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Updated: Jan 26, 2026

A Piglet Model of Neonatal Hypoxic-Ischemic Encephalopathy
Published on: May 16, 2015
Platycodin D protects cortical neurons against oxygen-glucose deprivation/reperfusion in neonatal hypoxic-ischemic
Guifang Wang1, Hongxiang Guo2, Xiaofang Wang1
1Department of Pediatrics, Xinxiang Central Hospital, Xinxiang, Henan, China.
Insights
Platycodin D (PLD) protects infant brain cells from hypoxic-ischemic injury by reducing oxidative stress and apoptosis. It activates the PI3K/Akt/mTOR pathway, offering a promising therapeutic target for neonatal encephalopathy.
Area of Science:
- Neuroscience
- Biochemistry
- Pharmacology
Background:
- Neonatal hypoxic-ischemic encephalopathy (HIE) is a major cause of infant mortality.
- Oxidative stress and apoptosis are key mechanisms in HIE-related brain injury.
- Platycodin D (PLD), a natural saponin, possesses antioxidant properties.
Purpose of the Study:
- To investigate the neuroprotective effects of Platycodin D (PLD) against oxygen-glucose deprivation/reperfusion (OGD/R) injury in primary cortical neurons.
- To elucidate the underlying molecular mechanisms of PLD's action, focusing on oxidative stress, apoptosis, and key signaling pathways.
Main Methods:
- Primary cortical neurons were subjected to oxygen-glucose deprivation/reperfusion (OGD/R) to induce injury.
- Cell viability and cytotoxicity were assessed.
- Levels of reactive oxygen species (ROS) and antioxidant enzyme activities (catalase, SOD, GPx) were measured.
- Apoptosis was evaluated using histone-DNA ELISA and Western blotting for apoptosis-related proteins (Bax, Bcl-2).
- The PI3K/Akt/mTOR pathway activation was assessed, and its role in PLD's effect was investigated using pathway inhibitors.
Main Results:
- OGD/R significantly reduced neuronal viability and increased cytotoxicity, which were ameliorated by PLD treatment.
- PLD inhibited OGD/R-induced oxidative stress by decreasing ROS levels and enhancing antioxidant enzyme activities.
- PLD significantly reduced apoptosis in OGD/R-treated neurons and reversed the altered expression of Bax and Bcl-2.
- PLD activated the PI3K/Akt/mTOR signaling pathway.
- Inhibition of the PI3K/Akt/mTOR pathway abolished the protective effects of PLD against OGD/R-induced neuronal injury.
Conclusions:
- Platycodin D (PLD) demonstrates significant neuroprotective effects against hypoxic-ischemic injury in primary cortical neurons.
- PLD mitigates injury by inhibiting oxidative stress and apoptosis.
- The protective mechanism of PLD involves the activation of the PI3K/Akt/mTOR signaling pathway.
Abstract:
Neonatal hypoxic-ischemic encephalopathy is one of the leading causes of death in infants. Increasing evidence indicates that oxidative stress and apoptosis are major contributors to hypoxic-ischemic injury and can be used as particularly promising therapeutic targets. Platycodin D (PLD) is a triterpenoid saponin that exhibits antioxidant properties. The aim of this study was to evaluate the effects of PLD on hypoxic-ischemic injury in primary cortical neurons. We found that oxygen-glucose deprivation/reperfusion (OGD/R) induced inhibition of cell viability and cytotoxicity, which were attenuated by PLD treatment. PLD treatment inhibited oxidative stress induced by OGD/R, which was evidenced by the reduced level of reactive oxygen species and increased activities of catalase, superoxide dismutase, and glutathione peroxidase. Histone-DNA enzyme-linked immunosorbent assay revealed that apoptosis was significantly decreased after PLD treatment in OGD/R-treated cortical neurons. The increased bax expression and decreased bcl-2 expression induced by OGD/R were reversed by PLD treatment. Furthermore, PLD treatment caused the activation of the phosphatidylinositol 3-kinase (PI3K)/protein kinase B (Akt)/mammalian target of rapamycin (mTOR) pathway in OGD/R-stimulated cortical neurons. Suppression of this pathway blocked the protective effects of PLD on OGD/R-induced cell injury. These findings suggested that PLD executes its protective effects on OGD/R-induced cell injury via regulating the PI3K/Akt/mTOR pathway in cortical neurons.
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