三叉神经电刺激调控GLT1介导内质网应激影响缺血缺氧性脑病的机制研究
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西北大学附属医院▪西安市第三医院重症医学科

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陕西省自然科学基金(2024JC-YBMS-722)


Study on the mechanism of trigeminal nerve stimulation regulating GLT1-mediated endoplasmic reticulum stress and its influence on hypoxic-ischemic encephalopathy
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三甲

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    摘要:

    【】目的:探讨三叉神经电刺激(TNS)对缺血缺氧性脑病(HIE)的神经保护作用及其潜在机制。方法:采用新生7日龄SD大鼠制备HIE模型,随机分为对照组、HIE模型组(模型组)、TNS干预组(模型+TNS组)及TNS+谷氨酸转运体1(GLT1)抑制剂组(HIE+TNS+Dihydrokainic acid组)。通过负地祛地性测试和旋转杆测试评估短期及长期神经行为,分别使用TTC染色、HE染色、qRT-PCR、Western blot、ELISA法检测脑梗死体积、脑组织病理损伤、GLT1的表达水平,内质网应激(ERS)相关蛋白、炎性因子水平。结果:模型组脑梗死严重,神经元肿胀、核固缩,胞质深染,可见大量炎性细胞浸润,与对照组相比,模型组的GLT1的表达水平显著降低,翻转180度所需时间显著增长,跌落时间显著缩短,葡萄糖调节蛋白78(GRP78)表达升高(P<0.05)。与模型组相比,模型组+TNS的GLT1表达升高,翻转180度所需时间显著减短,跌落时间显著增长,GRP78、表达、肿瘤坏死因子-α(TNF-α)水平显著降低(P<0.05)。与模型组+TNS相比,模型组+TNS+Dihydrokainic acid组脑梗死有所加重,GLT1的表达水平降低,TNF-α水平、GRP78表达升高(P<0.05)。结论:TNS通过上调GLT1表达,抑制ERS介导的神经元凋亡通路,发挥对HIE的神经保护作用。

    Abstract:

    【】Objective: To explore the neuroprotective effect of trigeminal nerve stimulation (TNS) on hypoxic-ischemic encephalopathy (HIE) and its potential mechanism. Methods: Seven-day-old neonatal SD rats were used to establish the HIE model, and the rats were randomly divided into the control group, HIE model group (model group), TNS intervention group (model + TNS group), and TNS + glutamate transporter 1 (GLT1) inhibitor group (HIE + TNS + Dihydrokainic acid group). Short-term and long-term neurobehavior were evaluated by negative geotaxis test and rotarod test. TTC staining, HE staining, qRT-PCR, Western blot, and ELISA were used to quantify ischemic brain lesion volume, pathological damage of brain tissue, expression level of GLT1, levels of endoplasmic reticulum stress (ERS)-related proteins, and levels of inflammatory factors, respectively. Results: The model group showed severe cerebral infarction, with neuronal swelling, nuclear pyknosis, intensely stained cytoplasm and extensive infiltration of inflammatory cells. Compared with the control group, the model group had a significantly decreased expression level of GLT1, a significantly increased time required to turn 180 degrees, a significantly shortened fall-off time, and a significantly increased expression of glucose-regulated protein 78 (GRP78) (P<0.05). Compared with the model group, the model + TNS group had an increased expression level of GLT1, a significantly shortened time required to turn 180 degrees, a significantly prolonged fall-off time, and significantly decreased expressions of GRP78 and levels of tumor necrosis factor-α (TNF-α) (P<0.05). Compared with the model + TNS group, the model + TNS + Dihydrokainic acid group had aggravated cerebral infarction, a decreased expression level of GLT1, and significantly increased levels of TNF-α and expression of GRP78 (P<0.05). Conclusion: TNS exerts a neuroprotective effect on HIE by up-regulating the expression of GLT1 and inhibiting the ERS-mediated neuronal apoptosis pathway.

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陈宜扬,于代华.三叉神经电刺激调控GLT1介导内质网应激影响缺血缺氧性脑病的机制研究[J].实用医院临床杂志,2026,23(3):

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  • 收稿日期:2025-09-03
  • 最后修改日期:2026-02-09
  • 录用日期:2025-10-09
  • 在线发布日期: 2026-08-26
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