白藜芦醇对蛛网膜下腔出血后神经炎症的作用和机制研究
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党丹,女,硕士,主治医师,从事与脑血管等神经重症疾病相关的基础研究和临床工作。E-mail:dangdan2005@163.com。

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Effects of resveratrol on neuroinflammation after subarachnoid hemorrhage and the underlying mechanisms
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    摘要:

    目的 研究白藜芦醇对蛛网膜下腔出血(subarachnoid hemorrhage,SAH)后血肿区脑组织神经炎症的作用和机制。方法 将48只成年雄性SD大鼠随机分为三组:假手术组,SAH组和SAH+白藜芦醇处理组,每组16只。采用枕大池两次注血法构建SAH模型。SAH组和SAH+白藜芦醇组在构建模型前15 min和构建模型后5min分别给予生理盐水或白藜芦醇各一次。于构建模型后72小时利用NSS评分评估大鼠的神经功能,然后处死大鼠并获取保存脑组织。利用ELISA检测脑组织内促炎因子IL-1,IL-6、TNF-α和抗炎因子IL-4,IL-10、TGF-β的表达水平,利用RT-PCR检测小胶质细胞M1型特征性基因IL-1β、CD32和M2型特征性基因CD206、Arginase-1的表达水平。结果 与假手术组相比,SAH组大鼠神经功能下降(P<0.05),脑组织中促炎因子IL-1,IL-6、TNF-α和抗炎因子IL-4,IL-10、TGF-β的表达水平升高(P<0.05),小胶质细胞M1型特征性基因IL-1β、CD32和M2型特征性基因CD206、Arginase-1的表达水平也升高(P<0.05)。与生理盐水处理组相比,白藜芦醇处理组神经功能损伤程度下降(P<0.05),脑组织中促炎因子IL-1,IL-6、TNF-α表达水平降低、抗炎因子IL-4,IL-10、TGF-β的表达水平升高(P<0.05),小胶质细胞M1型特征性基因IL-1β、CD32表达水平降低、M2型特征性基因CD206、Arginase-1的表达水平升高(P<0.05)。结论 白藜芦醇通过促进SAH后小胶质细胞由M1型向M2型转换,从而减轻了神经炎症和神经功能损伤。

    Abstract:

    Objective To investigate the effects of resveratrol on the neuroinflammation of brain tissue around hematoma after subarachnoid hemorrhage (SAH) and the underlying mechanisms.Methods Forty-eight adult male Sprague-Dawley rats were randomly divided into three groups:sham group, SAH group, and SAH+resveratrol group, with 16 rats in each group. A SAH model was constructed by double injection of blood into the cisterna magna. At 15 min before and 5 min after the model establishment, the SAH and SAH+resveratrol groups were treated with normal saline and resveratrol, respectively. At 72 h after SAH, we evaluated the neurological function of the rats using the neurological severity score, and then sacrificed them to obtain and preserve the brain tissue. ELISA was performed to determine the expression levels of proinflammatory cytokines (IL-1, IL-6, and TNF-α) and anti-inflammatory cytokines (IL-4, IL-10, and TGF-β). RT-PCR was used to measure the mRNA expression of M1 microglia markers (IL-1β and CD32) and M2 markers (CD206 and Arginase-1).Results Compared with the sham group, the SAH group had decreased neurological function (P<0.05), increased expression of the proinflammatory cytokines (IL-1, IL-6, and TNF-α) and anti-inflammatory cytokines (IL-4, IL-10, and TGF-β) in the brain tissue (P<0.05), and increased mRNA expression of the M1 markers (IL-1β and CD32) and M2 markers (CD206 and Arginase-1) (P<0.05). Compared with the SAH group, the SAH+resveratrol group showed significant reductions in neurological damage severity, the expression of the proinflammatory cytokines (IL-1, IL-6, and TNF-α), and the mRNA expression of the M1 markers (IL-1β and CD32) (P<0.05), and exhibited increases in the expression of the anti-inflammatory cytokines (IL-4, IL-10, and TGF-β) and the mRNA expression of the M2 markers (CD206 and Arginase-1) (P<0.05).Conclusions Resveratrol promotes a switch from M1 to M2 microglial phenotypes after SAH, and thereby alleviates neuroinflammation and neurological injury.

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杨婧, 郭永, 陈恬璐, 党丹456.白藜芦醇对蛛网膜下腔出血后神经炎症的作用和机制研究[J].国际神经病学神经外科学杂志,2019,46(6):636-640111YANG Jing, GUO Yong, CHEN Tian-Lu, DANG Dan222. Effects of resveratrol on neuroinflammation after subarachnoid hemorrhage and the underlying mechanisms[J]. Journal of International Neurology and Neurosurgery,2019,46(6):636-640

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  • 收稿日期:2019-06-09
  • 最后修改日期:2019-11-03
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  • 在线发布日期: 2019-12-28
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