目的:缺氧缺血性脑损伤(HIBD)是新生儿脑损伤的主要原因。骨髓间充质干细胞(BMSCs)显示出治疗HIBD的潜力,和基因修饰可以增强它们的神经保护作用。这项研究的目的是研究肝细胞生长因子(HGF)过表达的BMSCs(BMSCs-HGF)对HIBD的神经保护作用及其潜在机制。
方法:使用腺病毒载体用HGF转染BMSCs。建立HIBD模型,然后通过脑室内注射将BMSCs移植到HIBD大鼠的脑内。2,3,5-氯化三苯基四唑(TTC)染色用于测量脑梗死体积。体外,将原代培养的皮质神经元与BMSCs在Transwell板系统中共培养。氧糖剥夺(OGD)用于模拟缺氧缺血性损伤,和PD98059加入到培养基中以阻断细胞外信号调节激酶(ERK)的磷酸化。使用TUNEL染色确定细胞凋亡。免疫荧光法检测HGF的表达,实时定量PCR(RT-qPCR),和西方印迹。通过蛋白质印迹测量磷酸化ERK(p-ERK)和B细胞淋巴瘤2(Bcl-2)的表达。
结果:HGF基因转染促进BMSC增殖。此外,BMSCs-HGF减少了HIBD诱导的脑梗死体积,增强了BMSCs对HIBD的保护作用。BMSCs-HGF也增加了HGF的表达,p-ERK,和脑组织中的Bcl-2。体外,BMSC-HGF保护神经元免受OGD诱导的细胞凋亡。ERK磷酸化的抑制消除了BMSCs-HGF对OGD的神经保护作用。
结论:BMSCs-HGF是治疗HIBD的潜在方法,ERK/Bcl-2通路参与潜在的神经保护机制。
OBJECTIVE: Hypoxic-ischemic brain damage (HIBD) is a major cause of brain injury in neonates. Bone marrow mesenchymal stem cells (BMSCs) show therapeutic potential for HIBD, and genetic modification may enhance their neuroprotective effects. The goal of this study was to investigate the neuroprotective effects of hepatocyte growth factor (HGF)-overexpressing BMSCs (BMSCs-HGF) against HIBD and their underlying mechanisms.
METHODS: BMSCs were transfected with HGF using adenoviral vectors. HIBD models were established and then BMSCs were transplanted into the brains of HIBD rats via intraventricular injection. 2,3,5-Triphenyltetrazolium chloride (TTC) staining was used to measure cerebral infarction volumes. In vitro, primary cultured cortical neurons were co-cultured with BMSCs in a Transwell plate system. Oxygen-glucose deprivation (OGD) was applied to imitate hypoxic-ischemic insult, and PD98059 was added to the culture medium to block the phosphorylation of extracellular signal-regulated kinase (ERK). Cell apoptosis was determined using TUNEL staining. The expression of HGF was measured by immunofluorescence, real-time quantitative PCR (RT-qPCR), and western blots. The expression of phosphorylated ERK (p-ERK) and B-cell lymphoma-2 (Bcl-2) was measured by western blots.
RESULTS: HGF-gene transfection promoted BMSC proliferation. Moreover, BMSCs-HGF decreased HIBD-induced cerebral infarction volumes and enhanced the protective effects of the BMSCs against HIBD. BMSCs-HGF also increased expression of HGF, p-ERK, and Bcl-2 in brain tissues. In vitro, BMSC-HGF protected neurons against OGD-induced apoptosis. Inhibition of ERK phosphorylation abolished the neuroprotective effect of BMSCs-HGF against OGD.
CONCLUSIONS: BMSCs-HGF is a potential treatment for HIBD and that the ERK/Bcl-2 pathway is involved in the underlying neuroprotective mechanism.