PMID- 31591949 OWN - NLM STAT- MEDLINE DCOM- 20210324 LR - 20210324 IS - 1607-8888 (Electronic) IS - 1025-3890 (Linking) VI - 23 IP - 3 DP - 2020 May TI - Chronic restraint stress exacerbates neurological deficits and disrupts the remodeling of the neurovascular unit in a mouse intracerebral hemorrhage model. PG - 338-348 LID - 10.1080/10253890.2019.1678023 [doi] AB - Growing evidences have shown that patients recovering from stroke experience high and unremitting stress. Chronic restraint stress (CRS) has been found to exacerbate neurological impairments in an experimental focal cortical ischemia model. However, there have been no studies reporting the effect and mechanism of CRS on intracerebral hemorrhage (ICH). This study aimed to evaluate the effect of CRS on a mouse ICH model. Adult male C57BL mice were subjected to infusion of collagenase IV (to induce ICH) or saline (for sham) into the left striatum. After ICH, animals were stressed with application of CRS protocol for 21 days. Our results showed that CRS significantly exacerbated neurological deficits (Garcia test, corner turn test, and wire grip test) and the ipsilateral brain atrophy and reduced body weight gain after ICH. Immunofluorescence staining indicated that CRS exerted significant suppressive effects on neuron, astrocyte, vascular endothelial cell and pericyte and excessively activated microglia post ICH. All of the key cellular components mentioned above are involved in the neurovascular unit (NVU) remodeling in the peri-hemorrhagic region after ICH. Western blot results showed that matrix metalloproteinase (MMP)-9 and tight junction (TJ) proteins including zonula occludens-1, occludin and claudin-5 were increased after ICH, but MMP-9 protein was further up-regulated and TJ-related proteins were down-regulated by CRS. In addition, ICH-induced activation of endoplasmic reticulum stress and apoptosis were further strengthened by CRS. Collectively, CRS exacerbates neurological deficits and disrupts the remodeling of the peri-hemorrhagic NVU after ICH, which may be associated with TJ proteins degradation and excessive activation of MMP-9 and endoplasmic reticulum stress-apoptosis.LAY SUMMARYCRS exacerbates neurological deficits and disrupts the remodeling of the NVU in the recovery stage after ICH, which suggest that monitoring chronic stress levels in patients recovering from ICH may merit consideration in the future. FAU - Gao, Cheng AU - Gao C AD - Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai, China. AD - Department of Forensic Medicine, Medical School of Soochow University, Suzhou, China. FAU - Meng, Ying AU - Meng Y AD - Community Health Center, Suzhou Western Eco-City, Suzhou, China. FAU - Chen, Guang AU - Chen G AD - Department of Forensic Medicine, Medical School of Soochow University, Suzhou, China. FAU - Chen, Wei AU - Chen W AD - Department of Forensic Medicine, Medical School of Soochow University, Suzhou, China. FAU - Chen, Xue-Shi AU - Chen XS AD - Department of Forensic Medicine, Medical School of Soochow University, Suzhou, China. FAU - Luo, Cheng-Liang AU - Luo CL AD - Department of Forensic Medicine, Medical School of Soochow University, Suzhou, China. FAU - Zhang, Ming-Yang AU - Zhang MY AD - Department of Forensic Medicine, Medical School of Soochow University, Suzhou, China. FAU - Wang, Zu-Feng AU - Wang ZF AD - Department of Forensic Medicine, Medical School of Soochow University, Suzhou, China. FAU - Wang, Tao AU - Wang T AD - Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai, China. AD - Department of Forensic Medicine, Medical School of Soochow University, Suzhou, China. AD - School of Pharmacy, Soochow University, Suzhou, China. FAU - Tao, Lu-Yang AU - Tao LY AD - Department of Forensic Medicine, Medical School of Soochow University, Suzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191018 PL - England TA - Stress JT - Stress (Amsterdam, Netherlands) JID - 9617529 SB - IM MH - Animals MH - *Cerebral Hemorrhage MH - Disease Models, Animal MH - Humans MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Neurons MH - *Stress, Psychological OTO - NOTNLM OT - Intracerebral hemorrhage OT - apoptosis OT - chronic restraint stress OT - endoplasmic reticulum stress OT - neurovascular unit OT - tight junction EDAT- 2019/10/09 06:00 MHDA- 2021/03/25 06:00 CRDT- 2019/10/09 06:00 PHST- 2019/10/09 06:00 [pubmed] PHST- 2021/03/25 06:00 [medline] PHST- 2019/10/09 06:00 [entrez] AID - 10.1080/10253890.2019.1678023 [doi] PST - ppublish SO - Stress. 2020 May;23(3):338-348. doi: 10.1080/10253890.2019.1678023. Epub 2019 Oct 18.