Activation of P2X4 receptor exacerbates acute brain injury after intracerebral hemorrhage

P2X4受体激活加剧脑出血后急性脑损伤

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作者:Si-Ting Wu, Jin-Rui Han, Nan Yao, Yu-Lin Li, Fang Zhang, Yao Shi, Fu-Dong Shi, Zhi-Guo Li

Aims

In this study, we aim to understand the role of P2X4R in acute brain injury triggered by ICH.

Conclusions

These results suggest that the P2X4 receptor is activated by ICH stimuli which worsen brain injury following ICH.

Results

In this study, we found that the sensitive purinergic receptor, P2X4R, was upregulated in the brain of patients with ICH as well as in a mouse model of ICH induced by collagenase injection. P2X4R blockage with the specific inhibitor 5-BDBD attenuated brain injury in ICH mice by significantly reducing brain edema, blood-brain barrier leakage, neural death, and ultimately acute neurodeficits. Further study indicated that the protective effect of P2X4R inhibition is related to decreased pro-inflammatory activity of microglia and recruitment of peripheral immune cells into the hemorrhagic brain. Conclusions: These results suggest that the P2X4 receptor is activated by ICH stimuli which worsen brain injury following ICH.

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