Peripheral administration of fetuin-A attenuates early cerebral ischemic injury in rats.

Peripheral administration of fetuin-A attenuates early cerebral ischemic injury in rats.
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DOI:
10.1038/jcbfm.2009.247
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发表时间:
2010-03
期刊:
Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism
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脑缺血引起的炎症反应由中枢(例如,神经元和小胶质细胞)和浸润性外周免疫细胞(例如,巨噬细胞/单核细胞),并有助于组织损伤的演变。一种普遍存在的分子,精胺,从受损细胞释放,并反调节各种促炎细胞因子的释放。然而,精胺介导的抗炎活性依赖于胎球蛋白-A的可用性,胎球蛋白-A是一种肝源性负急性期蛋白。使用局灶性脑缺血的动物模型(即,永久性大脑中动脉闭塞(MCAo)后,我们发现缺血脑组织中胎球蛋白-A的水平以时间依赖性方式升高,在MCAo后2-6小时之间开始,在24-48小时左右达到峰值,并在72小时回到基线。当外周给药时,外源性胎球蛋白-A通过血脑屏障进入缺血性脑组织,并在MCAo后24小时剂量依赖性地减少脑梗死体积。同时,胎球蛋白-A有效地减弱:i)缺血诱导的HMGB 1从缺血核心的消耗; ii)中枢-(例如,小胶质细胞)和外周来源的免疫细胞(例如,巨噬细胞/单核细胞);和iii)缺血性脑组织中的TNF产生。总之,这些实验数据表明,胎球蛋白-A是保护对早期脑缺血性损伤,部分通过减弱脑炎症反应。
Cerebral ischemia-elicited inflammatory responses are driven by inflammatory mediators produced both by central (e.g., neurons and microglia) and infiltrating peripheral immune cells (e.g., macrophage/monocyte), and contribute to the evolution of tissue injury. A ubiquitous molecule, spermine, is released from injured cells, and counter-regulates release of various proinflammatory cytokines. However, the spermine-mediated anti-inflammatory activities are dependent on the availability of fetuin-A, a liver-derived negative acute-phase protein. Using an animal model of focal cerebral ischemia (i.e., permanent middle cerebral artery occlusion, MCAo), we found that levels of fetuin-A in the ischemic brain tissue were elevated in a time-dependent manner, starting between 2–6 h, peaking around 24–48 h, and returning towards base-line at 72 h post MCAo. When given peripherally, exogenous fetuin-A gained entry across the blood-brain barrier into the ischemic brain tissue, and dose-dependently reduced brain infarct volume at 24 h post MCAo. Meanwhile, fetuin-A effectively attenuated: i) ischemia-induced HMGB1 depletion from the ischemic core; ii) activation of centrally- (e.g., microglia) and peripherally-derived immune cells (e.g., macrophage/monocytes); and iii) TNF production in ischemic brain tissue. Taken together, these experimental data suggest that fetuin-A is protective against early cerebral ischemic injury partly by attenuating the brain inflammatory response.
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