依达拉奉右莰醇对缺血性脑卒中大鼠神经炎症的抑制作用及其机制OACSTPCD
Inhibitory effect of Edaravone Dexborneol on neuroinflammation in ischemic stroke rats and its mechanism
目的 探讨依达拉奉右莰醇减轻缺血性脑卒中(IS)神经炎症反应的作用机制.方法 SD大鼠随机分为假手术组、模型组、依达拉奉右莰醇(EDB)组、依达拉奉组,每组各9只.模型组及给药组用中动脉栓塞法(MCAO)建立IS大鼠模型,假手术组除不予线栓处理外与模型组操作一致.栓塞2 h后拔栓,同时EDB组和依达拉奉组分别尾静脉注射2.5 mg/kg的EDB和依达拉奉,假手术组和模型组大鼠注射等量生理盐水.采用神经功能评分评估神经功能损伤程度;2,3,5-氯化三苯基四氮唑(TTC)染色观察脑梗死面积;酶联免疫吸附试验(ELISA)法检查脑组织炎症因子白介素6(IL-6)、肿瘤坏死因子α(TNF-α)和白介素 1β(IL-1β)含量;RT-PCR 检测大鼠脑组织趋化因子(CCL2、CCL5、CCR5、CCL7、CXCL1、CXCL2 和 CXCL12)、TLR4 和NF-κB的mRNA表达量.BV2细胞随机分为对照组、脂多糖(LPS)组(10 μg/mL)、依达拉奉右莰醇低、中、高浓度组(5,10,50 μg/mL)、依达拉奉组(10 μg/mL).模型及给药组用10 μg/mL LPS诱导24 h构建BV2细胞炎症模型,给药组于LPS诱导24 h后分别给于不同浓度的依达拉奉右莰醇和依达拉奉干预24 h.一氧化氮(NO)试剂盒检测各组NO产生量;RT-PCR和Western blot检测CCL2、TLR4和NF-κB的mRNA及蛋白表达量.结果 与模型组比较,EDB组大鼠神经功能缺损明显改善(P<0.01)、脑梗死区域显著降低(P<0.01)、脑组织中炎症因子(IL-6、TNF-α和IL-1β)含量显著降低(P<0.01);与依达拉奉组比较,EDB组神经功能学评分、脑梗死体积及炎症因子降低(P<0.05).与假手术组比较,模型组趋化因子CCL2、CXCL12、CCL7、CXCL2、CCL5和CXCL1的mRNA表达量均显著升高(P<0.01),其中以CCL2的mRNA表达量增高最为显著(P<0.01);与模型组比较,EDB组CCL2、CXCL12、CXCL1、CXCL2、CCL5的mRNA表达量均显著降低(P<0.01);与依达拉奉组相比,EDB组CCL2的mRNA表达量降低更显著(P<0.05).与模型组比较,EDB组大鼠脑组织中CCL2、TLR4、NF-κB的mRNA表达量显著降低(P<0.01);与依达拉奉组比较,EDB组大鼠脑组织中CCL2、NF-κB的mRNA表达量降低(P<0.05).与LPS组比较,EDB组BV2细胞中NO含量明显下降,以高剂量组最显著(P<0.01),CCL2、TLR4、NF-κB的mRNA和蛋白表达量均显著降低(P<0.01);与依达拉奉组比较,EDB组CCL2和TLR4的mRNA表达量降低(P<0.05),TLR4和NF-κB蛋白的表达量降低(P<0.05).结论 EDB可能通过抑制CCL2-NF-κB信号通路抑制缺血性脑卒中大鼠神经炎症.
Objective To investigate the therapeutic effect of Edaravone Dexborneol(EDB)on ischemic stroke and explore its under-lying mechanism.Methods Sprague-Dawley rats were divided into four groups:sham group,MCAO group,EDB group(MCAO+EDB 2.5 mg/kg),and Edaravone group(MCAO+Edaravone 2.5 mg/kg).Middle cerebral artery occlusion(MCAO)was employed to induce the ischemic stroke(IS)rat model in model group and drug administration group.The rats in sham operation group were treated with the same procedure as model group except no thread thrombus.The neurological severity score was used to assess the neurological deficits.2,3,5-triphenyltetrazolium chloride(TTC)staining was used to assess the cerebral infarction.ELISA assay was used to detect the levels of inflammatory factors in brain tissues.Real-time quantitative polymerase chain reaction(RT-qPCR)was used to examine the expressions of chemokines(CCL2,CCL5,CCR5,CCL7,CXCL1,CXCL2,and CXCL12),TLR4 and NF-κB.In vitro,BV2 cells were divided into six groups:control group,lipopolysaccharide(LPS)group,low,medium and high dose EDB groups(5,10,50 μg/mL),and Edaravone group(10 μg/mL).BV2 cells were stimulated with 10 μg/mL LPS for 24 h to simulate the neuroinflammatory state.The production of NO in cellular supernatants was detected by NO assay kit.The mRNA expressions of CCL2,TLR4,and NF-κB were determined by RT-qPCR.Protein expressions of CCL2,TLR4,NF-κB and p-NF-κB were determined by Western blot.Results Compared to model group,the neural function was improved in EDB group(P<0.01),and the cerebral infarction area and the levels of inflammatory factors were significantly decreased(P<0.01).Compared with Edaravone group,the neurological severity score,and the infarct volume and the inflammatory factors were significantly decreased in EDB group(P<0.05).Compared to sham group,the expressions of chemokines CCL2,CXCL12,CCL7,CXCL2,CCL5 and CXCL1 in model group were significantly increased,especially CCL2(P<0.01).Compared to model group,the mRNA expressions of CCL2,CXCL12,CXCL1,CXCL2 and CCL5 were significantly decreased in EDB group(P<0.01).Compared with Edaravone group,the mRNA expression level of CCL2 was decreased in EDB group(P<0.05).Compared with model group,the mRNA expressions of CCL2,TLR4 and NF-κB in EDB group were significantly decreased(P<0.01).Compared to Edaravone group,the mRNA expression levels of CCL2 and NF-κB in brain tissue were significantly decreased in EDB group(P<0.05).Compared to LPS group,the NO content was significantly decreased in EDB groups(P<0.01),especially in high-dose group,and the mRNA and protein expressions of CCL2,TLR4 and NF-κB were significantly decreased(P<0.01).Compared to Edaravone group,the mRNA expression levels of CCL2 and TLR4 were significantly decreased in EDB groups(P<0.05),and the expression levels of TLR4 and NF-κB protein were also significantly decreased(P<0.05).Conclusion EDB can exert a protective effect against neuroinflammation in ischemic stroke rats by inhibiting the CCL2-NF-κB signaling pathway.
段佳琪;刘俊瑾;邵云云;常壮鹏;王鑫;侯锐钢
山西医科大学药学院临床药学实验室,太原 030001||山西医科大学第二医院药学部山西医科大学第二医院药学部
临床医学
缺血性脑卒中依达拉奉右莰醇神经炎症大脑中动脉栓塞CCL2NF-κB
ischemic strokeEdaravone-Dexborneolneuroinflammationmiddle cerebral artery occlusionCCL2NF-κB
《山西医科大学学报》 2024 (006)
713-721 / 9
吴阶平医学基金会临床科研专项资助基金(320.6750.2021-8-9)
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