Goreisan Inhibits Upregulation of Aquaporin 4 and Formation of Cerebral Edema in the Rat Model of Juvenile Hypoxic-Ischemic Encephalopathy.

Goreisan Inhibits Upregulation of Aquaporin 4 and Formation of Cerebral Edema in the Rat Model of Juvenile Hypoxic-Ischemic Encephalopathy.
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DOI:
10.1155/2017/3209219
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发表时间:
2017
期刊:
Evidence-based complementary and alternative medicine : eCAM
影响因子:
--
通讯作者:
Fukuda M
Fukuda M
中科院分区:
其他
文献类型:
--
作者:
Yano Y;Yano H;Takahashi H;Yoshimoto K;Tsuda S;Fujiyama K;Izumo-Shimizu Y;Motoie R;Ito M;Tanaka J;Ishii E;Fukuda M

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继发性脑水肿调节在缺氧缺血性脑病(HIE)中具有预后意义,水通道蛋白4(AQP4)在脑水肿的发病机制中发挥重要作用。日本传统草药Goreisan可缓解成人脑水肿;然而,其对儿童的作用和药理机制尚不清楚。我们在幼年大鼠模型中研究了 Goreisan 对 HIE 相关脑水肿和 AQP4 表达的影响,该模型是通过大脑中动脉和颈总动脉联合闭塞建立的。磁共振成像显示,术后 24 小时和 48 小时,Goreisan(2 g/kg)治疗组的病变面积明显小于未治疗(盐水)组。术后36小时,与未治疗组相比,Goreisan组病变侧和非病变侧的AQP4 mRNA水平显着受到抑制。 Western blotting结果显示,与未治疗组相比,Goreisan组术后72小时病灶侧AQP4蛋白水平显着降低,但术后12小时或36小时无显着降低。 14 天后,Goreisan 组的存活率显着提高。这些发现表明,Goreisan 可能通过调节 AQP4 表达和功能来抑制 HIE 中的脑水肿并提高幼年大鼠的存活率。
Secondary cerebral edema regulation is of prognostic significance in hypoxic-ischemic encephalopathy (HIE), and aquaporin 4 (AQP4) plays an important role in the pathogenesis of cerebral edema. The traditional Japanese herbal medicine Goreisan relieves brain edema in adults; however, its effect and pharmacological mechanism in children are unknown. We investigated the effects of Goreisan on HIE-associated brain edema and AQP4 expression in a juvenile rat model, established by combined occlusion of middle cerebral and common carotid arteries. Magnetic resonance imaging showed that the lesion areas were significantly smaller in the Goreisan- (2 g/kg) treated group than in the nontreated (saline) group at 24 and 48 h postoperatively. AQP4 mRNA levels in the lesion and nonlesion sides were significantly suppressed in the Goreisan group compared with the nontreated group 36 h postoperatively. Western blotting revealed that levels of AQP4 protein were significantly decreased in the Goreisan group compared with the nontreated group in the lesion side 72 h postoperatively, but not at 12 or 36 h. After 14 days, the Goreisan group had a significantly better survival rate. These findings suggest that Goreisan suppresses brain edema in HIE and improves survival in juvenile rats, possibly via regulation of AQP4 expression and function.
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