Cerebral damage after cardiac arrest (CA) and cardiopulmonary resuscitation (CPR) is a primary cause of death. Endoplasmic reticulum stress (ERS) is very important during these situations. This study aimed to explore the role of metformin in protecting brain endoplasmic reticulum post CA/CPR. Male SD rats (n = 132) were treated with 6-min CA-posted asphyxia and sham surgery. Before CA/CPR, metformin (200 mg/kg/day) or a vehicle (0.9% saline) were administered randomly for two weeks. The neurological deficit scores were assessed 24 h, 48 h, 72 h, and 7 days after CA/CPR, and the rat brains were analyzed by Western blotting and qRT-PCR. Apoptosis was detected by the TUNEL assay according to the mitochondrial membrane potential (MMP). Oxidative stress and ERS-related protein expression were also investigated. The Western blotting and qRT-PCR results revealed that the resuscitated animals had time-dependent elevated GRP78 and XBP1 levels compared with the sham operative rats. Moreover, our results showed that the rats treated with metformin had increased neurological deficit scores (NDS), an improved seven-day survival rate, decreased cell apoptosis within the hippocampus CA1 area, and less oxidative stress compared with the CA/CPR group. Furthermore, metformin inhibited the mRNA and protein expressions of glucose-regulated protein 78 (GRP78) and X-box binding protein 1 (XBP1) in the CA/CPR rat model. We confirmed that CA/CPR can induce ERS-related apoptosis and oxidative stress in the brain; moreover, inhibiting ERS-related proteins GRP78 and XBP1 with metformin might attenuate cerebral injury post CA/CPR.
基金:
Health Science and Technology Program of Yunnan Province [2018NS0277]
第一作者机构:[1]Kunming Univ Sci & Technol, Fac Life Sci & Biotechnol, Kunming 650500, Yunnan, Peoples R China[2]Kunming Univ Sci & Technol, Affiliated Hosp, ICU, Kunming 650500, Yunnan, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Kunming Univ Sci & Technol, Fac Life Sci & Biotechnol, Kunming 650500, Yunnan, Peoples R China[3]Kunming Univ Sci & Technol, Affiliated Hosp, Dept Neurol, Kunming 650500, Yunnan, Peoples R China[*1]Faculty of Life Science and Biotechnology, Kunming University of Science and Technology ,Department of Neurology, The Affiliated Hospital of Kunming University of Science and Technology, No.157 Jinbi Road, Xishan District, Kunming, Yunnan, 650500, China
推荐引用方式(GB/T 7714):
Chuan Libo,Huang Xin,Fan Chuming,et al.Metformin ameliorates brain damage caused by cardiopulmonary resuscitation via targeting endoplasmic reticulum stress-related proteins GRP78 and XBP1[J].EUROPEAN JOURNAL OF PHARMACOLOGY.2021,891:doi:10.1016/j.ejphar.2020.173716.
APA:
Chuan, Libo,Huang, Xin,Fan, Chuming,Wen, Shiyuan,Yang, Xiaohua...&Ding, Li.(2021).Metformin ameliorates brain damage caused by cardiopulmonary resuscitation via targeting endoplasmic reticulum stress-related proteins GRP78 and XBP1.EUROPEAN JOURNAL OF PHARMACOLOGY,891,
MLA:
Chuan, Libo,et al."Metformin ameliorates brain damage caused by cardiopulmonary resuscitation via targeting endoplasmic reticulum stress-related proteins GRP78 and XBP1".EUROPEAN JOURNAL OF PHARMACOLOGY 891.(2021)