The TRPM4 channel inhibitor 9-phenanthrol alleviates cerebral edema after traumatic brain injury in rats

Cerebral edema (CE) exerts an important effect on brain injury after traumatic brain injury (TBI). Upregulation of transient receptor potential melastatin 4 (TRPM4) in vascular endothelial cells (ECs) results in damage to capillaries and the blood-brain barrier (BBB), which is critical for the devel...

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Main Authors: Ping Ma, Ning Huang, Jun Tang, Zunjie Zhou, Jing Xu, Yi Chen, Maoxin Zhang, Qin Huang, Yuan Cheng
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2023.1098228/full
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author Ping Ma
Ning Huang
Jun Tang
Zunjie Zhou
Jing Xu
Yi Chen
Maoxin Zhang
Qin Huang
Yuan Cheng
author_facet Ping Ma
Ning Huang
Jun Tang
Zunjie Zhou
Jing Xu
Yi Chen
Maoxin Zhang
Qin Huang
Yuan Cheng
author_sort Ping Ma
collection DOAJ
description Cerebral edema (CE) exerts an important effect on brain injury after traumatic brain injury (TBI). Upregulation of transient receptor potential melastatin 4 (TRPM4) in vascular endothelial cells (ECs) results in damage to capillaries and the blood-brain barrier (BBB), which is critical for the development of CE. Many studies have shown that 9-phenanthrol (9-PH) effectively inhibits TRPM4. The current study aimed to investigate the effect of 9-PH on reducing CE after TBI. In this experiment, we observed that 9-PH markedly reduced brain water content, BBB disruption, proliferation of microglia and astrocytes, neutrophil infiltration, neuronal apoptosis and neurobehavioral deficits. At the molecular level, 9-PH significantly inhibited the protein expression of TRPM4 and MMP-9, alleviated the expression of apoptosis-related molecules and inflammatory cytokines, such as Bax, TNF-α and IL-6, near injured tissue, and diminished serum SUR1 and TRPM4 levels. Mechanistically, treatment with 9-PH inhibited activation of the PI3K/AKT/NF-kB signaling pathway, which was reported to be involved in the expression of MMP-9. Taken together, the results of this study indicate that 9-PH effectively reduces CE and alleviates secondary brain injury partly through the following possible mechanisms: ①9-PH inhibits TRPM4-mediated Na + influx and reduces cytotoxic CE; ②9-PH hinders the expression and activity of MMP-9 by inhibiting the TRPM4 channel and decreases disruption of the BBB, thereby preventing vasogenic cerebral edema. ③9-PH reduces further inflammatory and apoptotic damage to tissues.
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spelling doaj.art-7ed1e538aa1d4a89aa840aefaad616432023-02-14T17:10:18ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122023-02-011410.3389/fphar.2023.10982281098228The TRPM4 channel inhibitor 9-phenanthrol alleviates cerebral edema after traumatic brain injury in ratsPing Ma0Ning Huang1Jun Tang2Zunjie Zhou3Jing Xu4Yi Chen5Maoxin Zhang6Qin Huang7Yuan Cheng8Department of Neurosurgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Neurosurgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Neurosurgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Neurosurgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Neurosurgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Rehabilitation, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Neurosurgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Neurosurgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Neurosurgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaCerebral edema (CE) exerts an important effect on brain injury after traumatic brain injury (TBI). Upregulation of transient receptor potential melastatin 4 (TRPM4) in vascular endothelial cells (ECs) results in damage to capillaries and the blood-brain barrier (BBB), which is critical for the development of CE. Many studies have shown that 9-phenanthrol (9-PH) effectively inhibits TRPM4. The current study aimed to investigate the effect of 9-PH on reducing CE after TBI. In this experiment, we observed that 9-PH markedly reduced brain water content, BBB disruption, proliferation of microglia and astrocytes, neutrophil infiltration, neuronal apoptosis and neurobehavioral deficits. At the molecular level, 9-PH significantly inhibited the protein expression of TRPM4 and MMP-9, alleviated the expression of apoptosis-related molecules and inflammatory cytokines, such as Bax, TNF-α and IL-6, near injured tissue, and diminished serum SUR1 and TRPM4 levels. Mechanistically, treatment with 9-PH inhibited activation of the PI3K/AKT/NF-kB signaling pathway, which was reported to be involved in the expression of MMP-9. Taken together, the results of this study indicate that 9-PH effectively reduces CE and alleviates secondary brain injury partly through the following possible mechanisms: ①9-PH inhibits TRPM4-mediated Na + influx and reduces cytotoxic CE; ②9-PH hinders the expression and activity of MMP-9 by inhibiting the TRPM4 channel and decreases disruption of the BBB, thereby preventing vasogenic cerebral edema. ③9-PH reduces further inflammatory and apoptotic damage to tissues.https://www.frontiersin.org/articles/10.3389/fphar.2023.1098228/fulltraumatic brain injurycerebral edema9-phenanthrolTRPM4MMP-9PI3K/AKT/NF-kB signaling pathway
spellingShingle Ping Ma
Ning Huang
Jun Tang
Zunjie Zhou
Jing Xu
Yi Chen
Maoxin Zhang
Qin Huang
Yuan Cheng
The TRPM4 channel inhibitor 9-phenanthrol alleviates cerebral edema after traumatic brain injury in rats
Frontiers in Pharmacology
traumatic brain injury
cerebral edema
9-phenanthrol
TRPM4
MMP-9
PI3K/AKT/NF-kB signaling pathway
title The TRPM4 channel inhibitor 9-phenanthrol alleviates cerebral edema after traumatic brain injury in rats
title_full The TRPM4 channel inhibitor 9-phenanthrol alleviates cerebral edema after traumatic brain injury in rats
title_fullStr The TRPM4 channel inhibitor 9-phenanthrol alleviates cerebral edema after traumatic brain injury in rats
title_full_unstemmed The TRPM4 channel inhibitor 9-phenanthrol alleviates cerebral edema after traumatic brain injury in rats
title_short The TRPM4 channel inhibitor 9-phenanthrol alleviates cerebral edema after traumatic brain injury in rats
title_sort trpm4 channel inhibitor 9 phenanthrol alleviates cerebral edema after traumatic brain injury in rats
topic traumatic brain injury
cerebral edema
9-phenanthrol
TRPM4
MMP-9
PI3K/AKT/NF-kB signaling pathway
url https://www.frontiersin.org/articles/10.3389/fphar.2023.1098228/full
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