南方医科大学学报 ›› 2026, Vol. 46 ›› Issue (9): 2130-2148.doi: 10.12122/j.issn.1673-4254.2026.09.13

• • 上一篇    

金雀异黄酮通过PI3K/AKT/COX-2信号通路调控小胶质细胞极化减轻大鼠脑缺血/再灌注诱导的炎性损伤

李梦佳1,2(), 汪梦哲1,2, 陶宇2,3, 庞懿轩2,3, 李丽1,2, 张小楠1,2(), 赵士弟1,2()   

  1. 1.蚌埠医科大学,病理生理学教研室,安徽 蚌埠 233000
    2.蚌埠医科大学,心脑血管疾病基础与临床重点实验室,安徽 蚌埠 233000
    3.蚌埠医科大学,第一临床医学院,安徽 蚌埠 233000
  • 收稿日期:2026-01-23 出版日期:2026-09-20 发布日期:2026-09-30
  • 通讯作者: 张小楠,赵士弟 E-mail:2325510327@qq.com;zhangxn@bbmu.edu.cn;zhsdi@126.com
  • 作者简介:李梦佳,在读硕士研究生,E-mail: 2325510327@qq.com
  • 基金资助:
    安徽省教育厅自然科学重大研究项目(KJ2021ZD0091);国家级大学生创新项目(202410367022)

Genistein alleviates cerebral ischemia/reperfusion-induced inflammatory injury in rats by regulating microglial polarization via the PI3K/AKT/COX-2 signaling pathway

Mengjia LI1,2(), Mengzhe WANG1,2, Yu TAO2,3, Yixuan PANG2,3, Li LI1,2, Xiaonan ZHANG1,2(), Shidi ZHAO1,2()   

  1. 1.Department of Pathophysiology, Bengbu Medical University, Bengbu 233000, China
    2.Key Laboratory of Basic and Clinical Research on Cardiovascular and Cerebrovascular Diseases, Bengbu Medical University, Bengbu 233000, China
    3.First Clinical Medical College, Bengbu Medical University, Bengbu 233000, China
  • Received:2026-01-23 Online:2026-09-20 Published:2026-09-30
  • Contact: Xiaonan ZHANG, Shidi ZHAO E-mail:2325510327@qq.com;zhangxn@bbmu.edu.cn;zhsdi@126.com

摘要:

目的 探讨金雀异黄酮(GEN)通过PI3K/AKT/COX-2信号通路减轻脑缺血/再灌注诱导的小胶质细胞神经炎症反应,并阐明其对共培养神经元的保护作用。 方法 在体实验采用 SD大鼠构建I/R模型,分为对照组(CON组)、缺血/再灌注组(I/R组)、不同剂量GEN预处理组(I/R+GEN25/50/100 mg/kg),10只/组,检测小胶质细胞极化标志物(CD86、CD206)、炎症因子及PI3K、AKT、COX-2表达。离体实验选用BV2细胞建立OGD/R模型,筛选GEN无毒性浓度,实验分为正常培养组(CON组)、氧糖剥夺/复氧模型组(OGD/R组)、GEN干预组(OGD/R+GEN组)、PI3K敲低模型组(si-PI3K+OGD/R组)、PI3K敲低联合GEN干预组(si-PI3K+OGD/R+GEN组)、PI3K激动剂模型组(740Y-P+OGD/R组)以及PI3K激动剂联合GEN干预组(740Y-P+OGD/R+GEN组),检测小胶质细胞极化表型变化、炎症因子与PI3K、AKT、COX-2表达。神经元-小胶质细胞共培养体系检测神经元凋亡率、细胞活性以及相关凋亡蛋白的表达变化。 结果 与CON组比,I/R组小胶质细胞呈M1型极化(CD86、IL-6、IL-8、IL-1β、TNF-α、PI3K、AKT、COX-2上调,IL-4、TGF-β下调,P<0.0001)。GEN干预可逆转此现象,抑制M1极化、促炎因子及PI3K/AKT/COX-2通路,促进M2极化(CD206、IL-5、IL-10、IL-4、TGF-β上调,P<0.01)。COX-2抑制剂(Celecoxib)效果与GEN类似,均能下调M1标志物及TNF-α、PI3K、AKT、COX-2,上调M2标志物与TGF-β(P<0.0001)。OGD/R诱导的小胶质细胞M1极化与促炎反应同样被GEN抑制,表现为CD86、IL-1β、IL-6下调,CD206、IL-4、IL-10上调(P<0.01)。敲低PI3K模拟了GEN的保护效应(M1/促炎因子下调,M2/抗炎因子上调,P<0.05),而激活PI3K(740Y-P)则抵消了GEN的部分效果。在神经元-小胶质细胞共培养体系中,GEN处理降低OGD/R诱导的神经元凋亡率,恢复细胞活力,并伴随Cleaved Caspase-3、Bax下调及Bcl-2、BDNF上调(P<0.05)。 结论 GEN下调PI3K/AKT/COX-2通路调控小胶质细胞向M2型极化,减轻脑缺血/再灌注诱导的神经炎症损伤。

关键词: 金雀异黄酮, 脑缺血/再灌注, 氧糖剥夺/复氧细胞模型, 小胶质细胞极化, 神经炎症, PI3K/AKT/COX-2通路

Abstract:

Objective To investigate the mechanism of genistein for alleviating cerebral ischemia/reperfusion (I/R)-induced neuroinflammation in microglia and its protective effects on co-cultured neurons. Methods Male SD rats were divided into control group, I/R group, and 3 genistein groups treated with 25, 50 or 100 mg/kg genistein before I/R modeling (n=10), and the expressions of microglial polarization markers CD86 and CD206, inflammatory cytokines, PI3K, AKT, and COX-2 were examined. In cultured BV-2 cells with oxygen-glucose deprivation/reperfusion (OGD/R), the effects of genistein, si‑PI3K, genistein combined with si‑PI3K, 740Y‑P (a PI3K agonist), or 740Y‑P with genistein on microglial polarization, inflammatory factors, and PI3K, AKT and COX-2 expressions were assessed. In a neuron‑microglia co‑culture system, the changes in neuronal apoptosis rate, cell viability, and apoptosis‑related proteins in response to genistein treatment were detected. Results The rat models of I/R exhibited obvious M1 polarization of the microglia, as shown by upregulated CD86, IL‑6, IL‑8, IL‑1β, TNF‑α, PI3K, AKT, and COX‑2 expressions and downregulated IL‑4 and TGF‑β expressions. Genistein treatment effectively reversed M1 polarization of the microglia, downregulated pro‑inflammatory factors and the PI3K/AKT/COX‑2 pathway, and promoted M2 polarization of the microglia in the mouse models. The COX‑2 inhibitor celecoxib produced similar effects to genistein by decreasing the expressions of M1 markers, TNF‑α, PI3K, AKT, and COX‑2 and increasing M2 markers and TGF‑β expression. In cultured BV-2 cells, genistein significantly inhibited OGD/R‑induced M1 polarization and pro‑inflammatory responses, and such protective effects were mimicked by PI3K knockdown, whereas PI3K activation by 740Y‑P partially counteracted the effects of genistein. In the neuron‑microglia co‑culture system, genistein obviously reduced OGD/R‑induced neuronal apoptosis, enhanced cell viability, decreased cleaved caspase‑3 and Bax expressions, and increased Bcl‑2 and BDNF expressions. Conclusion Genistein alleviates cerebral I/R-induced neuroinflammatory injury in rats by promoting M2 polarization of the microglia via downregulating the PI3K/AKT/COX‑2 pathway.

Key words: genistein, cerebral ischemia-reperfusion, oxygen-glucose deprivation/reperfusion, microglia polarization, neuroinflammation, PI3K/AKT/COX-2 pathway