PMID- 30784940 OWN - NLM STAT- MEDLINE DCOM- 20190808 LR - 20190808 IS - 1950-6007 (Electronic) IS - 0753-3322 (Linking) VI - 112 DP - 2019 Apr TI - Hyperglycemia aggravates spinal cord injury through endoplasmic reticulum stress mediated neuronal apoptosis, gliosis and activation. PG - 108672 LID - S0753-3322(18)33858-7 [pii] LID - 10.1016/j.biopha.2019.108672 [doi] AB - BACKGROUND: Hyperglycemia has been shown to influence prognostic outcome of spinal cord injury (SCI). However, the corresponding mechanism is not very clear. AIM: This study is expected to explore the role of endoplasmic reticulum (ER) stress in hyperglycemia aggravated SCI. METHODS: Hyperglycemia was established in rats by intraperitoneal (i.p.) injection of streptozotocin. SCI was performed at the T10 of spinal cord through weight dropping. ER stress was suppressed by oral gavage of 4-PBA. ER stress, histological change of the injured spinal cords, neuronal apoptosis, demyelination, glial proliferation, inflammatory factor production, blood-spinal cord barrier (BSCB) permeability, TJ (Occludin, Claudin5) and AJ (beta-catenin, P120) protein degradation, and locomotor recovery were determined using western blotting, immunohistochemistry, HE staining, Evan's Blue assay, BBB scores and inclined plane test, respectively. In vitro, rat spinal cord neurons cells (RSCNCs) and cerebral microvascular endothelial cells (RCMECs) were stimulated with high glucose (HG) and/or thapsigargin (TG). The effects of HG and/or TG on RSCNCs apoptosis, and AJ and TJ expression by RCMECs were evaluated with flow cytometry and western blotting, respectively. RESULTS: Hyperglycemic rats exhibited enhanced ER stress, increased neuronal apoptosis, aggravated demyelination, increased glial proliferation and inflammatory factors secretion, more serious BSCB disruption and disturbed locomotor recovery. ER stress inhibition alleviated hyperglycemia induced adverse effect on neuronal apoptosis and BSCB permeability, whereas showed little influence on glial activation and inflammation. CONCLUSION: ER stress was aggravated in hyperglycemic rats after SCI, and subsequently promoted neuronal apoptosis and BSCB disruption in rats. CI - Copyright (c) 2019 Elsevier Masson SAS. All rights reserved. FAU - Chen, Zhirong AU - Chen Z AD - Department of Orthopedics, General Hospital of Ningxia Medical University, Yinchuan, 750004, Ningxia, China. FAU - Guo, Haohui AU - Guo H AD - Department of Orthopedics, General Hospital of Ningxia Medical University, Yinchuan, 750004, Ningxia, China. FAU - Lu, Zhidong AU - Lu Z AD - Department of Orthopedics, General Hospital of Ningxia Medical University, Yinchuan, 750004, Ningxia, China. FAU - Sun, Kening AU - Sun K AD - Department of Orthopedics, General Hospital of Ningxia Medical University, Yinchuan, 750004, Ningxia, China. FAU - Jin, Qunhua AU - Jin Q AD - Department of Orthopedics, General Hospital of Ningxia Medical University, Yinchuan, 750004, Ningxia, China. Electronic address: jinqunhua@sina.com. LA - eng PT - Journal Article DEP - 20190218 PL - France TA - Biomed Pharmacother JT - Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie JID - 8213295 MH - Animals MH - Apoptosis/*physiology MH - Cells, Cultured MH - Endoplasmic Reticulum Stress/*physiology MH - Gliosis/etiology/*metabolism/pathology MH - Hyperglycemia/complications/*metabolism/pathology MH - Random Allocation MH - Rats MH - Rats, Sprague-Dawley MH - Spinal Cord Injuries/*metabolism/pathology OTO - NOTNLM OT - Endoplasmic reticulum (ER) stress OT - Glial proliferation OT - Hyperglycemia OT - Neuronal apoptosis OT - Spinal cord injury (SCI) EDAT- 2019/02/21 06:00 MHDA- 2019/08/09 06:00 CRDT- 2019/02/21 06:00 PHST- 2018/06/06 00:00 [received] PHST- 2019/01/29 00:00 [revised] PHST- 2019/02/05 00:00 [accepted] PHST- 2019/02/21 06:00 [pubmed] PHST- 2019/08/09 06:00 [medline] PHST- 2019/02/21 06:00 [entrez] AID - S0753-3322(18)33858-7 [pii] AID - 10.1016/j.biopha.2019.108672 [doi] PST - ppublish SO - Biomed Pharmacother. 2019 Apr;112:108672. doi: 10.1016/j.biopha.2019.108672. Epub 2019 Feb 18.