[1]李张珂,马 涛,满明昊,等.辛伐他汀对创伤性脑损伤小鼠继发性炎症抑制作用及机制研究[J].陕西医学杂志,2022,51(11):1332-1336.[doi:DOI:10.3969/j.issn.1000-7377.2022.11.003]
 LI Zhangke,MA Tao,MAN Minghao,et al.Inhibitory effect and mechanism of simvastatin on secondary inflammation in mice with traumatic brain injury[J].,2022,51(11):1332-1336.[doi:DOI:10.3969/j.issn.1000-7377.2022.11.003]
点击复制

辛伐他汀对创伤性脑损伤小鼠继发性炎症抑制作用及机制研究
分享到:

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
51
期数:
2022年11期
页码:
1332-1336
栏目:
基础研究
出版日期:
2022-11-05

文章信息/Info

Title:
Inhibitory effect and mechanism of simvastatin on secondary inflammation in mice with traumatic brain injury
作者:
李张珂1马 涛1满明昊2田 博2
(1.西安国际医学中心医院,陕西 西安 710100; 2.空军军医大学唐都医院,陕西 西安 710038)
Author(s):
LI ZhangkeMA TaoMAN MinghaoTIAN Bo
(Xi'an International Medical Center Hospital,Xi'an 710100,China)
关键词:
创伤性脑损伤 辛伐他汀 炎性反应 炎症因子 小胶质细胞 神经保护
Keywords:
Traumatic brain injury Simvastatin Inflammatory response Inflammatory cytokines Microglia Neuroprotection
分类号:
R 641
DOI:
DOI:10.3969/j.issn.1000-7377.2022.11.003
文献标志码:
A
摘要:
目的:观察辛伐他汀对创伤性脑损伤小鼠的抗炎和神经保护作用并探讨其机制。方法:选择6~8周龄C57成年雄性小鼠36只,随机均分成损伤组(TBI组)、损伤后应用辛伐他汀组(药物干预组,DI组)和假手术组(Sham组); Feency法进行TBI小鼠模型制作,Sham组仅手术打开骨窗而不进行损伤; DI组小鼠造模成功后腹腔注射辛伐他汀,TBI组和Sham组腹腔注射等体积的0.9%氯化钠溶液,连续给药7 d,1次/d。第1、3、7 天后行脑创伤后mNSS评分,对小鼠进行脑组织含水量测定,Western blot法测定炎症信号通路相关蛋白TBK1、TLR4的表达量,利用ELISA法检测损伤区周围脑组织中炎症因子肿瘤坏死因子-α(TNF-α)和白细胞介素1β(IL-1β)的表达,免疫荧光法检测TBI后脑组织中小胶质细胞的活化情况。结果:相比于Sham组,TBI组和DI组小鼠的mNSS评分显著升高(均P<0.001),与TBI组小鼠相比,DI组小鼠的评分明显降低(均P<0.001); 相较于TBI组,DI组的辛伐他汀治疗可以降低小鼠脑组织中TNF-α、IL-1β的表达水平(均P<0.01); 免疫荧光检测结果显示与Sham组相比,TBI组小鼠损伤区周围组织中出现了大量胞体增大、突起变短的活化状态的小胶质细胞,而较TBI组,DI组中活化状态的小胶质细胞的数量明显减少; 相较于TBI组,DI组中的辛伐他汀治疗可以降低炎症信号通路相关蛋白TBK1、TLR4 的表达水平(均P<0.05)。结论:辛伐他汀对小鼠创伤性脑损伤有一定的治疗作用,能够通过抑制小胶质细胞活化,降低炎症因子和炎症信号通路相关蛋白的表达水平从而抑制创伤性脑损伤后的炎性反应,进一步发挥神经保护的作用。
Abstract:
Objective:To observe the anti-inflammatory and neuroprotective effects of simvastatin on mice with traumatic brain injury and explore its mechanism.Methods:A total of 36 adult male C57 mice aged 6 to 8 weeks were randomly divided into craniocerebral injury group(TBI group),simvastatin administration group(DI group)and Sham group,with 12 mice in each group.Feency method was used to make TBI mouse model.In the Sham group,only bone window was opened without percussion.After molding,mice in the DI group were injected with simvastatin intraperitoneally,and mice in the TBI group and Sham group were injected with equal amount of 0.9% sodium chloride solution every 24 hours for 7 times.Post-traumatic mNSS scores were performed after 1st,3rd and 7th days.The water content of mouse brain tissue was measured.Western blot was used to determine TBK1 and TLR4.The levels of TNF-α and IL-1β in the brain tissue around the injured area were measured by ELISA.Immunofluorescence assay was used to detect the activation of microglia in brain tissue after TBI.Results:Compared with Sham group,the mNSS scores of TBI group and DI group were significantly increased(all P<0.001).Compared with TBI group,the mNSS scores of DI group were significantly decreased(all P<0.001).Compared with TBI group,simvastatin treatment in DI group could reduce the expression levels of TNF-α and IL-1β in brain tissue of mice(all P<0.01).Immunofluorescence detection results showed that compared with the Sham group,a large number of activated microglias with enlarged cell bodies and shortened processes appeared in the tissues around the injury area in the TBI group,while the number of activated microglias in the DI group was significantly reduced compared with the TBI group.Compared with TBI group,simvastatin treatment in the DI group reduced inflammatory signaling pathway associated protein TBK1 and TLR4(all P<0.05).Conclusion:Simvastatin has a certain therapeutic effect on traumatic brain injury in mice.Simvastatin can inhibit the inflammatory response after traumatic brain injury by inhibiting microglia activation and reducing the expression levels of inflammatory factors and inflammatory signaling pathway-related proteins,thus playing a further neuroprotective role.

参考文献/References:

[1] 王红斌,智 华,朱庆华,等.脑外伤患者血浆NSE、ET-1的检测及其与近期预后的关系[J].陕西医学杂志,2011,40(9):1215-1218.
[2] 胡珍渊,方永军,徐泽彪,等.淫羊藿苷对重型颅脑损伤大鼠血清S100B蛋白和NSE水平的影响[J].陕西医学杂志,2017,46(2):142-144.
[3] 李 娜,王瑞辉,郭 婕,等.电针对创伤性颅脑损伤大鼠炎症因子表达及神经功能的影响[J].陕西中医,2021,42(10):1358-1362.
[4] 刘兆明,卢 勇.雅安藏茶联合辛伐他汀对高血脂患者血脂水平、颈动脉、治疗依从性的影响[J].陕西中医,2018,39(4):470-472.
[5] 李 建,温伯泉,郭士兵,等.辛伐他汀对肋骨骨折大鼠外周血T细胞亚型及炎症因子表达的影响[J].中国医院用药评价与分析,2021,21(9):1049-1052.
[6] 李建锋,李 巍,史紫堉.辛伐他汀对脑出血大鼠继发性炎症损伤的防治作用及作用机制研究[J].中国合理用药探索,2019,16(2):11-14.
[7] 李丽君,曹孟玲.不同剂量辛伐他汀治疗脑梗死的效果比较[J].临床合理用药杂志,2020,13(28):241-243.
[8] El SM,Saha SK,Afrin S,et al.Simvastatin inhibits Wnt/β-catenin pathway in uterine leiomyoma[J].Endocrinology,2021,334:3263-3269.
[9] 贾文杰.辛伐他汀对脑出血患者神经功能恢复的作用[J].中国实用神经疾病杂志,2015,18(12):117-118.
[10] 陈礼刚,江 涌.重新认识创伤性脑损伤后的神经炎症反应[J].中华神经外科疾病研究杂志,2017,16(4):289-292.
[11] 张兴海,左 楠,周 南,等.富氢水抑制NLRP3炎症小体改善创伤性脑损伤小鼠炎症反应[J].解剖科学进展,2021,27(1):31-34.
[12] 李宝福,刘柏麟,袁 兴,等.参芍口服液抑制NLRP3炎症小体改善创伤性脑损伤小鼠炎性反应实验研究[J].陕西医学杂志,2022,51(5):552-555.
[13] 李佳蕊,罗本燕.神经炎症反应在动物创伤性脑损伤中的研究进展[J].国际神经病学神经外科学杂志,2019, 46(2):214-217.
[14] 赵清辉,罗秋丽,琚芳迪,等.创伤性脑损伤中神经炎症相关细胞的研究进展[J].生物技术进展,2020,10(1):23-29.
[15] 赵雅静,刘明辉,王彦丽,等.辛伐他汀联合曲美他嗪对冠心病心绞痛血液流变学、血管内皮功能和炎症因子的影响[J].湖南师范大学学报:医学版,2020,17(5):166-169.
[16] 孔晓方.辛伐他汀治疗老年高血压的疗效及对外周血内脂素、Hcy水平的影响[J].黑龙江医药科学,2020,43(6):129-130.
[17] 吴 磊,田茂生,钱宇斐.辛伐他汀预防激素诱导性兔股骨头坏死的疗效分析[J].武警后勤学院学报:医学版,2021,30(4):32-35.
[18] 李 君,王丽霞,韩 伟,等.辛伐他汀对肥胖哮喘小鼠气道炎症的作用及其机制[J].中国现代医学杂志,2016, 26(11):7-11.
[19] 徐 巍,王丽霞,刘 欣,等.辛伐他汀对APP/PS1小鼠学习记忆能力及对NLRP3炎症小体的影响[J].解剖科学进展,2020,26(5):555-558.
[20] 宋晓英,冯 丽.辛伐他汀对急性脑梗死患者血浆中PTEN、HIF-1α表达和预后的影响[J].延安大学学报:医学科学版,2021,19(3):32-35.
[21] 李立娟,樊 强.辛伐他汀对脑动脉粥样硬化患者炎性因子和血脂的影响[J].临床医学研究与实践,2018, 3(13):26-27.
[22] 杨玉博.辛伐他汀联合抗栓治疗对脑梗死患者中的血脂及炎性因子水平的影响[J].中国现代药物应用,2015, 23(9):392-393.

相似文献/References:

[1]王敬东,张庆尧.Mfolfox6方案联合西妥昔单抗和辛伐他汀治疗K-Ras突变结直肠癌疗效及对预后的影响[J].陕西医学杂志,2022,51(10):1290.[doi:DOI:10.3969/j.issn.1000-7377.2022.10.028]
 WANG Jingdong,ZHANG Qingyao.Efficacy and prognosis of Mfolfox6 regimen combined with cetuximab and simvastatin in treatment of K-Ras mutant colorectal cancer[J].,2022,51(11):1290.[doi:DOI:10.3969/j.issn.1000-7377.2022.10.028]
[2]申倩伟,马迎春,李 倩,等.乙酰谷酰胺对创伤性颅脑损伤大鼠的作用及机制实验研究[J].陕西医学杂志,2025,54(2):187.[doi:DOI:10.3969/j.issn.1000-7377.2025.02.008]
 SHEN Qianwei,MA Yingchun,LI Qian,et al.Effect and mechanism of acetylglutamine on traumatic brain injury in rats[J].,2025,54(11):187.[doi:DOI:10.3969/j.issn.1000-7377.2025.02.008]

更新日期/Last Update: 2022-11-09