Abstract

Cerebral ischemia/reperfusion (I/R) injury involves complex events of cellular and molecular processes. Previous studies suggest that a neurovascular unit (NVU) acts as an intricate network to maintain the neuronal homeostatic microenvironment. The present study established an NVU model for oxygen-glucose deprivation and reoxygenation (OGD/R) damage, trying to target the major components of the NVU using a coculture of rat neurons, astrocytes, and rat brain microvascular endothelial cells (rBMECs) to investigate the therapeutic effects of troxerutin and cerebroprotein hydrolysate injections (TCHis). The study observed that OGD/R downregulated the expressions of GAP-43, Claudin-5, and AQP-4 obviously detected by Western blotting and immunocytochemical analysis, respectively, while TCHi ameliorated the effect of OGD/R significantly. Meanwhile, TCHi alleviated the abnormalities of ultrastructure of neurons and rBMECs induced by OGD/R. Furthermore, both levels of inflammatory cytokines (IL-1β, IL-6, and TNF-α) and cell adhesion molecules (VCAM-1 and ICAM-1) detected by ELISA in NVU supernatant were found elevated significantly through OGD/R, but TCHi ameliorated the trend. In addition, TCHi also mitigated the increase of proapoptotic factors (Bax, p53, and caspase-3) induced by OGD/R in NVU model statistically. All these findings demonstrated that TCHis played a protective role, which was reflected in anti-inflammation, antiapoptosis, and blood–brain barrier maintenance. The results of the study concluded that the NVU is an ideal target and TCHi acts as a neuroprotective agent against cerebral I/R injuries.

Highlights

  • Cerebral ischemia/reperfusion (I/R) injury is a complex pathological process in the nervous system, resulting in high disability and mortality worldwide, with significant clinical and socioeconomic impacts [1]

  • The present study aimed to investigate the protective effects of troxerutin and cerebroprotein hydrolysate injections (TCHis) on oxygen-glucose deprivation and reoxygenation- (OGD/R-) inducing neurovascular unit (NVU) dysfunction and the possible mechanism

  • The ultrastructures of neurons and rat brain microvascular endothelial cells (rBMECs) were observed by transmission electron microscope (TEM) to confirm the effectiveness of TCHi

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Summary

Introduction

Cerebral ischemia/reperfusion (I/R) injury is a complex pathological process in the nervous system, resulting in high disability and mortality worldwide, with significant clinical and socioeconomic impacts [1]. Reperfusion after ischemia is essential for cell survival, it may have numerous negative consequences such as microvascular damage, cell dysfunction, and cell death. It can attract leukocytes and cause the release of several proinflammatory mediators and the induction of microglia and macrophages [3]. A neurovascular unit (NVU), consisting mainly of microvessels, astrocytes, neurons, extracellular matrix, and other types of gliocytes, is defined as a complete functional and structural unit of the brain [4]. The present study aimed to investigate the protective effects of troxerutin and cerebroprotein hydrolysate injections (TCHis) on oxygen-glucose deprivation and reoxygenation- (OGD/R-) inducing NVU dysfunction and the possible mechanism

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