24 hours, 1 or 7 days later for biochemical analysis of AOPP, MDA, and antioxidant enzymes (catalase and superoxide dismutase) activity in the hippocampus, prefrontal, and motor cortices. Separate cohorts underwent behavioral tests assessing memory (novel object recognition, Y-maze, and fear conditioning), 7 days after mTBI. RESULTS: mTBI induced significant impairments in recognition memory and fear retention, as well as increased AOPP, MDA, and CAT activity. SOD levels peaked at 24 h and normalized by day 7. NT, but not conventional TR, effectively prevented behavioral deficits and normalized OS markers. Importantly, early NT treatment reduced CAT overactivation at 7 days. DISCUSSION: This study provides the first evidence of the efficacy of NT in mitigating cognitive and emotional sequelae following mTBI, likely through enhanced brain delivery and early modulation of oxidative stress pathways.
引言:创伤性脑损伤是40岁以下人群死亡和残疾的主要原因。它会引发各种神经病理结果,包括认知、情感和生理缺陷,可能与早期神经炎症过程有关。在动物模型中,轻度创伤性脑损伤(mTBI)已被证明会升高氧化应激生物标志物,如晚期氧化蛋白产物(AOPP)和丙二醛(MDA),这些标志物会持续一周以上。尽管对抗炎和神经保护疗法进行了广泛研究,但大多数临床前和临床研究报告的疗效有限。合成糖皮质激素为TBI诱导的神经炎症的早期治疗提供了潜力,但临床应用受到副作用和中枢神经系统生物分布不佳的阻碍。曲安奈德具有抗炎、抗血管生成和小胶质细胞抑制特性,尽管其溶解度低且血脑屏障(BBB)穿透有限。脂质纳米胶囊(LNCs)可能会提高曲安奈德的溶解度、生物利用度、BBB通透性和细胞内递送。本研究旨在评估载有曲安奈德的LNCs(NT)对mTBI后氧化应激和认知-情感结果的疗效。 方法:成年雄性Wistar大鼠在麻醉下通过45 g重物坠落法进行闭合性头部mTBI。动物在受伤后15分钟和24小时接受NT、传统曲安奈德或空LNCs。在24小时、1天或7天后处死动物,以对海马体、前额叶和运动皮层中的AOPP、MDA和抗氧化酶(过氧化氢酶和超氧化物歧化酶)活性进行生化分析。另一组在mTBI后7天进行行为测试,评估记忆(新物体识别、Y迷宫和恐惧条件反射)。 结果:mTBI导致识别记忆和恐惧记忆显著受损,以及AOPP、MDA和CAT活性增加。SOD水平在24小时达到峰值,并在第7天恢复正常。NT而非传统曲安奈德有效地预防了行为缺陷并使氧化应激标志物恢复正常。重要的是,早期NT治疗在第7天减少了CAT的过度激活。 讨论:本研究首次提供了证据,证明NT在减轻mTBI后的认知和情感后遗症方面具有疗效,可能是通过增强脑部递送和早期调节氧化应激途径实现的。
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