Mou ZOU, Xue WANG, Yujuan YU, et al. Protective effect of hypoxia-inducible factor-1α on brain injury in mice with necrotizing enterocolitis[J]. Journal of Army Medical University, 2022, 44(10): 1001-1008.
DOI:
Mou ZOU, Xue WANG, Yujuan YU, et al. Protective effect of hypoxia-inducible factor-1α on brain injury in mice with necrotizing enterocolitis[J]. Journal of Army Medical University, 2022, 44(10): 1001-1008. DOI: 10.16016/j.2097-0927.202110078.
Protective effect of hypoxia-inducible factor-1α on brain injury in mice with necrotizing enterocolitis
To investigate the effects of hypoxia inducible factor-1α (HIF-1α) on the brain injury of necrotizing enterocolitis (NEC) mice.
Methods
2
Eighty-one C57BL/6 mice aged 5 d were randomly divided into 4 groups: Control group (CON
n
=15
breastfed
in cages with their mothers)
NEC group (
n
=24
fed in an incubator
with formula milk+hypoxia+oral lipopolysaccharide to induce NEC mouse model)
DMOG group (
n
=19
given HIF-1α stabilizer DMOG on the base of NEC model)
and 2ME2 group (
n
=23
given HIF-1α inhibitor 2ME2 on the base of NEC model). The mortality of mice was recorded during modeling. All mice were sacrificed in 4 d after modeling
and the intestinal pathological features of mice were observed by HE staining. Western blotting and immunohistochemical assay were performed respectively to detect the expression of HIF-1α protein in brain tissue and the numbers of activated microglia
astrocytes and oligodendrocytes in the hippocampus. The mRNA levels of inflammatory cytokines IL-1β and TNF-α were determined by RT-qPCR in brain tissue.
Results
2
As compared with the CON group
the mice of the NEC group showed intestinal tract damage
increased activated microglia (0.80±0.75
vs
4.00±0.63
P
<
0.05) and astrocytes (
P
<
0.05) in the hippocampus
decreased number of oligodendrocytes (64.40±7.26
vs
45.60±2.80
P
<
0.05)
and higher levels of TNF-α
IL-1β and HIF-1α (
P
<
0.05). After intraperitoneal injection of HIF-1α stabilizer DMOG
the survival rate of mice in the DMOG group was increased (66.67%
vs
84.21%
P
<
0.05)
and the intestinal injury was reduced. The activation of microglia (4.00±0.63
vs
1.60±0.49
P
<
0.05) and astrocytes (
P
<
0.05) was inhibited
while the number of oligodendrocytes was elevated (45.60±2.80
vs
56.00±5.22
P
<
0.05)
and the expression of TNF-α and IL-1β was down-regulated (
P
<
0.05). However
intraperitoneal injection of HIF-1α inhibitor 2ME2 resulted in opposite outcomes.
Conclusion
2
HIF-1α is protectively up-regulated in the brain of NEC mice
and its stable and high expression reduces the neuroinflammation in the brain of NEC mice
exerting a protective effect on the brain.
关键词
Keywords
references
HACKAM D, CAPLAN M. Necrotizing enterocolitis: pathophysiology from a historical context[J]. Semin Pediatr Surg, 2018, 27(1): 11-18. DOI: 10.1053/j.sempedsurg.2017.11.003.
JONES I H, HALL N J. Contemporary outcomes for infants with necrotizing enterocolitis——a systematic review[J]. J Pediatr, 2020, 220: 86-92.e3. DOI: 10.1016/j.jpeds.2019.11.011.
MUTANEN A, PIERRO A, ZANI A. Perioperative complications following surgery for necrotizing enterocolitis[J]. Zeitschrift Fur Kinderchirurgie, 2018, 28(2): 148-151. DOI: 10.1055/s-0038-1636943.
REES C M, PIERRO A, EATON S. Neurodevelopmental outcomes of neonates with medically and surgically treated necrotizing enterocolitis[J]. Arch Dis Child Fetal Neonatal Ed, 2007, 92(3): F193-F198. DOI: 10.1136/adc.2006.099929.
SHAH D K, DOYLE L W, ANDERSON P J, et al . Adverse neurodevelopment in preterm infants with postnatal sepsis or necrotizing enterocolitis is mediated by white matter abnormalities on magnetic resonance imaging at term[J ] . J Pediatr, 2008, 153(2): 170-175, 175. e1. DOI: 10.1016/j.jpeds.2008.02.033.
MERHAR S L, RAMOS Y, MEINZEN-DERR J, et al . Brain magnetic resonance imaging in infants with surgical necrotizing enterocolitis or spontaneous intestinal perforation versus medical necrotizing enterocolitis[J ] . J Pediatr, 2014, 164(2): 410-412.e1. DOI: 10.1016/j.jpeds.2013.09.055.
SHIN S H, KIM E K, YOO H, et al . Surgical necrotizing e nterocolitis versus spontaneous intestinal perforation in white matter injury on brain magnetic resonance imaging[J ] . Neonatology, 2016, 110(2): 148-154. DOI: 10.1159/000444387.
NIÑO D F, ZHOU Q J, YAMAGUCHI Y, et al . Cognitive impairments induced by necrotizing enterocolitis can be prevented by inhibiting microglial activation in mouse brain[J ] . Sci Transl Med, 2018, 10(471): eaan0237. DOI: 10.1126/scitranslmed.aan0237.
DENGLER V L, GALBRAITH M, ESPINOSA J M. Transcriptional regulation by hypoxia inducible factors[J]. Crit Rev Biochem Mol Biol, 2014, 49(1): 1-15. DOI: 10.3109/10409238.2013.838205.
CHEN Y, CHANG K T, LIAN D W, et al . The role of ischemia in necrotizing enterocolitis[J ] . J Pediatr Surg, 2016, 51(8): 1255-1261. DOI: 10.1016/j.jpedsurg.2015.12.015.
BOWKER R M, YAN X C, MANAGLIA E, et al . Dimethyloxalylglycine preserves the intestinal microvasculature and protects against intestinal injury in a neonatal mouse NEC model: role of VEGF signaling[J ] . Pediatr Res, 2018, 83(2): 545-553. DOI: 10.1038/pr.2017.219.
MATSUDA T, ABE T, WU J L, et al . Hypoxia-inducible factor-1alpha DNA induced angiogenesis in a rat cerebral ischemia model[J ] . Neurol Res, 2005, 27(5): 503-508. DOI: 10.1179/016164105X25144.
CHEN Y, KOIKE Y, MIYAKE H, et al . Formula feeding and systemic hypoxia synergistically induce intestinal hypoxia in experimental necrotizing enterocolitis[J ] . Pediatr Surg Int, 2016, 32(12): 1115-1119. DOI: 10.1007/s00383-016-3997-8.
KHAN M, DHAMMU T S, BAARINE M, et al . GSNO promotes functional recovery in experimental TBI by stabilizing HIF-1α[J ] . Behav Brain Res, 2018, 340: 63-70. DOI: 10.1016/j.bbr.2016.10.037.
DRUCKER N A, JENSEN A R, TE WINKEL J P, et al . Loss of endothelial nitric oxide synthase exacerbates intestinal and lunginjury in experimental necrotizing enterocolitis[J ] . J Pediatr Surg, 2018, 53(6): 1208-1214. DOI: 10.1016/j.jpedsurg.2018.02.087.
OHMURA Y, KUNIYOSHI Y. A translational model to determine rodent's age from human foetal age[J]. Sci Rep, 2017, 7(1): 17248. DOI: 10.1038/s41598-017-17571-z.
MA N, SIDDIQUI M J, XIA B. Research progresses of pathogenesis of neonatal necrotizing enterocolitis[J]. Chin J Obstet Gynecol Pediatr Electron Ed, 2020, 16(6): 739-744. DOI: 10.3877/cma.j.issn.1673-5250.2020.06.018.
EYO U B, DAILEY M E. Microglia: key elements in neural development, plasticity, and pathology[J]. J Neuroimmune Pharmacol, 2013, 8(3): 494-509. DOI: 10.1007/s11481-013-9434-z.
LIDDELOW S A, GUTTENPLAN K A, CLARKE L E, et al . Neurotoxic reactive astrocytes are induced by activated microglia[J ] . Nature, 2017, 541(7638): 481-487. DOI: 10.1038/nature21029.
BIOUSS G, ANTOUNIANS L, LI B, et al . Experimental necrotizing enterocolitis induces neuroinflammation in the neonatal brain[J ] . J Neuroinflammation, 2019, 16(1): 97. DOI: 10.1186/s12974-019-1481-9.
BARKOVICH A J. Concepts of myelin and myelination in neuroradiology[J]. Am J Neuroradiol, 2000, 21(6): 1099-1109.
HOWARTH C, BANERJEE J, LEUNG T, et al . Cerebral oxygenation in preterm infants with necrot izing enterocolitis[J ] . Pediatrics, 2020, 146(3): e20200337. DOI: 10.1542/peds.2020-0337.
KEELY S, CAMPBELL E L, BAIRD A W, et al . Contribution of epithelial innate immunity to systemic protection afforded by prolyl hydroxylase inhibition in murine colitis[J ] . Mucosal Immunol, 2014, 7(1): 114-123. DOI: 10.1038/mi.2013.29.
SEN T, SEN N. Treatment with an activator of hypoxia-inducible factor 1, DMOG provides neuroprotection after traumatic brain injury[J]. Neuropharmacology, 2016, 107: 79-88. DOI: 10.1016/j.neuropharm.2016.03.009.
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