Abstract
Objective To investigate the effect of autophagy response on neurological functions and the role of mitogen-activated protein kinases (MAPKs) signaling pathway in rats after traumatic brain injury (TBI). Methods Fifty-four healthy male SD rats were randomly divided into sham-operated group, TBI group and TBI+autophagy inhibitor 3-methyladenine (3-MA) group (n=18). TBI animal models of the later two groups were established using Feeney's method. Rats in the sham-operated group were only performed bone window opening without knock; rats in the TBI+3-MA group were given intraperitoneal injection of 3-MA(5 mg/kg) 30 min after modeling and rats in the other two groups were given the same volume of normal saline. Three and 7 d after modeling, the protein levels of S100B and neuron specific enolase (NSE) in serum were tested with enzyme linked immunosorbent assay (ELISA); modified neurologic severity scale (mNSS) was used to detect the movement, sense and reflex functions; brain water content was measured with wet-dry weight method. The autophagy related factors (LC3-II and Beclin-1) and MAPKs signaling pathway related factors (c-Jun N-terminal kinase [JNK], phosphorylated [p]-JNK, extracellular signal-regulated kinase [ERK]1/2, p-ERK1/2, p38MAPK and p-p38MAPK) protein expressions in TBI cerebral cortex were determined by Western blotting. Results As compared with those in the sham-operated group, the brain edema level, mNSS scores, and S100B and NSE protein levels in the TBI group and TBI+3-MA group were significantly increased (P< 0.05); TBI+3-MA group had significantly lower brain edema level, mNSS scores, and S100B and NSE protein levels than TBI group (P<0.05). The expression levels of autophagy and MAPKs signaling pathway related factors in the TBI group and TBI+3-MA group were significantly higher as compared with those in the sham-operated group (P<0.05). As compared with the TBI group, TBI+3-MA group had significantly decreased levels of LC3-II, Beclin-1 and activation of JNK and p-p38MAPK signaling pathways (P<0.05). Conclusion Suppressing autophagy response markedly improves neurological outcomes after TBI, possibly mediated by inhibiting activation of JNK and p38MAPK signaling pathways. Key words: Traumatic brain injury; Neuroprotection; Autophagy; Mitogen-activated protein kinase signaling pathway
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