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富含histidine的糖蛋白调节中性粒细胞和与血栓溶解相关的出血转化
Wei Jiang1, Yuexin Zhao1, Rongrong Liu1
1Department of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, 300052, China.
富含histidine的糖蛋白 (HRG) 水平可能表明组织等离子素激活剂 (tPA) 治疗在急性缺血性中风 (AIS) 的结果. HRG似乎通过调节中性粒细胞活性来保护tPA诱导的出血转变.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 生物化学 生物化学
背景情况:
- 用复合组织等离子体激活剂 (tPA) 进行静脉血栓溶解是急性缺血性中风 (AIS) 的标准治疗方法.
- 与tPA相关的出血转化 (HT) 背后的机制尚未完全理解.
- 富含histidine的葡萄糖蛋白 (HRG) 是一种具有已知的免疫调节功能的血蛋白.
研究的目的:
- 为了研究胺丰富的糖蛋白 (HRG) 在tPA诱导的出血转化 (HT) 在急性缺血性中风 (AIS) 中的作用.
- 探索HRG作为一种生物标志物或治疗点来管理HT的潜力.
主要方法:
- 蛋白质组分析 (纳米液体染色学双重质谱) 和ELISA用于量化接受tPA的AIS患者的HRG水平.
- 试验室研究评估了HRG对tPA诱导的中性粒细胞反应 (NETosis,细胞因子产生,迁移) 的影响.
- 采用光血栓性小鼠AIS模型来评估HRG给药或耗尽对HT的体内影响.
主要成果:
- 在没有随后的HT的AIS患者中,tPA输注后HRG表达升高.
- 在体外,HRG抑制了tPA诱导的中性粒细胞 NETosis,炎症和血脑屏障迁移.
- 在体内,在小鼠AIS模型中,HRG的使用通过抑制中性粒细胞透和炎症来降低HT;HRG的耗尽加剧了HT.
结论:
- 在AIS患者中,HRG水平可以作为tPA治疗反应和相关的HT风险的指标.
- HRG通过调节中性粒细胞免疫反应,对tPA诱导的HT产生保护作用.
- 准HRG可以提供一种新的治疗策略,以减轻AIS治疗中的HT.
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