Acute iron overload aggravates blood-brain barrier disruption and hemorrhagic transformation after transient focal ischemia in rats with hyperglycemia

Hemorrhagic transformation (HT) has been reported to be associated with a poor prognosis after acute ischemic stroke. Blood-brain barrier (BBB) damage is considered as the major pathophysiologic mechanism of HT. Our aim was to investigate the role of acute iron overload in BBB damage and HT after tr...

Full description

Bibliographic Details
Main Authors: Qian Wu, Chenchen Wei, Siqi Guo, Junfeng Liu, Hengyi Xiao, Simiao Wu, Bo Wu, Ming Liu
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:IBRO Neuroscience Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667242122000458
_version_ 1828163096838930432
author Qian Wu
Chenchen Wei
Siqi Guo
Junfeng Liu
Hengyi Xiao
Simiao Wu
Bo Wu
Ming Liu
author_facet Qian Wu
Chenchen Wei
Siqi Guo
Junfeng Liu
Hengyi Xiao
Simiao Wu
Bo Wu
Ming Liu
author_sort Qian Wu
collection DOAJ
description Hemorrhagic transformation (HT) has been reported to be associated with a poor prognosis after acute ischemic stroke. Blood-brain barrier (BBB) damage is considered as the major pathophysiologic mechanism of HT. Our aim was to investigate the role of acute iron overload in BBB damage and HT after transient focal ischemia in rats with hyperglycemia. Transient middle cerebral artery occlusion (MCAO) was induced in rats with hyperglycemia. Animals were assigned to four groups: Sham, Vehicle, Iron overload and Iron chelator treatment groups. Brain samples were collected at 24 h after surgery to quantify the amount of hemorrhage, determine extravasation of Evans blue and detect the levels of following proteins: ferritin, matrix metalloproteinase-9 (MMP-9), zonula occludens-1 (ZO-1), Occludin and Claudin-5 by western blot analysis and immunohistochemistry. Compared to the Vehicle group, the Iron overload group had a significantly higher amount of hemorrhage and more extravasation of Evans blue. The Iron overload group had lower levels of ZO-1, Occludin and Claudin-5 and higher levels of ferritin and MMP-9 than the Vehicle group. Administering iron chelator reduced the extension of hemorrhage and extravasation of Evans blue, reversed the MCAO-induced reduction of ZO-1, Occludin and Claudin-5 and decreased the levels of ferritin and MMP-9. Our results suggest that acute iron overload aggravates BBB damage and HT after transient ischemia in rats with hyperglycemia, which provides basic evidence for iron overload as a potential factor associated with BBB damage and HT in ischemic stroke patients when accompanied with hyperglycemia.
first_indexed 2024-04-12T01:05:37Z
format Article
id doaj.art-64844b0f7fb3485fa129291cf4013df1
institution Directory Open Access Journal
issn 2667-2421
language English
last_indexed 2024-04-12T01:05:37Z
publishDate 2022-12-01
publisher Elsevier
record_format Article
series IBRO Neuroscience Reports
spelling doaj.art-64844b0f7fb3485fa129291cf4013df12022-12-22T03:54:18ZengElsevierIBRO Neuroscience Reports2667-24212022-12-01138795Acute iron overload aggravates blood-brain barrier disruption and hemorrhagic transformation after transient focal ischemia in rats with hyperglycemiaQian Wu0Chenchen Wei1Siqi Guo2Junfeng Liu3Hengyi Xiao4Simiao Wu5Bo Wu6Ming Liu7Center of Cerebrovascular Diseases, Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, ChinaDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, ChinaWest China School of Clinical Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan Province, ChinaCenter of Cerebrovascular Diseases, Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, ChinaLab for Aging Research, Center for Medical Stem Cell Biology, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan Province, ChinaCenter of Cerebrovascular Diseases, Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, ChinaCenter of Cerebrovascular Diseases, Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, ChinaCenter of Cerebrovascular Diseases, Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China; Correspondence to: Center of Cerebrovascular Diseases, Department of Neurology, West China Hospital, Sichuan University, No. 37, Guo Xue Xiang, Chengdu 610041, Sichuan Province, China.Hemorrhagic transformation (HT) has been reported to be associated with a poor prognosis after acute ischemic stroke. Blood-brain barrier (BBB) damage is considered as the major pathophysiologic mechanism of HT. Our aim was to investigate the role of acute iron overload in BBB damage and HT after transient focal ischemia in rats with hyperglycemia. Transient middle cerebral artery occlusion (MCAO) was induced in rats with hyperglycemia. Animals were assigned to four groups: Sham, Vehicle, Iron overload and Iron chelator treatment groups. Brain samples were collected at 24 h after surgery to quantify the amount of hemorrhage, determine extravasation of Evans blue and detect the levels of following proteins: ferritin, matrix metalloproteinase-9 (MMP-9), zonula occludens-1 (ZO-1), Occludin and Claudin-5 by western blot analysis and immunohistochemistry. Compared to the Vehicle group, the Iron overload group had a significantly higher amount of hemorrhage and more extravasation of Evans blue. The Iron overload group had lower levels of ZO-1, Occludin and Claudin-5 and higher levels of ferritin and MMP-9 than the Vehicle group. Administering iron chelator reduced the extension of hemorrhage and extravasation of Evans blue, reversed the MCAO-induced reduction of ZO-1, Occludin and Claudin-5 and decreased the levels of ferritin and MMP-9. Our results suggest that acute iron overload aggravates BBB damage and HT after transient ischemia in rats with hyperglycemia, which provides basic evidence for iron overload as a potential factor associated with BBB damage and HT in ischemic stroke patients when accompanied with hyperglycemia.http://www.sciencedirect.com/science/article/pii/S2667242122000458Iron overloadBlood-brain barrierHemorrhagic transformationIron chelatorFerritinMetalloproteinase-9
spellingShingle Qian Wu
Chenchen Wei
Siqi Guo
Junfeng Liu
Hengyi Xiao
Simiao Wu
Bo Wu
Ming Liu
Acute iron overload aggravates blood-brain barrier disruption and hemorrhagic transformation after transient focal ischemia in rats with hyperglycemia
IBRO Neuroscience Reports
Iron overload
Blood-brain barrier
Hemorrhagic transformation
Iron chelator
Ferritin
Metalloproteinase-9
title Acute iron overload aggravates blood-brain barrier disruption and hemorrhagic transformation after transient focal ischemia in rats with hyperglycemia
title_full Acute iron overload aggravates blood-brain barrier disruption and hemorrhagic transformation after transient focal ischemia in rats with hyperglycemia
title_fullStr Acute iron overload aggravates blood-brain barrier disruption and hemorrhagic transformation after transient focal ischemia in rats with hyperglycemia
title_full_unstemmed Acute iron overload aggravates blood-brain barrier disruption and hemorrhagic transformation after transient focal ischemia in rats with hyperglycemia
title_short Acute iron overload aggravates blood-brain barrier disruption and hemorrhagic transformation after transient focal ischemia in rats with hyperglycemia
title_sort acute iron overload aggravates blood brain barrier disruption and hemorrhagic transformation after transient focal ischemia in rats with hyperglycemia
topic Iron overload
Blood-brain barrier
Hemorrhagic transformation
Iron chelator
Ferritin
Metalloproteinase-9
url http://www.sciencedirect.com/science/article/pii/S2667242122000458
work_keys_str_mv AT qianwu acuteironoverloadaggravatesbloodbrainbarrierdisruptionandhemorrhagictransformationaftertransientfocalischemiainratswithhyperglycemia
AT chenchenwei acuteironoverloadaggravatesbloodbrainbarrierdisruptionandhemorrhagictransformationaftertransientfocalischemiainratswithhyperglycemia
AT siqiguo acuteironoverloadaggravatesbloodbrainbarrierdisruptionandhemorrhagictransformationaftertransientfocalischemiainratswithhyperglycemia
AT junfengliu acuteironoverloadaggravatesbloodbrainbarrierdisruptionandhemorrhagictransformationaftertransientfocalischemiainratswithhyperglycemia
AT hengyixiao acuteironoverloadaggravatesbloodbrainbarrierdisruptionandhemorrhagictransformationaftertransientfocalischemiainratswithhyperglycemia
AT simiaowu acuteironoverloadaggravatesbloodbrainbarrierdisruptionandhemorrhagictransformationaftertransientfocalischemiainratswithhyperglycemia
AT bowu acuteironoverloadaggravatesbloodbrainbarrierdisruptionandhemorrhagictransformationaftertransientfocalischemiainratswithhyperglycemia
AT mingliu acuteironoverloadaggravatesbloodbrainbarrierdisruptionandhemorrhagictransformationaftertransientfocalischemiainratswithhyperglycemia