Dexmedetomidine Promotes Angiogenesis After Ischemic Stroke Through the NRF2/HO-1/VEGF Pathway

IF 3.8 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Neurochemical Research Pub Date : 2025-04-09 DOI:10.1007/s11064-025-04394-y
Zhenxing Tao, Pengpeng Li, Yushi Tang, Wenhui Yang, Yilu Li, Jieqiong Yang, Jiajia Tian, Yating Zhang, Yan Zou, Bai Xu, Xudong Zhao
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Abstract

Neurological dysfunction following stroke presents a significant challenge for patients. Recent studies suggest that angiogenesis can improve neurological function and enhance neuronal survival after ischemic stroke. Dexmedetomidine exhibits neuroprotective effects through various mechanisms; therefore, this study aimed to investigate whether it promotes angiogenesis and improves neurological function after stroke. A mouse model of ischemic stroke was developed by embolizing the middle cerebral arteries. Neurological function was assessed using scoring methods, the water maze test, and histological analyses, including Nissl and hematoxylin and eosin staining, to evaluate neuronal survival in the ischemic penumbra. Angiogenesis was observed through immunofluorescence staining, whereas pathway protein expression was analyzed via western blotting. Additionally, a model of oxygen-glucose deprivation/reoxygenation was established in mouse cerebral microvascular cells to conduct angiogenesis-related experiments. Dexmedetomidine reduced cerebral infarction size, alleviated neurological damage, promoted angiogenesis in the ischemic penumbra, and decreased neuronal death through the Nrf2/HO-1/VEGF pathway. However, these neuroprotective effects were reversed by the NRF2 inhibitor ML385. In vitro, dexmedetomidine enhanced the proliferation, migration, and tube-formation of cerebral microvascular cells in mice. ML385 also reversed the protective effects of dexmedetomidine against hypoxia and glucose deprivation-induced axonal damage. Dexmedetomidine enhances angiogenesis, reduces neuronal damage, and promotes cerebral microvascular cell migration and tube formation in the ischemic penumbra of an ischemic stroke mouse model through the Nrf2/HO-1/VEGF pathway.

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右美托咪定通过 NRF2/HO-1/VEGF 通路促进缺血性脑卒中后的血管生成
脑卒中后的神经功能障碍对患者来说是一个重大挑战。近年来的研究表明,血管生成可以改善缺血性脑卒中后的神经功能,提高神经元的存活率。右美托咪定通过多种机制表现出神经保护作用;因此,本研究旨在探讨它是否能促进脑卒中后血管生成和改善神经功能。采用脑中动脉栓塞法建立小鼠缺血性脑卒中模型。采用评分法、水迷宫试验和组织学分析(尼氏染色、苏木精染色和伊红染色)评估缺血半暗区神经元存活情况。免疫荧光染色观察血管生成,western blotting分析途径蛋白表达。建立小鼠脑微血管细胞缺氧-葡萄糖剥夺/再氧合模型,进行血管生成相关实验。右美托咪定通过Nrf2/HO-1/VEGF通路减少脑梗死面积,减轻神经损伤,促进缺血半暗带血管生成,减少神经元死亡。然而,这些神经保护作用被NRF2抑制剂ML385逆转。在体外实验中,右美托咪定增强了小鼠脑微血管细胞的增殖、迁移和管状形成。ML385还逆转了右美托咪定对缺氧和葡萄糖剥夺引起的轴突损伤的保护作用。右美托咪定通过Nrf2/HO-1/VEGF通路促进缺血性脑卒中小鼠模型缺血半暗区血管生成,减轻神经元损伤,促进脑微血管细胞迁移和小管形成。图形抽象
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来源期刊
Neurochemical Research
Neurochemical Research 医学-神经科学
CiteScore
7.70
自引率
2.30%
发文量
320
审稿时长
6 months
期刊介绍: Neurochemical Research is devoted to the rapid publication of studies that use neurochemical methodology in research on nervous system structure and function. The journal publishes original reports of experimental and clinical research results, perceptive reviews of significant problem areas in the neurosciences, brief comments of a methodological or interpretive nature, and research summaries conducted by leading scientists whose works are not readily available in English.
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