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中国临床研究英文版:2026,39(6):945-950,959
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小泛素样修饰物2/3对大鼠脑缺血再灌注损伤时线粒体自噬的影响
(1.康复大学青岛医院麻醉科,山东 青岛 266071;2.康复大学青岛医院医务科,山东 青岛 266071;3.滨州医学院第二临床医学院,山东 烟台 264000;4.滨州医学院烟台附属医院疼痛科,山东 烟台 264000)
Small ubiquitin-like modifier 2/3 on mitochondrial autophagy during cerebral ischemia-reperfusion injury in rats
(1.Department of Anesthesiology, Qingdao Municipal Hospital, Qingdao, Shandong 266071, China;2.Medical Affairs Department, Rehabilitation University Qingdao Hospital, Qingdao, Shandong 266071;3.The Second Clinical Medical College of Binzhou Medical University, Yantai, Shandong 264000;4.Pain Department, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, Shandong 264000)
摘要
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Received:September 15, 2025   Published Online:June 28, 2026
中文摘要: 目的 探讨小泛素样修饰物2/3(SUMO2/3)修饰通过减轻线粒体过度自噬发挥脑保护作用的潜在机制。方法 选择清洁级健康雄性SD大鼠80只,6~8周龄,体质量240~260g,采用随机数字表法分为4组(n=20):假手术组(C组)、脑缺血再灌注组(I/R组)、SUMO特异性酶3(SENP3)抑制组(shSENP3组)和SENP3抑制对照组(shNC组)。除C组外的三组均采用线栓法制备大鼠脑缺血再灌注损伤(CIRI)模型。shSENP3组和shNC组大鼠在造模前3周分别侧脑室注射携带靶向SENP3的短发夹RNA(shRNA)的腺相关病毒(AAV)载体(AAV-sh-SENP3)和其阴性对照剂(AAV-sh-NC),C组仅暴露颈部血管。再灌注24h时行改良神经功能缺损严重程度评分(mNSS)评定。随后麻醉下断头取脑,脑切片2,3,5-氯化三苯基四氮唑(TTC)染色并计算脑梗死体积百分比;取脑皮质缺血半暗带组织,透射电镜、共聚焦显微镜分别观察线粒体和溶酶体相对位置关系及共定位情况,蛋白质印迹法检测线粒体自噬蛋白[微管相关蛋白轻链3(LC3)Ⅰ、LC3Ⅱ、泛素结合蛋白P62(P62)、线粒体外膜转位酶20同源物(TOM20)]、SENP3、总细胞色素C(Cyt C)及胞浆CytC表达水平及SUMO2/3偶联物水平。结果 与C组和shNC组比较,shSENP3组SENP3的表达明显降低(P<0.01),C组与shNC组比较差异无统计学意义(P>0.05)。与C组比较,其余三组mNSS和脑梗死体积占比升高,P62和TOM20表达减少,LC3Ⅱ/Ⅰ、总CytC、胞浆CytC表达上调,SUMO2/3偶联物水平增加(P<0.01);线粒体空泡化明显,线粒体和溶酶体之间距离变小,线粒体与溶酶体共定位增加。与I/R组比较,shSENP3组mNSS和脑梗死体积百分比降低,LC3Ⅱ/Ⅰ、总CytC和胞浆CytC表达下调,P62和TOM20表达上调,SUMO2/3偶联物水平进一步增加(P<0.01),线粒体空泡化减弱,线粒体和溶酶体之间距离变大,线粒体与溶酶体共定位减少。shNC组各指标与I/R组比较差异无统计学意义(P>0.05)。结论抑制SENP3可进一步增加SUMO2/3修饰,减少CIRI时线粒体过度自噬,发挥脑保护作用。
Abstract:Objective To investigate the potential mechanism by which small ubiquitin - like modifier 2/3 protein(SUMO2/3)modification exerts brain protection by reducing excessive mitochondrial autophagy. Methods Eighty clean-grade healthy male SD rats, aged6-8weeks, withabodyweightof240-260g, wererandomlydividedinto4groups(n=20):sham operation group(C group), cerebral ischemia-reperfusion group(I/R group), SUMO-specific protease 3(SENP3)inhibitor group(shSENP3 group), and SENP3 inhibition control group(shNC group). Except for group C, the other three groups were all prepared using the filament method to create a rat cerebral ischemia-reperfusion injury(CIRI)model. Rats in shSENP3 group and shNC group were injected into the lateral ventricle of recombinant adeno-associated virus(AAV)-sh-SENP3(AAV-sh-SENP3)and AAV-sh-NC respectively 3 weeks before modeling, while only the cervical vessels were exposed in C group. At 24 hours of reperfusion, the modified Neurological Deficit Severity Score(mNSS)was used to assess the severity of neurological deficits. Subsequently, the rats were anesthetized and decapitated to obtain the brain, and the brain slices were stained with 2, 3, 5-triphenyltetrazolium chloride(TTC)and the percentage of cerebral infarction volume was calculated. The ischemic penumbra tissue of the cerebral cortex was taken, and the relative positions and co-localization of mitochondria and lysosomes were observed by trans mission electron microscopy and confocal microscopy;the expression levels of mitochondrial autophagy proteins[microtubule-associated protein light chain 3(LC3)Ⅰ, LC3 Ⅱ , ubiquitin - binding protein P62(P62), mitochondrial outer membrane translocation enzyme 20 homolog(TOM20)], SENP3, total cytochrome C(Cyt C), and cytoplasmic Cyt Cand the binding level of SUMO2/3 were detected by Western blot. Results Compared with C group and shNC group, the expression of SENP3 in the shSENP3 group was significantly decreased(P<0.01), and there was no statistically significant difference between C group and shNC group(P>0.05). Compared with C group, the other three groups showed increased mNSS scores and percentage of cerebral infarction volume, decreased expression of P62 and TOM20, upregulated expression of LC3Ⅱ/Ⅰ, total Cyt C, and cytoplasmic-Cyt C, along with increased SUMO2/3 conjugates levels(P<0.01);mitochondrial vacuolation was evident, the distance between mitochondria and lysosomes decreased, and colocalization of mitochondria and lysosomes increased. Compared with I/R group, shSENP3 group showed decreased mNSS and percentage of cerebral infarction volume, downregulated expression of LC3Ⅱ/Ⅰ, T-Cyt C, and cytoplasmic Cyt C, upregulated expression of P62 and TOM20, with further increased levels of SUMO2/3 conjugates(P<0.01);mitochondrial vacuolation weakened, the distance between mitochondria and lysosomes increased, and the co-localization of mitochondria and lysosomes decreased. There was no statistically significant difference in all indicators between the shNC group and the I/R group(P>0.05). Conclusion Inhibiting SENP3 can further increaseSUMO2/3 modification, reduce excessive mitochondrial autophagy during CIRI, and exert brain protection.
文章编号:     中图分类号:R-33 R743.3    文献标志码:A
基金项目:青岛市医药卫生科研项目(2024-WJKY021);青岛市科技惠民示范专项(25-1-5-smjk-16-nsh);青岛市市南区科技计划项目(2023-2-012-YY);青岛市医疗卫生优秀人才培养项目(2025-2027-10)
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