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吲哚布芬通过抑制NF-κB/Caspase-1/GSDMD通路减轻脑缺血再灌注损伤的作用与机制研究

Indobufen attenuates cerebral ischemia–reperfusion injury by inhibiting the NF-κB/Caspase-1/GSDMD pathway

  • 摘要: 吲哚布芬作为新一代抗血小板药物,已在动物模型中表现出抗血栓作用,但其对脑缺血/再灌注(I/R)损伤的疗效及机制尚待阐明。本研究通过大鼠大脑中动脉闭塞/再灌注(MCAO/R)模型,评估吲哚布芬预处理与后处理的神经保护作用;利用人脐静脉内皮细胞(HUVECs)氧-糖剥夺/复氧(OGD/R)模型探究其体外保护机制,并初步探讨吲哚布芬与NF-κB/Caspase-1/GSDMD介导的细胞焦亡通路的关系。药效学实验表明,吲哚布芬可显著降低MCAO/R大鼠血栓素A2(TXA2)代谢产物TXB2水平、缩小脑梗死体积、减轻脑水肿及神经功能缺损,同时抑制HUVECs焦亡。机制研究表明,其作用可能与通过调控NF-κB/Caspase-1/GSDMD通路抑制细胞焦亡相关。吲哚布芬通过下调NF-κB/Caspase-1/GSDMD通路抑制细胞焦亡,从而对脑I/R损伤发挥保护和治疗作用。

     

    Abstract: Indobufen is a new generation of antiplatelet agents and has been shown to have antithrombotic effects in animal models. However, its therapeutic potential and mechanisms against cerebral ischemia/reperfusion (I/R) injury remain unclear. In this study, we evaluated the in vivo neuroprotective effects of indobufen through both pretreatment and posttreatment regimens in a rat model of middle cerebral artery occlusion/reperfusion (MCAO/R). In vitro, human umbilical vein endothelial cells (HUVECs) subjected to oxygen-glucose deprivation/reoxygenation (OGD/R) were employed to investigate the relationship between indobufen and the pyroptosis-associated NF-κB/Caspase-1/GSDMD pathway. The pharmacodynamic tests revealed that indobufen ameliorated I/R injury by decreasing the level of thromboxane B2 (TXB2), infarct size, brain edema and neurological impairment in rats and rescuing cell pyroptosis in HUVECs. The underlying mechanisms were probably related to pyroptosis suppression by regulating the NF-κB/Caspase-1/GSDMD pathway. Overall, these studies indicate that indobufen exerts protective and therapeutic effects against I/R injury by pyroptosis suppression via downregulating NF-κB/Caspase-1/GSDMD pathway.

     

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