不断研究糖尿病的海马病理学,但同时存在酒精和糖尿病联合抗逆转录病毒疗法(cART)对健康的影响,需要进一步研究以描述对海马正常功能有害的毒性。将48只雄性SD大鼠分为8组(n=6):阴性对照(NC),酒精(AL),cART(AV),酒精-CART(AA),糖尿病控制(DB),糖尿病-酒精(DAL),糖尿病-cART(DAV),和糖尿病-酒精-cART(DAA)暴露组。糖尿病诱导和亚慢性(90天)治疗暴露后,海马匀浆的促炎细胞因子和氧化应激(MDA和GPx)使用免疫分析,而凋亡基因(BAX,Bcl2和Caspase-3),胰岛素受体基因(INSR和IRS-1),使用qPCR评估血脑屏障(BBB)连接蛋白(claudin-5和occludin)基因的表达。海马神经元数量的组织形态学,原子核面积,使用Giemsa染色法获取齿状回和神经发生的体积,分别为Ki67和DCX组织化学。作为所有治疗基础的中央海马效应是减少DG神经元数量和抗氧化剂(GPx),强调海马齿状回神经元对糖尿病的重要性,酒精,cart,以及它们的组合相互作用。此外,高架BAX,DAL组的Bcl2和IRS1mRNA水平,以及它们在AA中的下调,提示IRS-1调节的细胞凋亡是由于与使用cART(AA)的酒精相比,酒精治疗在糖尿病(DAL)中的不同调节作用。虽然AA治疗中的相互作用改善了独立的酒精和cART对MDA水平的影响,促炎细胞因子,DCX,AA中的相互作用加剧了INSR表达的缺乏,IRS-1(胰岛素敏感性),和BBBmRNA与糖尿病的病因有关。此外,糖尿病合并症组(DAV,DAL,和DAA)都有海马氧化应激升高的中心作用,巴克斯,和Caspase-3mRNA的表达随着海马神经元数量的减少,齿状回体积,和神经发生,强调这些共病治疗的神经退行性和认知缺陷的含义。考虑到这些发现,对有这些合并症/联合治疗的患者的海马健康状况进行评估是非常有价值的,特别是在糖尿病患者使用酒精联合cART预防治疗时,应谨慎评估.
Hippocampal pathology in diabetes is constantly investigated but the resultant health impact of the concomitant presence of alcohol and combined antiretroviral therapy (cART) in diabetes requires further studies to delineate toxicities inimical to hippocampal normal function. Forty-eight male Sprague Dawley rats were divided into eight groups (n = 6): negative control (NC), alcohol (AL), cART (AV), alcohol-cART (AA), diabetic control (DB), diabetes-alcohol (DAL), diabetes-cART (DAV), and diabetes-alcohol-cART (DAA) exposure groups. Following diabetes induction and sub-chronic (90 days) treatment exposure, hippocampal homogenates were profiled for pro-inflammatory cytokines and oxidative stress (MDA and GPx) using immunoassay, while apoptotic genes (BAX, Bcl2, and Caspase-3), insulin receptor genes (INSR and IRS-1), and blood-brain barrier (BBB) junctional proteins (claudin-5, and occludin) gene expression were assessed using qPCR. Histomorphology of hippocampal neuronal number, nuclei area, and volume of dentate gyrus and neurogenesis were accessed using Giemsa stain, Ki67, and DCX histochemistry respectively. A central hippocampal effect that underpins all treatments is the reduction of DG neuronal number and antioxidant (GPx), highlighting the venerability of the hippocampal dentate gyrus neurons to diabetes, alcohol, cART, and their combinatorial interactions. Additionally, elevated BAX, Bcl2, and IRS1 mRNA levels in the DAL group, and their downregulation in AA, suggests IRS-1-regulated apoptosis due to differential modulating effects of alcohol treatment in diabetes (DAL) in contrast to alcohol with cART (AA). Although the interaction in AA therapy ameliorated the independent alcohol and cART effects on MDA levels, pro-inflammatory cytokines, and DCX, the interaction in AA exacerbated a deficiency in the expression of INSR, IRS-1 (insulin sensitivity), and BBB mRNA which are implicated in the pathogenies of diabetes. Furthermore, the diabetic comorbidity groups (DAV, DAL, and DAA) all share a central effect of elevated hippocampal oxidative stress, BAX, and Caspase-3 mRNA expression with the reduced number of hippocampal neurons, dentate gyrus volume, and neurogenesis, highlighting neurodegenerative and cognitive deficiency implication of these comorbidity treatments. Considering these findings, assessment of hippocampal well-being in patients with these comorbidities/treatment combinations is invaluable and caution is advised particularly in alcohol use with cART prophylaxis in diabetes.