安宫牛黄丸通过选择性激活线粒体自噬改善小鼠急性缺血性脑损伤
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浙江中医药大学药学院,浙江省神经药理学与转化研究重点实验室,杭州310053,浙江,中国

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Angong Niuhuang Pill ameliorates cerebral ischemic injury in mice by selectively activating mitophagy
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Key Laboratory of Neuropharmacology and Translational Medicine of Zhejiang Province, School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China

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    摘要:

    背景:安宫牛黄丸是治疗缺血性脑卒中的一味传统中药复方制剂。然而,其在缺血性卒中治疗中的作用机制尚未完全阐明。目的:该研究拟探讨安宫牛黄丸对急性局灶性脑缺血的保护作用,并探讨其在脑缺血中发挥清热解毒作用的分子机制。方法:在雄性C57BL/6小鼠中建立永久性大脑中动脉闭塞(pMCAO)模型,随机分为假手术组、模型组、安宫牛黄丸低、中、高剂量组(25 mg/kg、100 mg/kg、400 mg/kg)、丁苯酞组(80 mg/kg)。同时,侧脑室注射自噬抑制剂wortmannin(100 nM)或腹腔注射线粒体自噬抑制剂mdivi-1(1 mg/kg)。通过检测缺血24小时后小鼠脑梗死体积、神经行为评分及7天生存率,评估安宫牛黄丸对缺血性脑损伤的作用。利用免疫印迹检测缺血半暗带脑组织中细胞凋亡相关蛋白BAX、Bcl-2、细胞色素C和Caspase-3,自噬相关蛋白LC3和SQSTM1,以及线粒体标志蛋白COXIV和TOM20的表达水平。利用Tunel染色检测细胞凋亡率。利用免疫组化染色分别观察SQSTM1和COXIV、Parkin的共定位情况。结果:灌胃给予100 mg/kg或400 mg/kg 安宫牛黄丸可显著改善pMCAO造模后小鼠的神经行为障碍并降低脑梗死体积。相比于模型组,安宫牛黄丸组缺血脑组织中Bcl-2/BAX的比例显著升高,Tunel阳性细胞比例显著减少。此外,安宫牛黄丸显著降低了Caspase-3及胞浆中细胞色素C的蛋白表达水平。以上结果初步提示安宫牛黄丸显著抑制了脑缺血损伤诱导的细胞凋亡。同时,安宫牛黄丸未进一步促进缺血诱导的LC3-II表达水平的增加,但显著降低了SQSTM1的含量。安宫牛黄丸还显著降低了缺血脑组织中线粒体的含量,显著增加了SQSTM1和COXIV的共定位,并促进Parkin和SQSTM1向线粒体易位。而自噬抑制剂wortmannin和线粒体自噬抑制剂mdivi-1均可以消除安宫牛黄丸的神经保护作用。结论:安宫牛黄丸通过选择性增强线粒体自噬发挥缺血性脑损伤保护作用。

    Abstract:

    Background Angong Niuhuang Pill (ANP) is a famous Chinese materia medica preparation prescribed for treating ischemic stroke. However, the protective mechanisms of ANP in acute ischemic stroke remain unclear and need to be explored. Objective Our study aims to investigate the therapeutic effects of ANP on focal cerebral ischemia and explore the molecular mechanisms underlying its heat-clearing and detoxifying effects. Methods The permanent middle cerebral artery occlusion (pMCAO) model was established in C57BL/6 male mice, which were then treated with ANP (25 mg/kg, 100 mg/kg, or 400 mg/kg) or 80 mg/kg butylphthalide. To further verify the involvement of mitophagy in ANP function, mice were also treated with the autophagy inhibitor wortmannin or the mitophagy inhibitor mdivi-1 at ischemic onset. Results Acute administration with 100 mg/kg, or 400 mg/kg ANP significantly improved neurological behavior and decreased cerebral infarct volume, suggesting that ANP conferred neuroprotective effects dose-dependently. Further, western blot analysis showed that ANP treatment significantly decreased the protein levels of cytoplasmic cytochrome C and Bax, but elevated levels of mitochondrial cytochrome C and Bcl-2. TUNEL staining also indicated that ANP ameliorated cell apoptosis. ANP did not promote ischemia-induced lipidation of LC3, but significantly reduced the protein level of SQSTM1. Moreover, ANP further reduced mitochondrial contents and enhanced translocation of Parkin and SQSTM1 to the mitochondria. Importantly, the neuroprotective effects of ANP could be abolished by wortmannin and mdivi-1, respectively. Conclusion Our findings showed that ANP exerted protective effects in response to ischemic injury and enhanced selective mitophagy without increasing autophagic flux.

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  • 在线发布日期: 2024-11-12
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