PMID- 30666179 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 1662-4548 (Print) IS - 1662-453X (Electronic) IS - 1662-453X (Linking) VI - 12 DP - 2018 TI - Inhibition of Necroptosis Rescues SAH-Induced Synaptic Impairments in Hippocampus via CREB-BDNF Pathway. PG - 990 LID - 10.3389/fnins.2018.00990 [doi] LID - 990 AB - Subarachnoid hemorrhage (SAH) is a devastating form of stroke that leads to incurable outcomes. Increasing evidence has proved that early brain injury (EBI) contributes mostly to unfavorable outcomes after SAH. A previously unknown mechanism of regulated cell death known as necroptosis has recently been reported. Necrostatin-1 (nec-1), a specific and potent inhibitor of necroptosis, can attenuate brain impairments after SAH. However, the effect of nec-1 on the hippocampus and its neuroprotective impact on synapses after SAH is not well understood. Our present study was designed to investigate the potential effects of nec-1 administration on synapses and its relevant signal pathway in EBI after SAH. Nec-1 was administrated in a rat model via intracerebroventricular injection after SAH. Neurobehavior scores and brain edema were detected at 24 h after SAH occurred. The expression of the receptor-interacting proteins 1 and 3 (RIP1and3) was examined as a marker of necroptosis. We used hematoxylin and eosin staining, Nissl staining, silver staining and terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) to observe the morphological changes in hippocampus. The protective effect of nec-1 on synapses was evaluated using western blotting and electron microscopy and Western blotting was used to detect the cAMP responsive element binding (CREB) protein and brain-derived neurotrophic factor (BDNF), and we used transmission electron microscopy and TUNEL to detect the protective effects of nec-1 when a specific inhibitor of CREB, known as 666-15, was used. Our results showed that in the SAH group, RIP1, and RIP3 significantly increased in the hippocampus. Additionally, injection of nec-1 alleviated brain edema and improved neurobehavior scores, compared with those in the SAH group. The damage to neurons was attenuated, and synaptic structure also improved in the Sham+nec-1 group. Furthermore, nec-1 treatment significantly enhanced the levels of phospho-CREB and BDNF compared with those in the SAH group. The protective effect of nec-1 could hindered by 666-15. Thus, nec-1 mitigated SAH-induced synaptic impairments in the hippocampus through the inhibition of necroptosis in connection with the CREB-BDNF pathway. This study may provide a new strategy for SAH patients in clinical practice. FAU - Yang, Chunlei AU - Yang C AD - Department of Neurosurgery, Qilu Hospital of Shandong University and Institute of Brain and Brain-Inspired Science, Shandong University, Jinan, China. AD - Shandong Key Laboratory of Brain Function Remodeling, Jinan, China. FAU - Li, Tong AU - Li T AD - Department of Neurosurgery, Qilu Hospital of Shandong University and Institute of Brain and Brain-Inspired Science, Shandong University, Jinan, China. AD - Shandong Key Laboratory of Brain Function Remodeling, Jinan, China. AD - Department of Neurosurgery, Qingdao Municipal Hospital, Qingdao, China. FAU - Xue, Hao AU - Xue H AD - Department of Neurosurgery, Qilu Hospital of Shandong University and Institute of Brain and Brain-Inspired Science, Shandong University, Jinan, China. AD - Shandong Key Laboratory of Brain Function Remodeling, Jinan, China. FAU - Wang, Lingxiao AU - Wang L AD - Department of Physiology, Shandong University School of Basic Medical Sciences, Jinan, China. FAU - Deng, Lin AU - Deng L AD - Department of Neurosurgery, Qilu Hospital of Shandong University and Institute of Brain and Brain-Inspired Science, Shandong University, Jinan, China. AD - Shandong Key Laboratory of Brain Function Remodeling, Jinan, China. FAU - Xie, Yunkai AU - Xie Y AD - Department of Physiology, Shandong University School of Basic Medical Sciences, Jinan, China. FAU - Bai, Xuemei AU - Bai X AD - Department of Physiology, Shandong University School of Basic Medical Sciences, Jinan, China. FAU - Xin, Danqing AU - Xin D AD - Department of Physiology, Shandong University School of Basic Medical Sciences, Jinan, China. FAU - Yuan, Hongtao AU - Yuan H AD - Department of Physiology, Shandong University School of Basic Medical Sciences, Jinan, China. FAU - Qiu, Jie AU - Qiu J AD - Department of Physiology, Shandong University School of Basic Medical Sciences, Jinan, China. FAU - Wang, Zhen AU - Wang Z AD - Department of Physiology, Shandong University School of Basic Medical Sciences, Jinan, China. FAU - Li, Gang AU - Li G AD - Department of Neurosurgery, Qilu Hospital of Shandong University and Institute of Brain and Brain-Inspired Science, Shandong University, Jinan, China. AD - Shandong Key Laboratory of Brain Function Remodeling, Jinan, China. LA - eng PT - Journal Article DEP - 20190107 PL - Switzerland TA - Front Neurosci JT - Frontiers in neuroscience JID - 101478481 PMC - PMC6330293 OTO - NOTNLM OT - early brain injury OT - hippocampus OT - necroptosis OT - subarachnoid hemorrhage OT - synaptic impairment EDAT- 2019/01/23 06:00 MHDA- 2019/01/23 06:01 PMCR- 2018/01/01 CRDT- 2019/01/23 06:00 PHST- 2018/05/23 00:00 [received] PHST- 2018/12/10 00:00 [accepted] PHST- 2019/01/23 06:00 [entrez] PHST- 2019/01/23 06:00 [pubmed] PHST- 2019/01/23 06:01 [medline] PHST- 2018/01/01 00:00 [pmc-release] AID - 10.3389/fnins.2018.00990 [doi] PST - epublish SO - Front Neurosci. 2019 Jan 7;12:990. doi: 10.3389/fnins.2018.00990. eCollection 2018.