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补阳还五汤对大鼠局灶性脑缺血后神经细胞增殖及脑组织TLR2、TLR4、MyD88、NF-κ Bp65表达的影响
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摘要
目的:在建立局灶性脑缺血大鼠模型基础上,通过动物实验探讨补阳还五汤对脑缺血后大鼠神经保护与促神经细胞增殖作用及对TLR2、TLR4、MyD88、NF-κBp65表达的影响,为补阳还五汤治疗脑缺血性中风临床用药提供实验依据。
     方法:采用大脑中动脉线栓法建立左侧局灶性脑缺血大鼠模型,将198只动物随机分为假手术组、模型组、补阳还五汤组三大组,每组66只,各大组内分三个时间点即于7d、14d和21d处死动物,每组动物每个时间点取5只动物腹腔注射Brdu,取10只神经功能评分,取5只做TTC计算其梗死面积,取6只HE染色以观察各组动物海马、皮质组织细胞形态,取6只进行WB、RT-PCR指标检测。采用免疫组织化学法观察BrdU标记干细胞/祖细胞增生情况,采用免疫组织化学法、WB、RT-PCR法检测补阳还五汤对大鼠脑缺血后TLR2、TLR4、NF-κBp65.MyD88的影响。
     结果:
     (1)与模型组比较补阳还五汤可减轻大鼠局灶性脑缺血后神经功能缺损(P<0.05),减小脑梗死面积(P<0.05),改善缺血区及周围组织细胞形态。
     (2)补阳还五汤组与相同时间相模型组相比BrdU阳性细胞数显著增多(P<0.05)。
     (3)模型组各时间点相比,随大鼠局灶性脑缺血后时间延长神经功能缺损、脑梗死面积有减小趋势,缺血区及周围组织细胞形态有所改善。
     (4)与相同时间相假手术组相比模型组BrdU阳性细胞数增多(P<0.05);大鼠缺血脑后TLR2、TLR4、MyD88、NF-κBp65表达水平升高(P<0.05)。
     (5)与相同时间相模型组相比较补阳还五汤可下调大鼠缺血脑组织TLR4、MyD88、NF-κBp65表达(P<0.05),上调TLR2表达(P<0.05)。
     结论:
     (1)补阳还五汤对大鼠脑缺血病理损伤具有神经保护作用,并促进缺后神经干细胞增殖,后者可能在其促进缺血后神经功能恢复中发挥作用。
     (2)大鼠脑缺血损伤后存在自我修复机制,可激活神经干细胞增殖,部分代偿神经功能缺损。
     (3)TLR2可能是大鼠脑缺血后的保护因素。补阳还五汤可增强大鼠脑缺血后TLR2表达,这可能是其实现脑保护与促神经再生机制之
     (4)TLR4/MyD88信号通路可能是大鼠脑缺血后损伤机制。补阳还五汤可抑制大鼠脑缺血后TLR4、MyD88、NF-κBp65表达,可能通过抑制TLR4/MyD88信号传导通路而减轻脑缺血后损伤及促神经再生。
Objectives:To explore the effects of Buyang Huanwu Decoction on proliferation of nerve cell and expressions of TLR2、TLR4、NF-κB、 MyD88in rats with cerebral ischemia.
     Methods:Rat focal cerebral isehemia was induced by MCAO. Rats were randomly divided into following group including sham control, cerebral ischemia,cerebral ischemia with BYHW decoction.The group was divided into subgroups,animals in each subgroup were sacrificed in7,14or21day after operation. Neurological score of animals, the TTC calculating of their infarct area, to observe each group of animals the cell morphology in the hippocampus and cortex with HE staining, to observe BrdU labeling stem cells/progenitor cell proliferation using immunohistochemical staining and detecting the expression level of TLR2and TLR4.NF-κB and MyD88after cerebral ischemia using immunohistochemistry、the WB and RT-PCR were measured.
     Result:
     1) Compared with cerebral ischemia group BYHW decoction treatment can reduce the neurological deficit after focal cerebral ischemia, reduce the infarct size, improve the cellular morphology of the ischemic area and the surrounding tissue.
     2)Compared with cerebral ischemia group cerebral ischemia with BYHW decoction the BrdU positive cells increased significantly.
     3)Compared with the cerebral ischemia group at all time points each other neurological deficit and infarct area after focal cerebral ischemia had a trend of decreasing over time, morphology of ischemic area and the surrounding tissue are improved.
     4)Compared with the sham control, the number of BrdU positive cells was enhanced after ischemia in cerebral ischemia group.
     5)Compared with the sham group the expression of TLR2、TLR4、NF-κB and MvD88was increased after ischemia.
     6)Compared with the cerebral ischemia group, BYHW decoction treatment can lower the expression of TLR4, NF-κB and MyD88in ischemic brain tissue.
     7)Compared with the cerebral ischemia group BYHW decoction treatment can increase the expression of TLR2in ischemic brain tissue.
     Conclusion:
     1) Rats afer cerebral ischemia has self-repair mechanisms and can activate neural stem cell proliferation,that can compensate neurological deficit to a certain extent.
     2) BYHW decoction treatment has neuroprotective effects, and promotes proliferation of the neural stem cell after ischemia, which may play a role in its promotion of ischemic recovery of neurological function.
     3)TLR4/MyD88signaling pathway may be the mechanism of injury after cerebral ischemia.
     4)TLR2may be a protective factor after focal cerebral ischemia.
     5) BYHW decoction treatment can enhance the TLR2expression after cerebral ischemia, which may be one of mechanism of its neuroprotection and promoting nerve regeneration.
     6) BYHW decoction treatment can inhibit the expression of TLR4MyD88, NF-kappa B after cerebral ischemia,which may be a mechanism of its neuroprotective effects and promoting nerve regeneration through mitigating TLR4/of MyD88signaling pathway.
引文
[1]Kristian P Doyle,Roger P et al.Neuropharmacology-Special Issue on Cerebral Ischemia Mechanisms of Ischemic Brain Damage-Review Article [J].Neuro Pharmac-ology.2008,55(3):310-318.
    [2]Jasna.Kriz,Melanie.Lalancette-Hebert.Infammation,plasticity and real-time imag-ing after cerebral ischemia[J].Acta Neuropathol 2009, 117:497-509.
    [3]黄如训.缺血性脑卒中的分型分期治疗[J].心脑血管病防治,2003,3(1):6-8.
    [4]储利胜,俞天虹,刘志婷等.补阳还五汤对大鼠局灶性脑缺血后海马齿状回神经干细胞增殖和存活的影响[J].浙江中医药大学学报,2011,35(3):335-337.
    [5]Rolls A,Shechter R,London A,Ziv Y,et al.Toll-like receptors modulate adult hippocampal neurogenesis [J].Nat Cell Biol.2007,9(9):1081-1088.
    [6]姚瑞芹,李林.成年神经发生及其在缺血性脑损伤治疗中的应用前景[J].中国康复理论与实践,2006,12(8):656-658
    [7]Nakatomi H,Kur iu T,Okabe S,pocprogenitor et al.Regeneration of hippocampal pyramidal neurons after ischemic brain injury by recruitment of endogenous neural progenitors[J].Cell,2002,110 (4):429-441.
    [8]Montero Vega MT,de Andres Martin A.The significance of toll-like receptors in human diseases.Allergol Immunopathol [J]. 2009,37(5):252-263.
    [9]储利胜,俞天虹,刘志婷等.补阳还五汤对大鼠局灶性脑缺血后海马齿状回神经干细胞增殖和存活的影响[J].浙江中医药大学学报,2011,35(3):335-337.
    [10]Reynolds BA,Weiss S.Generation of neurons and astrocytes from isolated cells of the adult mammalian central nervous system. [JJScience. 1992,255(5052):1707-1710.
    [11]Chou J,Harvey BK,Shen H,et al.Neuro regenerative effects of BMP7 after stroke in rats[J].Neuro Sci,2006,240:21-29.
    [12]Longa EZ,Weinstein PR,Carlson S,et al.Reversible middle cerebral artery occlusion without craniectomy in rats[J].Stroke.1989,20(1):84-91.
    [13]JB Bederson,LH Pitts,M Tsuji,et al.Rat middle cerebral artery occlusion:evaluation of the model and development of a neurologic examination [J]. Stroke.1986,17(3):472-476.
    [14]张均田.现代药理试验方法.第1版[M].北京:人民卫生出版社1998:1241
    [15]赵见文,田军彪,张颜伟等.化浊解毒活血通络法对脑缺血再灌注损伤小鼠行为学及海马CA1区神经细胞形态学的影响[J]. WORLD CHINESE MEDICINE,2011,6 (6):524-526.
    [16]王维治,神经病学[M]第四版,北京:人民卫生出版社,2003.113.
    [17]张苏明,褚倩.成体干细胞移植治疗大鼠脑缺血[J].中华医学杂志2004,84(16):13-28.
    [18]Reynolds BA,Weiss S.Generation of neurons and astrocytes from isolated cells of the adult mammalian central nervous system. [J]Science.1992,255(5052):1707-1710.
    [19]Gage HF Ma mmalia n neural stem cells [J].Science,2000,287 (5457):1433-1438.
    [20]辛晓瑜,陈生弟.脑缺血后脑室下区域神经再生的分子调控.[J].国际神经病学神经外科学杂志.2007,34(4):315-318.
    [21]刘小娟,唐涛,罗杰坤等.补阳还五汤对脑出血大鼠脑内血管内皮生长因子mRNA表达的影响[J]. Tradi t ional Chinese Drug Research & Clinical Pharmacology,2007,18(2):100-103.
    [22]高旭清.补阳还五汤治疗脑梗死50例临床观察[J].中西医结合心脑血管病杂志,2010,8(8):1005-1006.
    [23]曾靖,黎晓,黄志华.脑缺血再灌注损伤与炎症反应关系的研究进展[J].时珍国医国药,2011,22(3):698-700.
    [24]Uematsu S,Akira S.Toll-like Receptors and Typel Interferons[J]. Journal of biological chemistry,2007,282:15319-15324.
    [25]A.M.Piccinini and K.S.Midwood DAMPening Inflammation by Modulating TLR Signalling[J].Mediators of Inflammation Volume 2010,Article ID 672395,21 pages.
    [26]Mishra BB,Mishra PK,TealeJM.Expression and distribution of Toll-like receptors in the brain during murine neurocysticercosis[J]. Neuroimmunol.2006,181(1-2):46-56.
    [27]Tsan MF.Toll-like receptors,inflammation and cancer[J].Seminars in Cancer Biology,2006,(16):32-37.
    [28]Akira S,Uematsu S,Takeuchi O.Pathogen Recognition and Innate Immumty[J].Cell,2006,124(4):783-801.
    [29]Hua F,Ma J,Differential roles of TLR2 and TLR4 in acute focal cerebral ischemia/reperfusion injury in mice[J].Brain Res.2009, 1262:100-108.
    [30]Thiruma V.Arumugam,Eitan Okun,Sung-Chun Tang,et al.Toll-Like Receptors in Ischemia-Reperfusion Injury[J].SHOCK,2009,32,(1):4-16.
    [31]张予阳,刘岩,付守廷.脑缺血与炎症反应[J].中国药理学通报2006,22(1):5-9.
    [32]Corinne Benakisa,Lorenz Hirta,Renaud A.Inflammation and stroke[J]. Kardiovaskulare Medizin 2009;12(5):143-150.
    [33]JavierR Caso,BSc:Jesus M.Pradillo,BScToll-Like Receptor 4 is Involved in Brain Damage and Inflammation After Experimental Stroke Circulation.2007,115(12):1599-1608.
    [34]Wu JT, Krai JG.The NF-kappaB/IkappaB signaling system:a molecular target in breast cancer therapy.J Surg Res.2005,123(1):158-69.
    [35]Schmitz M L,Bacher S,Kracht M.IκB-independe nt control of NF-κB activity by modulatory phosphory latins [J].Trends Bioehera Science,2001,26:186-190.
    [36]Caso JR,Pradillo JM,Hurtado O,et al.Toll-like receptor 4 is involved in brain damage and inflammation after experimental stroke[J].Circulation, 2007,115(12):1599-1608.
    [37]Gao Y,Fang X,Tong Y,et al.TLR4-mediated MyD88-dependent signaling pathway is activated by cerebral is chemia-reperfusion in cortex in mice[J].Biomed Pharmacother,2009,63(6):442-50.
    [38]Brea D,Blanco M,Ramos-Cabrer P,et al.Toll-like receptors 2 and 4 in ischemic stroke:outcome and therapeutic values[J].J Cereb Blood Flow Metab,2011,31:1424-1431.
    [39]Hua,F,Ma,J,Ha,Tet al.Differential roles of TLR2 and TLR4 in acute focal cerebral is chemia/reperfusion injury in mice[J]. Brain Res,2009,1262:100-108.
    [40]Ziegler G,Harhausen D,Schepers C,et al.TLR2 has a detrimental role in mouse transient focal cerebral ischemia[J].Biochem Biophys Res Commun,2007,359(3):574-579.
    [41]Lehnardt S,Lehmann S,Kaul D,et al.Toll-like receptor 2 mediates CNS injury in focal cerebral[J].J Neuroimmunol,2007,190(1-2):28-33.
    [42]储利胜,俞天虹,刘志婷等.补阳还五汤对大鼠局灶性脑缺血后海马齿状回神经干细胞增殖和存活的影响[J].浙江中医药大学学报,2011,35(3):335-337.
    [43]Reynolds BA,Weiss S.Generation of neurons and astrocytes from isolated cells of the adult mammalian central nervous system[J].Science,1992,255(5052):1707-1710.
    [44]Arvidsson A,Collin T,Kirik D,et al.Neuronal replacement from endogenous precursors in adult brain after store[J].Nature Med.2002,8:963-970
    [45]Nakatomi H,Kuriu T,Okabe S,et al.Regeneration of hippocampal pyramidal neurons after ischemic brai injury by recruitment of endogenous neural progenitors.Cell[J].2002,110:429-441
    [46]俞悦,刘柏炎.脑缺血后炎症反应对神经发生的影响[J].国际脑血管病杂志,2011,19(10):797-800.
    [47]Wong G,Goldshmit Y,Turnley AM.Interferon-gamma but not TNF alpha promotes neuronal differentiation and neurite outgrowth of murine adult neural stem cells[J].Exp Neurol 2004; 187:171-177.
    [48]Okun,E,Griffioen,K.J.,Son,T.et al.TLR2 activation inhibits embryonic neural progenitor cell proliferation[J].Neurochem.2010,114,462-474.
    [49]Rolls A,Shechter R,London A,Toll-like receptors modulate adult hippocampal neurogenesis[J].Nat Cell Biol.2007,9(9):1081-1088.
    [50]Covacu R,Arvidsson L,Andersson A,TLR activation induces TNF-alpha production from adult neural stem/progenitor cells[J].Immunol,2009,182:6889-6895.
    [51]Iosif RE,Ekdah 1CT,Ahlenius H.et al.Tum or necrosis factor receptor 1 is a negative regulator of progenitor proliferation in adult hippocampal neurogenesis[J].Neurosci,2006,26:970.
    [1]徐寅平.中西医综合疗法治疗急性缺血性中风46例[J].中医杂志,2009,50(9):814-815.
    [2]Qing Wang MD,Ph D.The inflammatory response in stroke[J].J Neuroimmunol,2007,184(1-2):53-68.
    [3]Uematsu S,Akira S.Toll-like Receptors and Type I Interferons[J]. Journal of biological chemistry,2007,282:15319-15324.
    [4]Akira S,Uematsu S,Takeuchi O.Pathogen Recognition and Innate Immunity [J].Cell,2006,124(4):783-801.
    [5]Hoshino K, Takeuchi O,Kawai T,et al.Cutting edge:Toll-like receptor 4(TLR4)-deficient mice are hyporesponsive to lipopolysaccharide evidence for TLR4 as the Lps gene product[J] Journal of Immunology,1999,162:3749-3752.
    [6]Taro Kawail,Shizuo Akiral.The role of pattern-recognition receptors in innate immunity:update on Toll-like Receptors[J].Nature immunology,2010,11:373-384.
    [7]Ziegler G,Harhausen D,Schepers C,et al.TLR2 has a detrimental role in mouse transient focal cerebral ischemia[J].Biochem Biophys Res Commun,2007,359(3):574-579.
    [8]Lehnardt S,Lehmann S,Kaul D,et al.Toll-like receptor 2 mediates CNS injury in focal cerebral[J].J Neuroimmunol.2007.190(1-2):28-33.
    [9]张清,孙鹏,冯新民等.Toll样受体4蛋白在大鼠脑缺血再灌注损伤 中的表达及其意义[J].华中科技大学学报(医学版),2008,37(2):219-221.
    [10]Caso JR,Pradillo JM,Hurtado O,et al.Toll-like receptor 4 is involved in brain damage and inflammation after experimental stroke[J].Circul-ation,2007,115(12):1599-1608.
    [11]Yakkoku K,Hamanaka J,Tsuruma K,et al.Toll-like receptor 4 (TLR4),but not TLR3 or TLR9,knock-out mice have neuroprotective effects against focal cerebral ischemia[J].Neurosci,2010,171(1):258-267.
    [12]Gao Y,Fang X,Tong Y,et al.TLR4-mediated MyD88-dependent signaling pathway is activated by cerebral ischemia-reperfusion in cortex in mice[J].Biomed Pharmacother,2009,63(6):442-50.
    [13]Brea D,Blanco M,Ramos-Cabrer P,et al.Toll-like receptors 2 and 4 in ischemic stroke:outcome and therapeutic values[J].J Cereb Blood Flow Metab,2011,31:1424-1431.
    [14]Yang QW,Li JC,Lu FL,et al.Upregulated expression of toll-like receptor 4 in monocytes correlates with severity of acute cerebral infarction[J].J Cereb Blood Flow Metab,2008,28(9):1588-1596.
    [15]Hua F,Wang J,Sayeed I,et al.The TRIF-dependent signaling pathway is not required for acute cerebral ischemia/reperfusion injury in micc[J].Biochem Biophys Res Commun,2009,390(3),678-683.
    [16]Bolanle M,Yongshan M.Disruption of downstream MyD88 or TRIF Toll-like receptor signaling does not protect against cerebral ischemia [J].Brain Res,2011,1388:148-156.
    [17]Tang SC,Arumugam TV,Xu X,et al.Pivotal role for neuronal Toll-like receptors in ischemic brain injury and functional deficits[J].Proceedings of the National Academy of Sciences of the SA,2007,104(34):13798-13803.
    [18]Ziegler G,Freyer D,Harhausen D,et al.Blocking TLR2 in vivo protects against accumulation of inflammatory cells and neuronal injury in experimental stroke[J].J Cereb Blood Flow Metab,2011,31(2):757-66.
    [19]Hua,F,Ma,J,Ha,T,et al.Differential roles of TLR2 and TLR4 in acute focal cerebral ischemia/reperfusion injury in mice[J].Brain Res,2009, 1262:100-108.
    [20]Xiaoxia Z,Nikolay L,Alona A,et al.Oxidative stress induces angiogenesis by activating TLR2 with novel endogenous ligands[J]. Nature,2010,467(7318):972-976.
    [21]Hyakkoku K,Hamanaka J,Tsuruma K,et al.Toll-like receptor 4 (TLR4),but not TLR3 or TLR9,knock-out mice have neuroprotective effects against focal cerebral ischemia[J].Neuroscience,2010,171(1): 258-267
    [22]Brea D,Sobrino T,Rodriguez-Yanez M,et al. Toll-like receptors 7 and 8 expression is associated with poor outcome and greater inflammatory response in acute ischemic stroke[J J.Clin Immunol,2011,139(2):193-198.

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