首页|重组腺病毒缺氧诱导因子1α对脑缺血大鼠海马CA1区葡萄糖代谢相关蛋白及神经功能的影响

重组腺病毒缺氧诱导因子1α对脑缺血大鼠海马CA1区葡萄糖代谢相关蛋白及神经功能的影响

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目的 探讨外源性缺氧诱导因子1 α(HIF-1α)导入对脑缺血大鼠海马CA1区葡萄糖代谢相关蛋白及神经功能的影响.方法 将成年SD雄性大鼠随机分为假手术组(Sham组)、脑缺血再灌注组(CIR组)、重组腺病毒空载体干预组(Ad组)和重组腺病毒HIF-1α基因干预组(AdHIF-1α组),每组12只,采用改良线栓法建立大鼠脑缺血再灌注损伤模型,Longa法评估大鼠神经功能缺损情况,参照课题组前期研究方法,向Ad组和AdHIF-1α组大鼠侧脑室内分别导入外源性Ad和AdHIF-1α,继续饲养28 d后过量麻醉处死,收集大脑海马组织进行实验.采用苏木精-伊红染色法(HE)、原位末端转移酶标记技术(TUNEL)染色、尼氏染色检测脑组织海马CA1区神经细胞组织病理形态变化及其存活情况;蛋白印迹法(Western blot)检测海马区脑组织HIF-1α、葡萄糖转运蛋白1(GLUT1)、葡萄糖转运蛋白3(GLUT3)和6-磷酸果糖-2-激酶/果糖-2,6-双磷酸酶3(PFKFB3)蛋白表达变化.结果 重组腺病毒HIF-1α基因治疗28 d后,与CIR组比较,AdHIF-1α组大鼠神经功能缺损减少(P<0.05),海马CA1区的神经细胞组织病理学明显改善,存活的神经细胞明显增多,而凋亡的细胞明显减少(P<0.01);Western blot结果显示,同Sham组比较,CIR组海马区HIF-1α表达增加,葡萄糖代谢相关蛋白(GLUT1、GLUT3和PFKFB3)的表达增加(均P<0.05);而通过AdHIF-1α外源性增加HIF-1α表达后,AdHIF-1α组葡萄糖转运蛋白(GLUT1、GLUT3和PFKFB3)的表达进一步增加,与CIR组比较,差异均有统计学意义(均P<0.05);以上各检测指标Ad组与CIR组比较差异均无统计学意义(均P>0.05).结论 AdHIF-1α基因能改善神经功能障碍,增加神经细胞的存活,减轻神经细胞凋亡,其机制可能通过上调海马区HIF-1α表达,从而进一步上调GLUT1、GLUT3和PFKFB3的表达,增强葡萄糖代谢供能而发挥脑保护作用.
Effect of recombinant adenovirus hypoxia-inducible factor 1α on glucose metabolism and neurological function in the CA1 region of hippocampus with cerebral ischemia
Objective To investigate the impact of exogenous hypoxia-inducible factor 1α(HIF-1α)on glucose metabolism-related proteins and neurological function in the hippocampal CA1 region of rats with cerebral ischemia.Methods Adult male SD rats were randomly assigned to four groups:sham operation group(Sham group),cerebral ischemia reperfusion group(CIR group),recombinant adenovirus empty vector intervention group(Ad group),and recombinant adenovirus HIF-1α gene intervention group(AdHIF-1α group),each consisting of 12 rats.A rat model of cerebral ischemia-reperfusion injury was induced using the modified suture method,and neurological deficits were assessed using the Longa method.In line with previous protocols,exogenous Ad and AdHIF-1α were introduced into the lateral ventricle of rats in the Ad and AdHIF-1α groups,respectively.After 28 days of observation,the animals were euthanized.Hippocampal tissue was collected for analysis,including Hematoxylin-eosin(HE)staining,terminal transferase labeling in situ(TUNEL)staining,and Nissl staining to evaluate pathological changes and neuronal survival in the hippocampal CA1 region.Western blot was performed to assess the expression levels of HIF-1α,glucose transporter 1(GLUT1),glucose transporter 3(GLUT3),and 6-phosphofructose-2-kinase/fructose-2,6-bisphosphatase 3(PFKFB3)proteins in the hippocampal tissue.Results Following 28 days of recombinant adenovirus HIF-1α gene therapy,rats in the AdHIF-1α group exhibited reduced neurological deficits compared to the CIR group(P<0.05).Histopathological analysis of nerve cells in the CA1 region of the hippocampus showed significant improvement,with an increase in the number of surviving nerve cells and a decrease in apoptotic cells(P<0.01).Western blot results indicated an upregulation of HIF-1α expression in the hippocampus of the CIR group compared to the Sham group,along with increased levels of glucose metabolism-related proteins(GLUT1,GLUT3,and PFKFB3)(all P<0.05).Furthermore,elevating HIF-1α expression through AdHIF-1α led to a further increase in the expression of glucose transporters(GLUT1,GLUT3,and PFKFB3)in the AdHIF-1α group,demonstrating statistically significant differences compared to the CIR group(all P<0.05).Notably,there were no statistically significant variances in the aforementioned parameters between the Ad group and the CIR group(all P>0.05).Conclusions The AdHIF-1α gene has the potential to enhance neurological function,promote nerve cell survival,and decrease nerve cell apoptosis.This effect is likely achieved by increasing HIF-1α expression in the hippocampus,subsequently up-regulating GLUT1,GLUT3 and PFKFB3 expression,and ultimately improving glucose metabolism supply.Overall,this gene shows promise in protecting the brain.

Brain ischemiaHypoxia-inducible factor 1Ischemia reperfusionGlucose metabolism

周文美、陶陶、禹文峰、杨小惠、张莹

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贵州省人民医院康复医学科,贵阳 550002

贵州医科大学分子生物学重点实验室,贵阳 550004

南部县人民医院康复医学科,南充 637300

遵义医药高等专科学校中医学系,遵义 563006

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脑缺血 缺氧诱导因子1 缺血再灌注 葡萄糖代谢

国家自然科学基金资助项目贵州省科技计划项目贵州省卫生健康委科学技术基金项目

82160265黔科合基础20191207号黔卫健函2021141号

2024

中华老年医学杂志
中华医学会

中华老年医学杂志

CSTPCD北大核心
影响因子:1.606
ISSN:0254-9026
年,卷(期):2024.43(7)
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