Nimodipine Blocks Histone-Induced Calcium Overload to Protect Neurons after Traumatic Brain Injury

Wei Cao1, Yunfeng Xu2

  • 1Department of Emergency, The First Hospital of Jiaxing, Affiliated Hospital of Jiaxing University, Jiaxing, China.

PubMed

Insights

Nimodipine reduces brain damage after traumatic brain injury (TBI) by blocking calcium influx and cell death pathways. This drug improves neurological function and recovery in TBI models.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Cell Biology

Background:

  • Traumatic brain injury (TBI) causes neuronal apoptosis and neurological deficits.
  • Extracellular histones contribute to TBI pathology by increasing calcium influx and activating cell death pathways.
  • Nimodipine's therapeutic potential in TBI beyond its vasodilatory effects requires investigation.

Purpose of the Study:

  • To investigate if nimodipine alleviates TBI-induced neuronal apoptosis and neurological deficits.
  • To determine if nimodipine inhibits extracellular histone-mediated calcium influx, mitochondrial damage, and Caspase pathway activation.
  • To elucidate the molecular mechanisms underlying nimodipine's neuroprotective effects in TBI.

Main Methods:

  • In vitro studies using cortical neurons exposed to histones.
  • In vivo studies using a mouse model of TBI.
  • Assessment of neuronal apoptosis, proliferation, mitochondrial function, and Caspase pathway activation.
  • Behavioral tests (Morris maze, rotarod) and histological analysis of brain tissue.
  • Molecular docking and transcriptomic analysis.

Main Results:

  • Nimodipine reduced histone-induced calcium influx, neuronal apoptosis, and improved mitochondrial function in vitro.
  • Nimodipine reversed TBI-induced neurological deficits, improved spatial memory and motor coordination in vivo.
  • Nimodipine inhibited Caspase pathway activation and reduced brain lesions and neuronal loss post-TBI.
  • Molecular docking confirmed nimodipine-histone binding, and transcriptomics revealed nimodipine's effects on calcium signaling, mitochondrial apoptosis, and oxidative stress pathways.

Conclusions:

  • Nimodipine mitigates TBI-induced neuronal apoptosis and dysfunction by blocking extracellular histone-driven calcium overload.
  • Nimodipine preserves mitochondrial integrity and suppresses Caspase activation, leading to improved functional recovery after TBI.
  • This study demonstrates a novel mechanism for nimodipine's neuroprotection in TBI, targeting extracellular histone-mediated pathology.

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