组织工程与重建外科杂志 ›› 2024, Vol. 20 ›› Issue (4): 422-.

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利拉鲁肽通过抑制铁死亡实现对脊髓损伤大鼠的神经保护作用

  

  • 出版日期:2024-08-01 发布日期:2024-09-11

Neuroprotective effect of Liraglutide(LRG)on spinal cord injury(SCI)in rats by inhibiting ferroptosis

  • Online:2024-08-01 Published:2024-09-11

摘要:

目的 观察利拉鲁肽(LRG)对脊髓损伤(SCI)大鼠的神经保护作用,并探讨其作用机制是否与阻断铁死亡有 关。方法 90只雌性Wistar大鼠随机分为假手术组(n=30)、SCI组(n=30)和LRG+SCI组(n=30)。采用改良艾伦法建立 大鼠 SCI模型。LRG+SCI组在 SCI后立即皮下注射 LRG(200 µg/kg),随后每天 1次,连续 10 d。假手术组和 SCI组均给 予等量的无菌PBS。分别在术后第1、2、3天,通过试剂盒检测受损组织中铁含量和谷胱甘肽(GSH)水平;Western blot分 析转运体系统-Xc(xCT)和谷胱甘肽过氧化物酶 4(GPX4)蛋白表达水平。在术后 1、3、7、14 和 28 d 采用 Basso、Bettie、Bresnahan(BBB)运动评定量表评定后肢功能。在术后 28 d,取各组损伤区脊髓组织进行 HE和 Nissl染色,评估术后损 伤区周围的结构损伤和存活神经元。通过免疫荧光染色检测神经元凋亡情况。结果 与假手术组相比,SCI组大鼠损 伤脊髓的铁含量在伤后 3 d内明显升高(P<0.05),并且 GSH水平显著降低(P<0.05)。LRG治疗有效降低了损伤脊髓 的铁含量(P<0.05),并提高了GSH水平(P<0.05)。此外,LRG治疗显著提高了SCI大鼠受损组织中的xCT和GPX4的 表达水平(P<0.01)。与 SCI组相比,LRG+SCI组在伤后 7、14和 28 d时 BBB评分显著升高(P<0.05)。HE和 Nissl染色 显示,LRG治疗后受损区域的空腔较SCI组明显减少(P<0.05),并且脊髓前角运动神经元数量明显增加(P<0.05)。免 疫荧光染色检测显示,与假手术组相比,SCI组损伤脊髓中cleaved-Caspase-3阳性神经元比例显著增加(P<0.05),LRG干预后受损区域的cleaved-Caspase-3阳性神经元明显减少(P<0.05)。结论 LRG治疗可能通过抑制病变部位微环境 中的铁死亡来促进SCI修复,保护受损神经元并恢复运动功能。

关键词: 利拉鲁肽,  铁死亡,  脊髓损伤,  神经保护,  运动功能

Abstract:

Objective To observe the neuroprotective effect of liraglutide( LRG) on spinal cord injury( SCI) rats, and to explore whether its mechanism is related to inhibiting ferroptosis. Methods A total of 90 female Wistar rats were randomly divided into sham group( n=30), SCI group( n=30) and LRG+SCI group( n=30). A rat model of SCI was established using the modified Allen’s method. For the SCI+LRG group, LRG (200 µg/kg) was administered immediately via subcutaneous injection( s.c.) following SCI, and then subsequently given once a day for the next ten days. Animals in both the sham and SCI group were administrated with equal volumes of sterile PBS. The iron content and glutathione( GSH) level in spinal cord were detected by the kit at 24, 48 and 72 h after operation. The expression levels of xCT and GPX4 protein were analyzed by Western blot. The BBB locomotion rating scale was used to investigate the hindlimb function 1, 3, 7, 14, 28 days after injury. HE staining and Nissl Staining were performed to evaluate the structural damage and surviving neurons around the injured area 28 days after operation, and the neuron apoptosis was detected by immunofluorescence staining. Results. Compared with the sham operation group, the iron content in SCI group was significantly increased within 3 days after injury (P<0.05), and GSH level was significantly decreased (P<0.05). LRG treatment effectively decreased the iron contents in injured spinal cords( P<0.05), and increased GSH level (P<0.05). In addition, LRG treatment significantly increased the expression levels of xCT and GPX4 in injured spinal cords( P<0.01). Compared with SCI group, the BBB score of LRG group was significantly higher at 7, 14 and 28 days after injury (P<0.05). HE staining and Nissl staining showed that cavity of damaged regions of LRG group was lower than that of SCI group (P<0.05), and the number of motoneurons in the spinal ventral horn of rat treated with LRG was higher than that of SCI group (P<0.05). Immunofluorescence staining showed that the ratio of cleaved-caspase 3-positive neurons was remarkably increased after SCI( P<0.05) and LRG significantly reduced the ratio of cleaved-caspase 3-positive neurons( P<0.05). Conclusion LRG treatment after SCI may promote SCI repair, protect damaged neurons and restore motor function through inhibiting ferroptosis in the microenvironment at the lesion site.

Key words: Liraglutide,  Ferroptosis,  Spinal cord injury,  Neuroprotection,  Motor function