Hypoglycaemia-induced cell death: features of neuroprotection by the P2 receptor antagonist basilen blue

F Cavaliere1, N D'Ambrosi, G Sancesario

  • 1Fondazione Santa Lucia, Via Ardeatina 306, 00179, Rome, Italy.

Insights

P2 receptor antagonists, like basilen blue, protect cerebellar neurons from cell death caused by glucose starvation. This neuroprotection involves inhibiting apoptosis and necrosis pathways.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Biochemistry

Background:

  • P2 ATP receptors play a role in neuronal cell death.
  • Previous studies showed antagonists prevent cell death from various insults.

Purpose of the Study:

  • Investigate the biological pathways involved in neuronal cell death/survival under glucose starvation.
  • Determine the neuroprotective effects of P2 receptor antagonism against metabolic stress.

Main Methods:

  • Utilized cerebellar granule neurons subjected to hypoglycaemic insults.
  • Assessed cell death using morphological and biochemical markers (e.g., TdT-mediated dUTP-biotin nick end-labeling, LDH release).
  • Measured mitochondrial cytochrome c release, heat-shock protein (HSP70, HSP90) and glucose-regulated protein (GRP75, GRP78) expression, and caspase-2 activity.

Main Results:

  • Hypoglycaemia induced a combination of apoptosis and necrosis in cerebellar granule neurons.
  • Basilen blue, a P2 receptor antagonist, inhibited both apoptosis and necrosis.
  • Hypoglycaemia led to cytochrome c outflow, up-regulated HSP70, GRP75, GRP78, and caspase-2, effects modulated by basilen blue.

Conclusions:

  • P2 receptor antagonism, specifically with basilen blue, offers neuroprotection against metabolic stress-induced cell death.
  • The study dissects the role of P2 receptor antagonism in neuroprotection against hypoglycaemia.
  • Specific cellular pathways, including apoptosis, necrosis, and protein expression, are implicated in this neuroprotective mechanism.

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