通过抑制神经炎症和氧化应激,LXA4可以减轻外科期间的神经认知障碍
Sufang Jiang1, Qian Wan1, Xueji Wang1
1Department of Anesthesiology, The Second Hospital of Hebei Medical University, No 215 Heping West Road, Shijiazhuang, Hebei, China.
International immunopharmacology
|August 17, 2023
概括
素A4 (LXA4) 通过降低神经炎症和微质激活来防止手术诱导的认知衰退. 这项研究表明,LXA4可能是围手术期神经认知障碍 (PND) 的治疗剂.
科学领域:
- 神经科学是一个神经科学.
- 免疫学 免疫学 免疫学
- 药理学 药理学是指药理学的学科.
背景情况:
- 经手术的神经认知障碍 (PND) 是老年手术患者的常见并发症,与神经炎症和微质激活有关.
- 脂质媒介体利素A4 (LXA4) 具有已知的抗炎性质.
- 了解LXA4在PND中的作用对于开发有效的治疗方法至关重要.
研究的目的:
- 研究LXA4对手术引起的认知缺陷的保护作用.
- 探索LXA4在神经炎症和微质激活的背景下作用的潜在机制.
主要方法:
- 建立了PND的动物模型,使用在sevoflurane麻醉下进行腹腔切除的小鼠.
- 在手术前,LXA4被输入腹膜内.
- 使用BV2微质细胞来研究LXA4对M1/M2极化,细胞因子产生,氧化应激标志物和SIRT1/NF-κB通路的影响.
主要成果:
- 在PND模型中,LXA4显著缓解认知障碍,减少海马神经炎症和微质激活.
- 在体外,LXA4抑制了M1微质极化,促进了M2极化,并调节了亲和抗炎细胞因子水平.
- LXA4减弱了氧化应激标志物 (ROS,NOX2,HO-1) 和增强了抗氧化活性 (SOD1,SOD),由SIRT1激活和NF-κB抑制介导的效果.
结论:
- LXA4对手术诱导的认知缺陷和神经炎症表现出显著的神经保护作用.
- 在PND中LXA4的治疗潜力很可能通过微质中的SIRT1/NF-κB信号通路进行介导.
- LXA4是缓解神经炎症,氧化应激和与PND相关的认知功能障碍的有希望的治疗候选者.
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