A Selenium Nanocomposite Protects the Mouse Brain from Oxidative Injury Following Intracerebral Hemorrhage
Received 26 November 2020
Accepted for publication 7 January 2021
Published 4 February 2021 Volume 2021:16 Pages 775—788
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Yan Shen
Yong Yang,1,* Guoying Deng,2,* Peng Wang,1 Guangzhao Lv,1 Rui Mao,1 Yuhao Sun,3 Baofeng Wang,3 Xijian Liu,4 Liuguan Bian,3 Dong Zhou1
1Department of Neurosurgery, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, People’s Republic of China; 2Trauma Center, Shanghai General Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, 201620, People’s Republic of China; 3Department of Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, 200025, People’s Republic of China; 4College of Chemistry and Chemical Engineering, Shanghai University of Engineering Science, Shanghai, 201620, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Liuguan Bian
Department of Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University, School of Medicine, 197 Rui Jin Er Road, Shanghai, 200025, People’s Republic of China
Tel +86 21 64370045 Ext 666091
Fax +86 21 64333548
Department of Neurosurgery, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, No. 106 Zhongshan Er Road, Yuexiu District, Guangzhou, 510080, People’s Republic of China
Tel +86 20 83827812 Ext 61521
Background: Intracerebral hemorrhage (ICH) is a common neurological crisis leading to high mortality and morbidity. Oxidative stress-induced secondary injury plays a critical role in neurological deterioration. Previously, we synthesized a porous Se@SiO2 nanocomposite and identified their therapeutic role in osteonecrosis of the femoral head. Whether this nanocomposite is neuroprotective remains to be elucidated.
Methods: A porous Se@SiO2 nanocomposite was synthesized, and its biosafety was determined using a CCK-8 assay. The neuroprotective effect was evaluated by TUNEL staining, and intracellular ROS were detected with a DCFH-DA probe in SH-SY5Y cells exposed to hemin. Furthermore, the effect of the nanocomposite on cell apoptosis, brain edema and blood–brain barrier permeability were evaluated in a collagenase-induced ICH mouse model. The potential mechanism was also explored.
Results: The results demonstrated that Se@SiO2 treatment significantly improved neurological function, increased glutathione peroxidase activity and downregulated malonaldehyde levels. The proportion of apoptotic cells, brain edema and blood–brain barrier permeability were reduced significantly in ICH mice treated with Se@SiO2 compared to vehicle-treated mice. In vitro, Se@SiO2 protected SH-SY5Y cells from hemin-induced apoptosis by preventing intracellular reactive oxygen species accumulation.
Conclusion: These results suggested that the porous Se@SiO2 nanocomposite exerted neuroprotection by suppressing oxidative stress. Se@SiO2 may be a potential candidate for the clinical treatment of ICH and oxidative stress-related brain injuries.
Keywords: selenium nanocomposites, oxidative stress, blood–brain barrier, brain edema, apoptosis
Intracerebral hemorrhage (ICH) is a common type of hemorrhagic stroke that causes mortality and morbidity in patients.1 Most survivors have varying degrees of neurological dysfunction. Oxidative stress-induced secondary injury plays critical roles in blood–brain barrier (BBB) disruption, cerebral edema and neurological deterioration.2–4
Oxidative stress results from the imbalance between oxidant (reactive oxygen species, ROS) production and the antioxidant capacity of cells. Hemin, which is the product of hemoglobin breakdown, is an inducer of ROS.5,6 Excessive ferrous iron was liberated during hemin degradation. By cycling in the Fenton reaction, ferrous iron catalyzes the production of large amounts of hydroxyl radicals, which lead to lipid peroxidation and cell apoptosis. Protective measures against oxidative injury in the context of ICH have been found to be effective in ameliorating neurological dysfunction.7–10
Ceria nanoparticles and their nanocomposites have exhibited effective results in protecting against cerebral ischemia injury by scavenging ROS.11,12 However, selenium (Se), as an essential micronutrient, has an advantage over ceria. Se is a cofactor of glutathione peroxidase (GSH-Px) and thioredoxin reductase, which are antioxidant enzymes that defend against oxidative stress and maintain the redox balance.13 However, the application of Se is limited due to the narrow margin between beneficial and toxic effects.14 When materials are engineered into nanoparticles, they acquire unique physical and chemical properties. Elemental selenium at the nanoscale has been shown to have higher bioactivity and lower toxicity compared to other forms.15,16 The bioactivity is highly relevant to the size of the nanoparticles, and it has been reported that nano-Se with a diameter of 5–200 nm can directly scavenge free radicals in vitro in a size-dependent manner.17 To further reduce the toxic effects, researchers have tried to synthesize nanoparticles by the green method.18–23 Nonetheless, the toxicity of Se is still not negligible in the treatment. With these considerations, Liu and colleagues fabricated porous Se@SiO2 nanocomposites with an average diameter of ~55 nm.24 The particles had good biosafety due to the controlled release of Se, which can guarantee beneficial effects and reduce toxicity. Moreover, they have been proven to be therapeutic in osteonecrosis of the femoral head.25 However, their neuroprotective effect in the context of ICH has not been investigated.
In this study, Se@SiO2 was administered by intraperitoneal injection in ICH mice, and blood–brain barrier penetration, oxidative stress markers, cell apoptosis, BBB disruption, brain edema and neurological function were evaluated. The neuroprotection of Se@SiO2 was also studied in vitro based on the neuroblastoma cell line SH-SY5Y, and the potential mechanisms were explored.
Materials and Methods
Synthesis and Characterization of Se@SiO2
Porous Se@SiO2 nanoparticles were synthesized as described previously.24 The average particle size and morphology were observed using transmission electron microscopy (TEM; JEM-2100F). The Se@SiO2 nanoparticles were characterized using a D/max-2550 PC X-ray diffractometer (XRD; Rigaku, Cu-Kα radiation). The porous Se@SiO2 nanocomposite was dispersed in phosphate buffered solution (PBS) to make a stock of 10 mg/mL and stored at 4 °C for further use.
Because primary neurons cannot be trypsinized and reseeded, the human neuroblastoma cell line SH-SY5Y may be adopted as a substitution in the study of neurotoxicity. The SH-SY5Y cell line was purchased from the Cell Bank of the Chinese Academy of Sciences (Shanghai, China). The cells were cultured in Dulbecco’s modified Eagle medium (DMEM) supplemented with 10% fetal bovine serum and maintained in a humidified incubator at 37 °C in a 5% CO2 atmosphere. For flow cytometry analysis and microscopic observation, the cells were trypsinized and plated at a density of 1×106/well in 6-well plates or 5×104/well in 24-well plates.
Cell Viability Assay
Cell viability was determined using a Cell Counting Kit-8 (CCK-8) (DOJINDO, Japan) assay. SH-SY5Y cells were seeded at a density of 1×104/well in 96-well plates. The cells were exposed to 0, 3.125, 6.25, 12.5, 25, 50, 100, 200, 400, 800, or 1600 μg/mL Se@SiO2 for 24 h. Then, 10 μL of CCK-8 solution was added into each well. After incubating for 4 h at 37 °C. The absorbance at 450 nm was measured using a microplate reader (BioTek, USA). For additional experiments, SH-SY5Y cells were pretreated with or without 100 μg/mL Se@SiO2 for 12 h and then exposed to 0, 6.25, 12.5, 25, or 50 μM hemin for 24 h.
In situ Cell Death Detection
A TdT-dUTP nick-end labeling (TUNEL) assay was conducted to detect apoptotic cells using a one-step in situ cell death detection kit (Roche, Germany). After fixation in 4% paraformaldehyde, the treated cells or brain slices were washed twice in PBS and incubated with 0.1% Triton X-100 for 2 min on ice. Then, the cells or slices were incubated in TUNEL reaction mixture for 1 h at 37 °C in the dark. The nuclei were counterstained with DAPI (1:5000, Invitrogen, USA). Fluorescence images were captured by an experimenter who was blinded to the treatment conditions using a confocal laser-scanning microscope (Leica, Germany). Eight pictures were taken randomly in the perihematomal area of each sample. TUNEL-positive cells showing red fluorescence were considered apoptotic cells. The percentage of TUNEL-positive cells was quantified, and the average was calculated.
Flow Cytometry Analysis of Cell Apoptosis
SH-SY5Y cells were seeded onto 6-well plates, pretreated with or without 25 or 100 μg/mL Se@SiO2 for 12 h, and then exposed to 25 μM hemin for 24 h. Apoptosis was analyzed by flow cytometry using a FITC Annexin V Apoptosis Detection Kit I (BD, USA). Briefly, the treated cells were harvested and stained according to the manufacturer’s instructions. Then, the samples were analyzed using Guava EasyCyte Plus (Millipore, United States) within 30 min after staining.
Detection of ROS
SH-SY5Y cells were pretreated with or without 25 or 100 μg/mL Se@SiO2 for 12 h and then exposed to 25 μM hemin for 12 h. ROS reactive fluorescence staining was performed as previously described.26 Briefly, after treatment, the cells were incubated with 10 μM DCFH-DA (Beyotime Biotechnology, China) in serum-free DMEM for 20 min at 37 °C. The cells were washed 3 times with PBS and observed using a confocal laser-scanning microscope (Leica, Germany) or analyzed using FACScan (Beckman Coulter Cell, Brea, CA, USA).
ICH Mouse Model Preparation and Treatment
This study was conducted in accordance with the Institutional Guidelines on Animal Welfare issued by the Ministry of Science and Technology of the People’s Republic of China on September 30th, 2006. All the animal procedures were approved by the Research Ethics Committee of Guangdong Provincial People’s Hospital. Male C57BL/6 mice (weight 23–25 g; age of 8 weeks; SPF class) were obtained from the Guangdong Medical Laboratory Animal Center. The mice were bred and maintained under a 12/12-hour light-dark cycle with free access to food and water. The room temperature was set to 18 °C–25 °C, and the relative humidity was set to 40–60%. The ICH mouse model was established by intrastriatal injection of collagenase IV as previously described.27 Under general anesthesia [ketamine (100 mg/kg), xylazine (10 mg/kg)], the mice were secured in a stereotaxic frame (RWD Life Science Co., Shenzhen, China). A 1.0 mm cranial burr hole was drilled 0.2 mm anterior to the bregma and 2.5 mm lateral to the midline. A 30-gauge needle was inserted 3.0 mm into the right striatum. Collagenase IV (Sigma-Aldrich, USA) (0.075 U dissolved in 0.4 μL saline) was injected at a rate of 0.25 μL/min over 90 sec using a microinfusion pump. The needle was left in place for 5 min to prevent the backflow of collagenase. After withdrawal of the needle, the hole was sealed with bone wax, and the scalp was sutured. Sham-operated mice received needle insertion only.
The mice were randomly divided into sham, vehicle-treated, 0.5 mg/kg Se@SiO2 and 1 mg/kg Se@SiO2-treated groups according to a random number table. The maximal dose of Se@SiO2 was determined based on our previous study.25 In the Se@SiO2-treated groups, 0.5 mg/kg Se@SiO2 and 1 mg/kg Se@SiO2 (in 100 µL PBS) were given to mice by intraperitoneal injection 0.5 h post ICH induction. Our previous study revealed that Se@SiO2 had good blood–brain barrier penetration, and there was no significant difference in its distribution in different brain regions (refer to Supplementary materials, Evaluation of the BBB penetration of Se@SiO2 and the results are shown in Figure S1). Equal volumes of PBS were injected intraperitoneally into the vehicle-treated group. After the initial injection, the treatment was repeated every 24 h until sacrificing. The injection interval was based on the kinetics of Se@SiO2 in the brain tissue (Supplementary materials Figure S1).
Behavioral assessments were conducted by two observers who were blinded to treatment conditions on 1, 3, 5 and 7 d post ICH. The total neurological score was calculated according to the criteria described by Zeng et al28 which included motor, sensory, balance, and reflex tests (neurological intact score, 0; most severe deficit score, 14).
The vestibulomotor function of the mice was evaluated by the rotarod test. Before ICH induction, the mice were trained at a low speed (10 rpm). After habituation, the speed was adjusted to 40 rpm. All mice were trained twice per day. The average time of falling in the final three training sessions was recorded as the baseline. After 3 days of training, the animals were subjected to the surgical procedure. After ICH, the mice were tested 3 times on days 1, 3, 5, and 7, and the average time to fall was recorded.
Measurement of Evans Blue
BBB permeability was evaluated 3 d post ICH by measuring the extravasation of Evans blue. Evans blue (2%) was injected intravenously at a dose of 4 mL/kg 2 h prior to sacrificing. Then, the intravascular localized dye was removed by perfusion through the left ventricle. The brains were collected and dissected into left and right hemispheres. Each hemisphere was weighed and homogenized in 1 mL of 50% trichloroacetic acid solution. After centrifugation at 21,000×g for 20 min, the supernatant was diluted 1:3 with ethanol, and its absorbance was measured at 610 nm. The amount of Evans blue dye was calculated against a standard curve and expressed as the ipsilateral/contralateral ratio.
Measurement of the Brain Water Content
The mice were sacrificed 3 d post ICH, and brain tissues were collected. The samples were weighed before and after dehydration in an oven at 100°C for 24 h. The brain water content (%) was calculated as [(wet weight-dry weight)/wet weight] × 100%.
Determination of Oxidative Stress Factors
The product of lipid peroxidation (malonaldehyde, MDA) and the activity of glutathione peroxidase (GSH-Px) were determined using commercial MDA and GSH-Px kits (Beyotime Biotechnology, China). In brief, mice were sacrificed under deep pentobarbital anesthesia 3 d after ICH, and segments of the perihematoma of the right hemispheres were harvested. Then, the brain tissues were homogenized in ten volumes of PBS on ice. The homogenates were centrifuged at 14,000 × g for 20 min at 4 °C, and the protein concentration of the supernatant was determined by a Pierce™ BCA Protein Assay Kit (Thermo Fisher Scientific, USA). The MDA concentration and GSH-Px activity were measured following the manufacturer’s instructions.
Western Blot Analysis
Mice were sacrificed 3 d after ICH, segments of the perihematoma of the right hemispheres were harvested, and tissue lysates were prepared using RIPA lysis buffer (Merck Millipore, Germany) supplemented with protease inhibitor cocktail (Roche, Switzerland) and 1 mM phenylmethanesulfonyl fluoride (PMSF) (Sigma, MO, USA). The protein concentrations were determined by a Pierce™ BCA Protein Assay Kit (Thermo Fisher Scientific, USA). Equal amounts of protein (30 μg) were separated by standard sodium dodecyl sulfate polyacrylamide gel electrophoresis and then electrotransferred onto PVDF membranes. The blots were blocked with 5% nonfat milk and incubated with primary antibodies against iNOS (1:1000, Abcam, UK), AQP4 (1:200, Santa Cruz Biotechnology, USA), ZO-1 (1:1000, Invitrogen, USA), occludin (1:1000, Invitrogen, USA), Bcl-2 (1:1000, Cell Signaling Technology, USA), Bax (1:1000, Cell Signaling Technology, USA), caspase 3 (1:1000, Cell Signaling Technology, USA), cleaved caspase 3 (1:1000, Cell Signaling Technology, USA) and GAPDH (1:2000, Cell Signaling Technology, USA) at 4°C overnight. After washing, the membranes were incubated with appropriate secondary antibodies (1:10,000, Invitrogen, USA) for 1 h at room temperature. After washing, the membranes were incubated with ECL solution (Thermo Fisher Scientific, USA) for 3 min. The signal was detected using a Tanon imaging system (Shanghai, China). Densitometric analysis of the bands was performed using ImageJ 1.6.0 (NIH, USA).
All data are presented as the mean ± standard deviation (SD). Statistical comparisons were performed using one-way ANOVA followed by Bonferroni’s multiple comparisons. P-values < 0.05 were considered statistically significant. Statistical analysis and graph drawing were performed using GraphPad Software Prism 5.0 (GraphPad Software, CA, USA).
Physical and Chemical Properties of the Se@SiO2 Nanocomposite
The phase structure of the nanoparticles was examined by XRD. As shown in Figure 1A, several well-defined characteristic peaks, such as (100), (011), (012) and (021), exhibited the hexagonal phase and indicated strong Se signals for the standard Se phase. The morphology of the Se@SiO2 nanocomposite was observed by TEM, showing an average diameter of ~55 nm (Figure 1B). As shown in Figure 1C, many Se nanocrystals (with diameters less than 5 nm) were interspersed from the center to the surface in the Se@SiO2 nanocomposites. After etching in hot water, the Se@SiO2 nanocomposites became porous structures (Figure 1D). Se could undergo slow sustained release from the Se@SiO2 nanocomposites, which could control the dosage of Se to guarantee beneficial effects and reduce toxicity.24,25
Evaluation of the Toxicity of the Se@SiO2 Nanocomposite in SH-SY5Y Cells
Because Se has a narrow margin between beneficial and toxic effects, we evaluated the toxicity of Se@SiO2 in SH-SY5Y cells by CCK-8 assay. The results (Figure 1E) demonstrated that the SH-SY5Y cell viability decreased significantly when the Se@SiO2 concentration was 200 μg/mL and above. Se@SiO2 (100 μg/mL) was chosen as the highest concentration for the following in vitro study.
Se@SiO2 Pretreatment Endowed SH-SY5Y Cells with Resistance to Hemin-Induced Toxicity
To determine whether the Se@SiO2 nanocomposite can protect SH-SY5Y cells from hemin-induced toxicity, the cells were pretreated with various concentrations of Se@SiO2 for 12 h and then exposed to 25 μM hemin. Cell apoptosis and cell viability were evaluated. Figure 2A shows the TUNEL staining of the treated cells. The apoptosis rate was quantitated by flow cytometry analysis (Figure 2B). The results (Figure 2C) revealed that the 100 μg/mL Se@SiO2 treatment did not increase cell apoptosis, whereas 25 μM hemin significantly increased the apoptosis rate (P<0.01). Pretreatment with 25 μg/mL Se@SiO2 (P<0.05) and 100 μg/mL Se@SiO2 (P<0.01) significantly decreased the cell apoptosis rate compared to hemin-treated cells. The CCK-8 assay (Figure 2D) demonstrated that the 100 μg/mL Se@SiO2 pretreatment endowed the cells with resistance to hemin-induced toxicity.
Se@SiO2 Pretreatment Prevented Hemin-Induced Intracellular ROS Accumulation
Hemin is highly toxic due to the induction of ROS. To determine whether Se@SiO2 protects SH-SY5Y cells by reducing ROS accumulation, we detected intracellular ROS with DCFH-DA probes. Intracellular ROS were represented by green fluorescence under a fluorescence microscope (Figure 3A). The mean fluorescence intensity was quantitated by flow cytometry analysis (Figure 3B). The results showed that intracellular ROS were significantly increased after hemin insult (P<0.01). Pretreatment with 25 μg/mL Se@SiO2 and 100 μg/mL Se@SiO2 dose-dependently decreased the intracellular ROS (P <0.01).
Se@SiO2 Treatment Improved ICH-Induced Neurological Deficits
Neurological deficits were present in all ICH mice. Treatment with 1 mg/kg Se@SiO2 significantly decreased the neurological deficit score 1 d (P<0.05) and 3 d (P<0.01) post ICH (Figure 4A). In the rotarod test (Figure 4B), significant improvement was observed in the 0.5 mg/kg Se@SiO2-treated group 1 d, 3 d, and 5 d after ICH compared to the vehicle-treated group (P<0.01). Significant improvement in the 1 mg/kg Se@SiO2-treated group was observed at all the time points studied (P<0.01). There was a trend in which 1 mg/kg Se@SiO2-treated mice had a better performance compared to 0.5 mg/kg Se@SiO2-treated mice, although no significant difference was obtained.
Se@SiO2 Inhibited Oxidative Stress in Perihematoma After ICH
Oxidative stress contributes to secondary injury after ICH. In light of this, the expression of iNOS (an inducible enzyme responsible for oxidative stress), the concentration of MDA (the product of lipid peroxidation) and the activity of GSH-Px (the key enzyme of the antioxidant defense system) were investigated 3 d after ICH to evaluate the role of Se@SiO2 in oxidative stress defense. As shown in Figure 5A–C, the expression of iNOS and MDA production significantly increased in the vehicle-treated group compared to the sham group (P<0.01). Se@SiO2 treatment dose-dependently suppressed iNOS expression and MDA production (P<0.05). The GSH-Px activity in the vehicle-treated group significantly decreased compared to that in the sham group (P<0.01), which was restored by Se@SiO2 treatment in a dose-dependent manner (P<0.05) (Figure 5D).
Se@SiO2 Protected BBB Integrity and Attenuated Brain Edema After ICH
To assess the effect of Se@SiO2 on ICH-induced BBB disruption and brain edema, the expression of tight junction proteins (ZO-1, occludin) and aquaporin-4 (AQP4) within the perihematoma was quantitated by Western blot analysis. As shown (Figure 6A and B), cerebral edema and Evans blue extravasation were markedly increased 3 d after ICH (P<0.001), and Se@SiO2 administration alleviated cerebral edema and Evans blue extravasation in a dose-dependent manner (P<0.05). Western blot analysis revealed that AQP4 expression significantly increased 3 d after ICH (P<0.05), and 1 mg/kg Se@SiO2 administration significantly attenuated the elevation in AQP4 expression (P<0.01) (Figure 6C and D). The expression of the tight junction proteins ZO-1 and occludin was suppressed significantly after ICH (P<0.01), and 0.5 and 1 mg/kg Se@SiO2 treatment restored their expression (P<0.01) (Figure 6E and F). However, no statistical significance was observed in ZO-1 and occludin expression between the 0.5 and 1 mg/kg Se@SiO2-treated groups.
Se@SiO2 Protected Cells from Apoptosis After ICH
TUNEL staining (Figure 7A and B) showed that apoptotic cells were significantly more abundant in the vehicle-treated group than in the sham group (P<0.001). Se@SiO2 treatment decreased the apoptosis rate in a dose-dependent manner (P<0.01).
Western blot analysis of the proapoptotic and antiapoptotic proteins demonstrated that Bcl-2 and the ratio of Bcl2/Bax significantly decreased in the vehicle-treated group compared to the sham group (P<0.001). The decrease was counteracted by the Se@SiO2 treatment (Figure 8A–C). The expression of Bax and cleaved caspase 3 and the ratio of cleaved caspase 3/caspase 3 significantly increased in the vehicle-treated group compared to the sham group (P<0.05). Se@SiO2 treatment attenuated the elevation of the expression of these proapoptotic proteins (P<0.01) (Figure 8D–F).
Intracerebral hemorrhage is a severe neurological crisis associated with high mortality and morbidity. Oxidative stress-induced cell apoptosis, brain edema and BBB disruption contribute to neurological deterioration after the primary injury of ICH.29,30 Hence, antioxidative approaches have been proven to be neuroprotective.
Autologous blood injection and collagenase-induced ICH mouse models are two commonly used models. Autologous blood injection models lack potential vascular pathological changes. The hematoma volume is unstable due to the backflow and diffusion of the injected blood along the needle tract and corpus callosum. In addition, donor blood or anticoagulants may potentially affect inflammation and the complement or coagulation system. The collagenase-induced ICH model is easy to establish and can simulate acute cerebrovascular injury, causing spontaneous bleeding, and the hematoma gradually progresses within 4–5 h.31 This model can better simulate the progress of clinical patients because 14–20% of ICH patients have persistent bleeding, and 17% of patients have bleeding for more than 6 h.32,33 In addition, the localization and volume of the hematoma in this model are relatively consistent, with good reproducibility. In this study, we identified the neuroprotective effect of the Se@SiO2 nanocomposite in a collagenase-induced ICH mouse model. Briefly, Se@SiO2 treatment attenuated oxidative injury, inhibited cell apoptosis, protected BBB integrity, alleviated brain edema and improved neurological function in ICH mice. In vitro, Se@SiO2 protected SH-SY5Y cells from hemin-induced apoptosis by preventing intracellular ROS accumulation.
Se@SiO2 is a novel porous SiO2-coated ultrasmall Se particle fabricated by Liu et al. The porous structure endows the Se@SiO2 nanocomposite with multiple functions.24 When materials are engineered into nanoparticles, they acquire unique properties, which may increase their penetration into the central nervous system.34 In this study, we verified that Se@SiO2 nanoparticles had good BBB penetration. Moreover, the Se concentration seemed to be higher in the ICH brain than in the control brain (although no significant difference was found), which may be related to the BBB disruption induced by ICH. In this study, we found that cell apoptosis was inhibited and neurological function was improved by Se@SiO2 administration in ICH mice. The process of cell apoptosis is regulated by the expression of the antiapoptotic Bcl-2 protein and the proapoptotic Bax protein35 and is executed by cleaved caspase 3.36 Western blot analysis revealed that ICH-induced perihematomal upregulation of the ratio of Bax/Bcl-2 and cleaved caspase 3/caspase 3 was attenuated by Se@SiO2. This was consistent with the TUNEL staining results.
Oxidative stress is one of the main causes of apoptosis following ICH. Excessive ferrous iron liberated from hemin degradation catalyzes the production of large amounts of hydroxyl radicals, which lead to lipid peroxidation and cell apoptosis.6 Oxidative stress results from the imbalance between ROS production and anti-oxidation capacity. Our results indicated that the activity of GSH-Px, which is a selenium-containing enzyme responsible for ROS scavenging, was significantly increased by Se@SiO2 treatment. Consequently, the product of lipid peroxidation decreased. An in vitro study demonstrated that Se@SiO2 pretreatment reduced intracellular ROS in a dose-dependent manner. Our results confirmed that Se@SiO2 protected the cells from apoptosis by increasing GSH-Px activity and scavenging ROS.
Brain edema following ICH contributes to increased intracranial pressure and neurological dysfunction. The severity of edema is positively correlated with a poor prognosis.37 Perihematomal edema develops immediately after ICH, peaking on the third day in experimental ICH models.38 In our study, 3 d post-ICH was selected as a time point for the water content and BBB permeability evaluation.
Cytotoxic edema and vasogenic edema are the two major types of cerebral edema in the pathological process of ICH. Aquaporin-4 (AQP4), which is the most abundant water channel expressed in the endfeet of astrocytes, plays a key role in cytotoxic brain edema.39 It has been well documented that upregulation of AQP4 increases the amount of brain edema.40,41 Our data showed that AQP4 expression was upregulated on the 3rd day after ICH, which was attenuated by Se@SiO2 administration. This was in accordance with the changes in the brain water content. Vasogenic edema is caused by BBB disruption resulting from endothelial and neuroglial dysfunction.42 The tight junction proteins ZO-1 and occludin are critical for maintaining the integrity of the BBB.43,44 We found that Se@SiO2 treatment restored ZO-1 and occludin expression and reduced the extravasation of Evans blue after ICH. Our results demonstrated that Se@SiO2 markedly alleviated brain edema and protected BBB integrity. This phenomenon might be due to the antioxidant effect of Se@SiO2, which consequently protected the function of endothelial and neuroglial cells. We also investigated the Se concentration in the cortex, striatum, hippocampus and cerebellum, and no significant difference was found between these regions. Therefore, we propose that Se@SiO2 exerts neuroprotection in the context of ICH by increasing GSH-Px activity and scavenging ROS in multiple cell types (eg, neurons, astrocytes and endothelium etc.).
Our work demonstrated that the porous Se@SiO2 nanocomposite significantly improved neurological function by protecting the cells from ROS toxicity, attenuating brain edema and ameliorating BBB disruption. The porous Se@SiO2 nanocomposite is a promising anti-oxidative agent and has the potential to be employed for the clinical treatment of ICH and oxidative stress-related brain damage.
This work was financially supported by National Natural Science Foundation of China (No. 81901250, 81771318 and 81671194), Natural Science Foundation of Guangdong Province (No.2019A1515010104), High-level Hospital Construction Project of Guangdong Provincial People’s Hospital (No. DFJH201924) and Ph.D. Research Start-up Fund of Guangdong Provincial People’s Hospital (No. 2018bq05).
The authors declare no conflicts of interest for this work.
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