南方医科大学学报 ›› 2025, Vol. 45 ›› Issue (4): 774-784.doi: 10.12122/j.issn.1673-4254.2025.04.13

• • 上一篇    

水晶兰苷通过抑制PI3K/AKT信号通路减少神经元凋亡改善脊髓损伤后小鼠的运动功能

陈悦1,2(), 肖林雨1,2, 任侣1,2, 宋雪3,5, 李静4,5, 胡建国4,5()   

  1. 1.蚌埠医科大学第一附属医院,康复科,安徽 蚌埠 233004
    2.蚌埠医科大学检验医学院,安徽 蚌埠 233030
    3.蚌埠医科大学第一附属医院,中心实验室,安徽 蚌埠 233004
    4.蚌埠医科大学第一附属医院,检验科,安徽 蚌埠 233004
    5.蚌埠医科大学第一附属医院,炎症相关性疾病基础与转化研究安徽省重点实验室,安徽 蚌埠 233004
  • 收稿日期:2024-09-09 出版日期:2025-04-20 发布日期:2025-04-28
  • 通讯作者: 胡建国 E-mail:cyue0308@163.com;jghu9200@bbmc.edu.cn
  • 作者简介:陈 悦,在读硕士研究生,E-mail: cyue0308@163.com
  • 基金资助:
    国家自然科学基金(82071360);蚌埠医学院第一附属医院高水平科技创新团队(BYYFY2022TD002)

Monotropein improves motor function of mice with spinal cord injury by inhibiting the PI3K/AKT signaling pathway to suppress neuronal apoptosis

Yue CHEN1,2(), Linyu XIAO1,2, Lü REN1,2, Xue SONG3,5, Jing LI4,5, Jianguo HU4,5()   

  1. 1.Department of Rehabilitation Medicine, First Affiliated Hospital of Bengbu Medical University, Bengbu 233004, China
    2.College of Laboratory Medicine, Bengbu Medical University, Bengbu 233030, China
    3.Central Laboratory, First Affiliated Hospital of Bengbu Medical University, Bengbu 233004, China
    4.Clinical Laboratory, First Affiliated Hospital of Bengbu Medical University, Bengbu 233004, China
    5.Key Laboratory of Basic and Translational Research on Inflammation-Related Diseases of Anhui Province, First Affiliated Hospital of Bengbu Medical University, Bengbu 233004, China
  • Received:2024-09-09 Online:2025-04-20 Published:2025-04-28
  • Contact: Jianguo HU E-mail:cyue0308@163.com;jghu9200@bbmc.edu.cn
  • Supported by:
    National Natural Science Foundation of China(82071360)

摘要:

目的 探究水晶兰苷(Mon)对脊髓损伤(SCI)小鼠运动功能的影响及其作用机制。 方法 采用脊髓撞击仪构建脊髓损伤小鼠模型,将小鼠随机分为Sham组、SCI组和SCI+Mon组,15只/组,SCI+Mon组小鼠每日腹腔注射0.2 mL的Mon溶液,其余2组注射等量生理盐水。利用巴索小鼠量表(BMS)运动评分、斜板实验、足迹测试来评估小鼠的运动功能;通过苏木精-伊红、快蓝、尼氏染色观察SCI小鼠脊髓组织的病理学改变和神经元数量;通过GO功能富集和KEGG通路富集分析Mon在SCI中的生物学功能和作用机制;采用免疫荧光同时标记NeuN和cleaved-caspase3、Western blotting检测凋亡蛋白分析Mon对SCI小鼠脊髓中神经元凋亡的影响;培养小鼠海马神经元HT22细胞,利用Tunel染色分析Mon对HT22细胞凋亡的影响;结合体内外样本,采用Western blotting检测Mon对PI3K/AKT信号通路的影响,并增加回复实验检测加入通路激活剂后对神经元的凋亡及SCI小鼠运动恢复的影响。 结果 在体实验发现,相较于SCI组,SCI+Mon组小鼠的BMS评分、斜板实验角度、足迹测试评分均升高(P<0.01),脊髓损伤面积减小、髓鞘保留和神经元数量增加(P<0.01);生信分析发现Mon在SCI中可能发挥抗凋亡作用且与PI3K/AKT信号通路有关;免疫荧光结果显示,SCI+Mon组比SCI组小鼠神经元凋亡数量减少(P<0.01);Western blotting数据表明,Mon干预后小鼠脊髓中cleaved-caspase3和Bax的蛋白水平降低,而Bcl-2的表达量升高(P<0.05);体外实验也发现Mon可改善TNF-α诱导的HT22细胞凋亡(P<0.01);Mon能够抑制PI3K/AKT信号通路的激活(P<0.01);加入该通路的激活剂后,HT22细胞凋亡增加(P<0.01),cleaved-caspase3和Bax蛋白表达降低,而Bcl-2的表达量升高(P<0.05),且SCI小鼠的运动功能加剧(P<0.01)。 结论 Mon可通过减少神经元的凋亡促进SCI小鼠运动功能恢复,其作用机制可能与抑制PI3K/AKT信号通路有关。

关键词: 水晶兰苷, 脊髓损伤, 神经元, 凋亡, PI3K/AKT

Abstract:

Objective To investigate the effect of monotropein on motor function recovery of mice with spinal cord injury (SCI) and explore the underlying mechanism. Methods Forty-five adult female C57BL/6 mice were randomized equally into sham operation group, SCI group, and SCI group with daily intraperitoneal monotropein injection. The mice in the former two groups received daily saline injections. Motor function of the mice was evaluated using BMS scores, slant plate test, and footprint analyses. Pathological changes and neuronal counts in the spinal cord were observed using HE, LFB, and Nissl staining. The biological functions of monotropein were explored using GO and KEGG enrichment analyses. NeuN/cleaved caspase-3 immunofluorescence assay and Western blotting were used to detect neuronal apoptosis in the spinal cord of the mice. In cultured HT22 cells, the effect of monotropein on TNF-α-induced cell apoptosis was evaluated using TUNEL staining and Western blotting. In monotropein-treated HT22 cells and SCI mice, the changes in the PI3K/AKT pathway were examined, and the effect of a PI3K/AKT pathway activator (IGF-1) on HT22 cell apoptosis and motor function recovery of SCI mice were observed. Results SCI mice with monotropein treatment showed significantly improved motor functions with reduced SCI areas and increased myelin retention and neuron counts in the spinal cord. Bioinformatics analysis suggested a role of PI3K/AKT signaling pathway in mediating the anti-apoptotic effects of monotropein. In SCI mice, monotropein obviously reduced apoptotic neurons, decreased expressions of cleaved caspase-3 and Bax and increased Bcl-2 expression in the spinal cord. In HT22 cells, monotropein significantly inhibited TNF-α-induced apoptosis and PI3K/AKT pathway activation. Treatment with IGF-1 obviously increased apoptosis of HT22 cells and exacerbated locomotor dysfunction in SCI mice. Conclusion Monotropein promotes motor function recovery in SCI mice by reducing neuronal apoptosis possibly by inhibiting the PI3K/AKT signaling pathway.

Key words: monotropein, spinal cord injury, neurons, apoptosis, PI3K/AKT