Abstract:Objective: To investigate the effect of vitamin D on hypoxic-ischemic brain damage(HIBD) in neonatal rats and its possible mechanism. Methods: A total of 54 neonatal rats were randomly divided into control-48h, control-72h, HIBD-48h, HIBD-72h, treatment-48h and treatment-72h groups, with 9 rats in each group. The HIBD model was established by double ligation of the right common carotid artery. The neonatal rats in the treatment group were treated with vitamin 24 or 48 hours after the establishment of the model, and were killed 24 hours after the drug administration. The neonatal rats in each group were divided into 48h and 72h subgroups. Kits were used to detect the content of 1, 25-dihydroxyvitamin D3 (1,25(OH)2D3), superoxide dismutase (SOD) activity and malondialdehyde (MDA) content in brain tissue. Hematoxylin-eosin (HE) staining was used to detect the neuronal status. RT-qPCR and Western blot were used to detect the mRNA and protein expression of acid sensitive ion channel 1a (ASIC1a) and vitamin D receptor (VDR) genes. Results: With the extension of the model construction time, the content of 1,25(OH)2D3 and SOD activity in the brain of the neonatal rats gradually decreased, the content of MDA increased, the pH value decreased, the mRNA content and protein expression of VDR decreased, and the mRNA content and protein expression of ASIC1a increased. Compared with the control group, the contents of 1,25(OH)2D3 and the activity of SOD in the brain of neonatal rats in the HIBD group were decreased (P<0.05), MDA contents were increased (P<0.05), pH values were decreased (P<0.05), and VDR mRNA and protein expressions were decreased (P<0.05), ASIC1a mRNA and protein expressions were increased (P<0.05). HE staining showed that the neuronal state was obviously damaged. Compared with the HIBD group, the treatment group had increased 1,25(OH)2D3 content and SOD activity in the brain (P<0.05), MDA content decreased (P<0.05), increased pH value (P<0.05), increased VDR mRNA and protein expression (P<0.05), decreased ASIC1a mRNA and protein expression (P<0.05), and HE staining showed that the state of neurons was significantly recovered. Conclusion: Vitamin D can improve neuronal injury in neonatal rats with HIBD by increasing the expression of VDR, restoring brain pH value, reducing the expression of ASIC1a protein, and reducing oxidative stress.
李锋, 韦勇, 万珍玲, 邢凯慧, 吕子栋. 维生素D对缺氧缺血性脑损伤新生大鼠的影响及机制探索[J]. 河北医学, 2025, 31(9): 1439-1446.
LI Feng, WEI Yong, WANG Zhenling, et al. Effect of Vitamin D on Hypoxic-Ischemic Brain Damage in Neonatal Rats and Its Mechanism. HeBei Med, 2025, 31(9): 1439-1446.
[1] 曾晓倩,刘东昊,吴凡,等.丰富环境促进新生儿脑损伤后脑功能修复的研究进展[J].创伤与急诊电子杂志,2023,11(02):104-109. [2] Xu Y,Liang L.Vitamin D3/vitamin D receptor signaling mitigates symptoms of post-stroke depression in mice by upregulating hippocampal BDNF expression[J].Neurosci Res,2021(170):306-313. [3] Petschner P,Balogh N,Adori C,et al.Downregulation of the vitamin D receptor regulated gene set in the hippocampus after MDMA treatment[J].Front Pharmacol,2018(9):1373. [4] Morello M,Landel V,Lacassagne E,et al.Vitamin D improves neurogenesis and cognition in a mouse model of alzheimer's disease[J].Mol Neurobiol,2018,55(8):6463-6479. [5] Roy NM,Al-Harthi L,Sampat N,et al.Impact of vitamin D on neurocognitive function in dementia,depression,schizophrenia and ADHD[J].Front Biosci,2021,26(3):566-611. [6] Cai Y,Li X,Tan X,et al.Vitamin D suppresses ferroptosis and protects against neonatal hypoxic-ischemic encephalopathy by activating the Nrf2/HO-1 pathway[J].Transl Pediatr,2022,11(10):1633-1644. [7] Lang F,Ma K,Leibrock CB.1,25(OH)2D3 in brain function and neuropsychiatric disease[J].Neurosignals,2019,27(1):40-49. [8] Baas D,Prüfer K,Ittel ME,et al.Rat oligodendrocytes express the vitamin D(3) receptor and respond to 1,25-dihydroxyvitamin D(3)[J].Glia,2000,31(1):59-68. [9] Mirhosseini NZ,Knaus SJ,Bohaychuk K,et al.Both high and low plasma levels of 25-hydroxy vitamin D increase blood pressure in a normal rat model[J].Br Nutr,2016,116(11):1889-1900. [10] Lason W,Jantas D,Le'k kiewicz M,et al.Vitamin D3 and ischemic stroke:a narrative review[J].Antioxidants (Basel),2022,11(11):2120. [11] Zorrilla Veloz RI,McKenzie T,Palacios BE,et al.Nuclear hormone receptors in demyelinating diseases[J].Neuroendocrinol,2022,34(7):13171. [12] Cheong JL,Cady EB,Penrice J,et al.Proton MR spectroscopy in neonates with perinatal cerebral hypoxic-ischemic injury:metabolite peak-area ratios,relaxation times,and absolute concentrations[J].AJNR Am Neuroradiol,2006,27(7):1546-54. [13] Azoulay IS,Qi X,Rozenfeld M,et al.ASIC1a senses lactate uptake to regulate metabolism in neurons[J].Redox Biol,2022(51):102253. [14] Su JJ,Pan H,Zhou HG,et al.Acid-sensing ion channels activation and hypoxia upregulate Homer1a expression[J].CNS Neurosci Ther,2014,20(3):264-74. [15] Pan RY,He L,Zhang J,et al.Positive feedback regulation of microglial glucose metabolism by histone H4 lysine 12 lactylation in Alzheimer's disease[J].Cell Metab,2022,34(4):634-648.