Liu Lingling, Zhang Hongtao, Wang Jiwei, Yu Yonghao, Chen Jun
Department of Anesthesiology, Tianjin Huanhu Hospital, Tianjin Key Laboratory of Cerebral Vascular and Neurodegenerative Diseases, Tianjin 300350, China.
Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin Key Laboratory of Cerebral Vascular and Neurodegenerative Diseases, Tianjin 300350, China.
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2023 May;35(5):513-517. doi: 10.3760/cma.j.cn121430-20220712-00656.
To investigate the effect of hydrogen gas on NOD-like receptor protein 3 (NLRP3) inflammasomes in the cerebral cortex of rats with traumatic brain injury (TBI).
120 adult male Sprague-Dawley (SD) rates were randomly divided into 5 groups (n = 24): sham operation group (S group), TBI model group (T group), TBI+NLRP3 inhibitor MCC950 group (T+M group), TBI+hydrogen gas group (T+H group), TBI+hydrogen gas+MCC950 group (T+H+M group). TBI model was established by controlled cortical impact. NLRP3 inhibitor MCC950 (10 mg/kg) was intraperitoneally injected for 14 consecutive days before TBI operation in T+M and T+H+M groups. 2% hydrogen inhalation was given for 1 hour at 1 hour and 3 hours after TBI operation in T+H and T+H+M groups. At 6 hours after TBI operation, the pericontusional cortex tissues were obtained, the content of Evans blue (EB) was detected to evaluate the permeability of the blood-brain barrier. Water content in brain tissue was detected. The cell apoptosis was detected by TdT-mediated dUTP nick end labeling (TUNEL) and the neuronal apoptosis index was calculated. The expressions of Bcl-2, Bax, NLRP3, apoptosis-associated speck-like protein containing CARD (ASC) and caspase-1 p20 were detected by Western blotting. The levels of interleukins (IL-1β, IL-18) were detected by enzyme-linked immunosorbent assay (ELISA).
Compared with the S group, the content of EB in cerebral cortex, water content in brain tissue, apoptosis index and the expressions of Bax, NLRP3, ASC, caspase-1 p20 in T group were significantly increased, the expression of Bcl-2 was down-regulated, the levels of IL-1β and IL-18 were increased [the content of EB (μg/g): 87.57±6.89 vs. 10.54±1.15, water content in brain tissues: (83.79±2.74)% vs. (74.50±1.19)%, apoptotic index: (62.66±5.33)% vs. (4.61±0.96)%, Bax/β-actin: 4.20±0.44 vs. 1, NLRP3/β-actin: 3.55±0.31 vs. 1, ASC/β-actin: 3.10±0.26 vs. 1, caspase-1 p20/β-actin: 3.28±0.24 vs. 1, Bcl-2/β-actin: 0.23±0.03 vs. 1, IL-1β (ng/g): 221.58±19.15 vs. 27.15±3.27, IL-18 (ng/g): 87.26±7.17 vs. 12.10±1.85, all P < 0.05]. Compared with the T group, the T+M, T+H and T+H+M groups had significant reductions in the content of EB and water content in brain tissue, apoptotic index of the cerebral cortex, the expressions of Bax, NLRP3, and caspase-1 p20 in the brain tissue and the levels of IL-1β and IL-18, significant increases in the expression of Bcl-2. However, there was no significant difference in ASC expression. Compared with the T+H group, the content of EB in the cerebral cortex, water content in brain tissue, and apoptotic index, and the expressions of Bax, NLRP3 and caspase-1 p20 were further down-regulated in T+H+M group, the expression of Bcl-2 was further up-regulated, the levels of IL-1β and IL-18 were further decreased [the content of EB (μg/g): 40.49±3.15 vs. 51.96±4.69, water content in brain tissue: (76.58±1.04)% vs. (78.76±1.16)%, apoptotic index: (32.22±3.44)% vs. (38.54±3.89)%, Bax/β-actin: 1.92±0.16 vs. 2.56±0.21, NLRP3/β-actin: 1.94±0.14 vs. 2.37±0.24, caspase-1 p20/β-actin: 1.97±0.17 vs. 2.31±0.19, Bcl-2/β-actin: 0.82±0.07 vs. 0.52±0.04, IL-1β (ng/g): 86.23±7.09 vs. 110.44±10.48, IL-18 (ng/g): 40.18±3.22 vs. 46.23±4.02, all P < 0.05], but there were no statistical significance in all the indicators between T+M group and T+H group.
The mechanism by which hydrogen gas alleviates TBI may be related to inhibiting NLRP3 inflammasomes in the cerebral cortex of rats.
探讨氢气对创伤性脑损伤(TBI)大鼠大脑皮质中NOD样受体蛋白3(NLRP3)炎性小体的影响。
将120只成年雄性Sprague-Dawley(SD)大鼠随机分为5组(n = 24):假手术组(S组)、TBI模型组(T组)、TBI+NLRP3抑制剂MCC950组(T+M组)、TBI+氢气组(T+H组)、TBI+氢气+MCC950组(T+H+M组)。采用控制性皮质撞击法建立TBI模型。在T+M组和T+H+M组中,于TBI手术前连续14天腹腔注射NLRP3抑制剂MCC950(10 mg/kg)。在T+H组和T+H+M组中,于TBI手术后1小时和3小时给予2%氢气吸入1小时。在TBI手术后6小时,获取挫伤周围皮质组织,检测伊文思蓝(EB)含量以评估血脑屏障通透性,检测脑组织含水量,采用TdT介导的dUTP缺口末端标记法(TUNEL)检测细胞凋亡并计算神经元凋亡指数,通过蛋白质免疫印迹法检测Bcl-2、Bax、NLRP3、含半胱天冬酶激活和招募结构域的凋亡相关斑点样蛋白(ASC)及半胱天冬酶-1 p20的表达,采用酶联免疫吸附测定法(ELISA)检测白细胞介素(IL-1β、IL-18)水平。
与S组相比,T组大脑皮质中EB含量、脑组织含水量、凋亡指数以及Bax、NLRP3、ASC、半胱天冬酶-1 p20的表达均显著增加,Bcl-2表达下调,IL-1β和IL-18水平升高[EB含量(μg/g):87.57±6.89 vs. 10.54±1.15,脑组织含水量:(83.79±2.74)% vs.(74.50±1.19)%,凋亡指数:(62.66±5.33)% vs.(4.61±0.96)%,Bax/β-肌动蛋白:4.20±0.44 vs. 1,NLRP3/β-肌动蛋白:3.55±0.31 vs. 1,ASC/β-肌动蛋白:3.10±0.26 vs. 1,半胱天冬酶-1 p20/β-肌动蛋白:3.28±0.24 vs. 1,Bcl-2/β-肌动蛋白:0.23±0.03 vs. 1,IL-1β(ng/g):221.58±19.15 vs. 27.15±3.27,IL-18(ng/g):87.26±7.17 vs. 12.10±1.85,均P < 0.05]。与T组相比,T+M组、T+H组和T+H+M组大脑皮质中EB含量、脑组织含水量、大脑皮质凋亡指数、脑组织中Bax、NLRP3及半胱天冬酶-1 p20的表达以及IL-1β和IL-18水平均显著降低,Bcl-2表达显著增加。然而,ASC表达无显著差异。与T+H组相比,T+H+M组大脑皮质中EB含量、脑组织含水量、凋亡指数以及Bax、NLRP3和半胱天冬酶-1 p20的表达进一步下调,Bcl-2表达进一步上调,IL-1β和IL-18水平进一步降低[EB含量(μg/g):40.49±3.15 vs. 51.96±4.69,脑组织含水量:(76.58±1.04)% vs.(78.76±1.16)%,凋亡指数:(32.22±3.44)% vs.(38.54±3.89)%,Bax/β-肌动蛋白:1.92±0.16 vs. 2.56±0.21,NLRP3/β-肌动蛋白:1.94±0.14 vs. 2.37±0.24,半胱天冬酶-1 p20/β-肌动蛋白:1.97±0.17 vs. 2.31±0.19,Bcl-2/β-肌动蛋白:0.82±0.07 vs. 0.52±0.04,IL-1β(ng/g):86.23±7.09 vs. 110.44±10.48,IL-18(ng/g):40.18±3.22 vs. 46.23±4.02,均P < 0.05],但T+M组和T+H组之间所有指标均无统计学意义。
氢气减轻TBI的机制可能与抑制大鼠大脑皮质中的NLRP3炎性小体有关。