实用医学杂志 ›› 2021, Vol. 37 ›› Issue (4): 446-450.doi: 10.3969/j.issn.1006⁃5725.2021.04.006

• 基础研究 • 上一篇    下一篇

辅酶Q10通过抑制炎症损伤及细胞凋亡保护创伤性颅脑损伤

郑锐哲,毛旻韬,杨西涛,刘玉梅   

  1. 1 上海交通大学医学院附属同仁医院(上海 200336);2 上海交通大学医学院附属第九人民医院(上海 201999

  • 出版日期:2021-02-25 发布日期:2021-02-25
  • 通讯作者: 刘玉梅 E⁃mail:lym1975@shtrhospital.com
  • 基金资助:

    中国博士后科学基金(编号:2017M611585);上海 交通大学医学院附属同仁医院医学名专科(编号:YXMZK005)

Protective effects of coenzyme Q10 on traumatic brain injury by inhibiting inflammatory injury and cell apoptosis

ZHENG Ruizhe,MAO Mintao,YANG Xitao,LIU Yumei   

  1. Shanghai Tongren Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200336,China

  • Online:2021-02-25 Published:2021-02-25
  • Contact: LIU Yumei E⁃mail:lym1975@shtrhospital.com

摘要:

目的 探讨辅酶 Q10(CoQ10)对创伤性颅脑损伤(traumatic brain injury,TBI)后的保护作用 及机制。方法 选取成年雄性C57BL/6小鼠,采用标准电子控制性皮质撞击仪(CCI)进行造模。将小鼠随 机分成假手术组(Sham)、创伤性颅脑损伤组(TBI)、CoQ10 低剂量处理组(LDG)和 CoQ10 高剂量处理组 HDG)。采用实时荧光定量 PCR 检测各组炎症因子 TNF⁃α、IL⁃6、IL⁃1β的表达水平,采用 Western blot 别对 Bcl⁃2、Bax 和活化的 Caspase3(c⁃Caspase⁃3)蛋白的表达进行检测;采用实时荧光定量 PCR Western blot 检测神经再生标记物 GAP43 的表达水平;采用改良型神经功能缺损评分(mNSS)量表及转棒实验评估 小鼠颅脑创伤后损伤程度及神经功能康复。结果 TBI 组相比,LDG HDG 组炎症因子 TNF⁃α、IL⁃6 IL⁃1β的表达水平显著降低,差异有统计学意义(P < 0.05)。与TBI组小鼠相比,LDG和HDG组小鼠的Bcl⁃2 表达水平显著上调,而Bax、c⁃Caspase3表达水平显著降低,Bcl⁃2/Bax比率降低,差异有统计学意义(P < 0.05)。 GAP43的mRNA 及蛋白水平在CoQ 处理后显著增加(P < 0.05)。TBI 后7、14 d,LDG 和HDG 组小鼠的mNSS 评分较 TBI 组显著降低(P < 0.05);而 LDG HDG TBI 组小鼠的转棒实验时间显著延长(P < 0.05)。 结论 CoQ10可能通过减少炎症损伤,降低细胞凋亡水平,从而对TBI 小鼠起到保护作用。

关键词:

Abstract:

Objective To explore the role of coenzyme Q10 in protection of traumatic brain injury(TBI and its potential mechanism. Methods Adult male C57BL/6 mice were randomly selected and a controlled cortical impact(CCI)was used to establish a mouse model. The mice were randomly divided into Sham group,TBI group CoQ10 low⁃dosage group(LDG)and high⁃dosage group(HDG). Expression levels of inflammatory cytokines TNF⁃α IL⁃6,and IL⁃1β were detected by real⁃time PCR. Apoptosis⁃related protein expression of Bcl⁃2,Bax and c⁃Caspase⁃3 were detected by Western blot. And the mRNA and protein levels of GAP43 were measured by both real⁃time PCR and Western blot. The injury degree and recovery of neural function in each group was assessed by using modified neurological severity scores(mNSS)and Rotarod test. Results As compared with TBI group,expression levels of TNF⁃α,IL⁃6,and IL⁃1β were significantly decreased in LDG and HDG(P < 0.05);Bcl⁃2 expression was signifi⁃ cantly increased,while levels of Bax and c⁃Caspase3 markedly decreased and Bcl⁃2/Bax ratio declined(P < 0.05 in LDG and HDG. mRNA and protein levels of GAP43 were elevated after treatment with CoQ(P < 0.05). As com⁃ pared with TBI group,the mNSS scores significantly decrease in LDG and HDG on days 7 and 14 after TBI(P < 0.05); whereas,the Rotarod test time was prolonged(P < 0.05). Conclusions Coenzyme Q10 may play a protective role for the mice with traumatic brain injury through decreasing cell apoptosis and levels of inflammatory factors.

Key words:

traumatic brain injury, coenzyme Q10, inflammatory factors, cell apoptosis