Differential gene expression in multiple neurological, inflammatory and connective tissue pathways in a spontaneous model of human small vessel stroke.

Differential gene expression in multiple neurological, inflammatory and connective tissue pathways in a spontaneous model of human small vessel stroke.
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DOI:
10.1111/nan.12116
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发表时间:
2014-12
影响因子:
5
通讯作者:
Wardlaw JM
Wardlaw JM
中科院分区:
医学2区
文献类型:
--
作者:
Bailey EL;McBride MW;Beattie W;McClure JD;Graham D;Dominiczak AF;Sudlow CL;Smith C;Wardlaw JM

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脑部小血管疾病(SVD)导致五分之一的中风加上弥漫性脑损伤,导致认知能力下降、身体残疾和痴呆症。SVD的病因和发病机制尚不清楚,但主要归因于高血压或微动脉粥样硬化。我们使用自发性高血压卒中易感大鼠(SHRSP),这是最接近人类SVD的自发实验模型,并与年龄匹配的对照组大鼠在相同的非盐负荷条件下,在5、16和21周时对SHRSP中SVD常见的两个脑区(额叶和冠中)进行了mRNA微阵列、qRT-PCR和通路分析。我们发现了基因表达异常,与内皮紧密连接(减少)、一氧化氮生物利用度(降低)、髓鞘形成(受损)、胶质和小胶质细胞活性(增加)、基质蛋白(受损)、血管反应性受损(受损)和白蛋白(降低)相关的10个差异表达基因的倍数变化从2.5到59不等,与同一大鼠的蛋白质表达缺陷一致。所有人都是在5周大时出现的,因此在血压升高之前就出现了。“神经”和“炎症”途径比“血管”功能途径受到的影响更大。这一组缺陷虽然单独存在,但与对照组大鼠相比,当联合作用时,可以解释SHRSP对微血管和脑损伤的易感性。类似的组合,个别轻微,但多个神经血管单位缺陷,可以解释对自发性人类SVD的易感性。
Cerebral small vessel disease (SVD) causes a fifth of all strokes plus diffuse brain damage leading to cognitive decline, physical disabilities and dementia. The aetiology and pathogenesis of SVD are unknown, but largely attributed to hypertension or microatheroma. We used the spontaneously hypertensive stroke-prone rat (SHRSP), the closest spontaneous experimental model of human SVD, and age-matched control rats kept under identical, non-salt-loaded conditions, to perform a blinded analysis of mRNA microarray, qRT-PCR and pathway analysis in two brain regions (frontal and mid-coronal) commonly affected by SVD in the SHRSP at age five, 16 and 21 weeks. We found gene expression abnormalities, with fold changes ranging from 2.5 to 59 for the 10 most differentially expressed genes, related to endothelial tight junctions (reduced), nitric oxide bioavailability (reduced), myelination (impaired), glial and microglial activity (increased), matrix proteins (impaired), vascular reactivity (impaired) and albumin (reduced), consistent with protein expression defects in the same rats. All were present at age 5 weeks thus predating blood pressure elevation. ‘Neurological’ and ‘inflammatory’ pathways were more affected than ‘vascular’ functional pathways. This set of defects, although individually modest, when acting in combination could explain the SHRSP's susceptibility to microvascular and brain injury, compared with control rats. Similar combined, individually modest, but multiple neurovascular unit defects, could explain susceptibility to spontaneous human SVD.
DOI: 10.1136/bmj.c3666
发表时间: 2010-07-26
期刊: BMJ (Clinical research ed.)
影响因子: --
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期刊: NATURE
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