首页|毛蕊花糖苷对脑出血小鼠的脑保护作用及其与Toll样受体4介导信号通路的关系

毛蕊花糖苷对脑出血小鼠的脑保护作用及其与Toll样受体4介导信号通路的关系

扫码查看
目的 探讨毛蕊花糖苷(VB)对脑出血(ICH)小鼠的脑保护作用及其是否与抑制Toll样受体4(TLR4)介导的急性炎性反应有关.方法 采用8周龄C57BL/6雄性小鼠进行研究,其中野生型40只,TLR4基因敲除(TLR4-/-)20只.按照完全随机方法将野生型小鼠分为假手术组、ICH组,ICH后VB治疗组(ICH+VB15mg/kg或30mg/kg),将TLR4-/-组小鼠分为TLR4-/-+ICH组和TLR4-/-+ICH+VB(30 mg/kg)组,每组小鼠均为10只.采用右侧纹状体注射细菌胶原酶Ⅶ的方法构建ICH模型.模型建立成功(改良Garcia评分≤10分)后分别于小鼠腹腔注射VB(15 mg/kg或30 mg/kg)或等体积生理盐水,1次/d,连续3 d.采用改良Garcia评分评价脑功能损伤情况;取脑组织切片后计算脑血肿面积以评估出血量,采用干湿比法计算脑组织含水量;采用TUNEL染色法检测脑组织细胞凋亡率;采用免疫荧光染色(IF)法检测脑组织Iba-1的相对表达量;采用实时荧光定量聚合酶链反应(qRT-PCR)实验和蛋白质免疫印迹法(WB)检测TLR4及其下游炎症介质[核因子κB(NF-κB)、肿瘤坏死因子a(TNF-α)、白细胞介素(IL)1β及IL-6]的表达.比较野生型小鼠组间及TLR4-/-小鼠组间上述指标的差异.取出生2 h内的TLR4-/-乳鼠皮质组织培养原代神经元,采用Transwell小室将神经元与小鼠小胶质细胞株(BV2细胞)共培养,并分别用红细胞裂解物及红细胞裂解物+VB(50 μmol/L)处理24 h,采用IF法观察神经元NeuN蛋白的表达.结果 与ICH组相比,VB治疗组(尤其是ICH+VB30 mg/kg组)小鼠的致良Garcia评分均显著升高(均P<0.05);假手术组、ICH组、ICH+VB 15 mg/kg组、ICH+VB 30 mg/kg 组脑出血量分别为0 mm3、(7.33±1.99)mm3、(3.19±0.47)mm3、(1.66±0.26)mm3,脑组织含水量分别为(79.00±0.50)%、(85.00±0.75)%、(81.50±0.50)%、(80.25±0.25)%,神经元的凋亡率分别为(4.8±2.0)%、(38.7±6.8)%、(21.5±6.9)%、(9.8±4.2)%,差异均有统计学意义(均P<0.05). IF结果显示,ICH组脑组织Iba-1的相对表达量明显高于VB治疗组(均P<0.05).qRT-PCR和WB结果显示,与ICH组比较,VB治疗组的TLR4、NF-κB、TNF-α、IL-1β、IL-6 的mRNA和蛋白的相对表达量均降低(均P<0.05). TLR4-/-+ICH+VB组与TLR4-/-+ICH组比较,改良Garcia评分、脑组织含水量、神经元凋亡率的差异均无统计学意义(均P>0.05).与BV2细胞共培养的TLR4-/-乳鼠神经元加入红细胞裂解物与加入红细胞裂解物+VB处理后NeuN蛋白的表达差异无统计学意义(P=0.872).结论 VB可改善ICH后小鼠的神经功能缺损,减少ICH量、减轻脑水肿程度及抑制细胞凋亡,其机制可能与通过抑制TLR4信号通路,减少小胶质细胞的激活以及促炎细胞因子的释放有关.
Cerebroprotective effects of verbascoside in mice with intracerebral hemorrhage and its relationship with Toll-like receptor 4-mediated signaling pathway
Objective To investigate the cerebroprotective effect of verbascoside(VB)in mice with intracerebral hemorrhage(ICH)and whether it is related to the inhibition of Toll-like receptor 4(TLR4)-mediated acute inflammatory response.Methods Eight-week-old C57BL/6 male mice were used for the study,including 40 wild-type and 20 TLR4 knockout(TLR4-/-)mice.The wild-type mice were divided into sham group,ICH group,and post-ICH VB treatment group(ICH+VB 15 mg/kg or 30 mg/kg)according to the complete randomization method,and the TLR4-/-group mice were divided into TLR4-/-+ICH group and TLR4-/-+ICH+VB(30 mg/kg)group,with 10 mice in each group.The ICH model was constructed using the method of type Ⅷ collagenase injection in the right striatum.After the model was successfully established(modified Garcia score 10),the mice were injected intraperitoneally with VB(15,30 mg/kg)or an equal volume of saline once a day for 3 consecutive days.The modified Garcia score was used to evaluate the damage of brain function,and the area of cerebral hematomas was calculated to assess the hemorrhage volume after slicing,the water content of brain tissues was calculated by the wet/dry method,and the rate of neuronal apoptosis was detected by TUNEL staining.Immunofluorescence staining(IF)was used to detect the relative expression of Iba-1 in brain tissues.Real-time quantitative fluorescence polymerase chain reaction(qRT-PCR)assay and Western blot(WB)assay were used to detect the expression of TLR4 and its downstream inflammatory mediators,including nuclear factor-κB,tumor necrosis factor alpha(TNF-α),interleukin(IL)1β and IL-6.Differences in the above indexes between groups of wild-type mice and between groups of TLR4-/-were compared.Cortical tissues of TLR4-/-mice within 2 hours of birth were removed to culture primary neurons,and the neurons were co-cultured with mouse microglia cell lines(BV2 cells)using Transwell chambers,and were treated with red blood cell(RBC)lysates or RBC lysates+VB(50 μmol/L)respectively for 24 h.Then,the expression of NeuN protein in neurons was observed using IF.Results Compared with the ICH group,the modified Garcia scores of mice in the VB-treated groups(particularly in the ICH+VB 30 mg/kg group)were significantly higher(P<0.05).Brain hemorrhage volume in the sham group,ICH group,ICH+VB 15 mg/kg group,and ICH+VB 30 mg/kg group were 0 mm3,7.33±1.99 mm3,3.19±0.47 mm3,1.66±0.26 mm3,the water content of brain tissue was 79.00±0.50%,85.00±0.75%,81.50±0.50%,80.25±0.25%,the apoptosis rate of neurons was 4.8±2.0%,38.7±6.8%,21.5±6.9%,9.8±4.2%,and the differences were statistically significant(P<0.05).IF results showed that the relative expression of Iba-1 in brain tissues of the ICH group was significantly higher than that of the VB-treated group(P<0.05).The qRT-PCR and WB results showed that,compared with those in the the ICH group,the mRNA,NF-κB,TNF-α,IL-1β,and IL-6 mRNA and protein expression levels in the VB-treated group were reduced(P<0.05).The differences in Garcia score,brain tissue water content,and neuronal apoptosis rate were not significantly different between TLR4-/-+ICH+VB group and TLR4-/-+ICH group(all P>0.05).Meanwhile,in the in vitro experiments,there was no statistically significant difference in the survival of neurons co-cultured with BV2 cells after treatment with RBC lysate or RBC lysate+VB(50 µmol/L)(P=0.872).Conclusion VB can improve the neural function deficit in mice after ICH,reduce the volume of hemorrhage,degree of brain edema and apoptosis of neurons,which might be related to the mechanism of inhibiting TLR4 signaling pathway,reducing the activation of microglia and release of pro-inflammatory cytokines.

Intracranial hemorrhagesVerbascosideToll-like receptor 4InflammationMice

熊雨、赖雪、李想、明扬、刘洛同、何海平、酉建、龚飞龙、陈礼刚、颜敏

展开 >

西南医科大学附属医院神经外科,四川省神经外科临床研究中心,神经系统疾病与脑功能实验室,泸州 646000

西南医科大学附属医院日间手术室,泸州 646000

西南医科大学,泸州 646000

脑出血 毛蕊花糖苷 Toll样受体4 炎症 小鼠

西南医科大学校级项目四川省科技计划

2019ZQN1342022YFS0630

2024

中华神经外科杂志
中华医学会

中华神经外科杂志

CSTPCD北大核心
影响因子:1.107
ISSN:1001-2346
年,卷(期):2024.40(6)