PMID- 32754040 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 11 DP - 2020 TI - Berberine Ameliorates Subarachnoid Hemorrhage Injury via Induction of Sirtuin 1 and Inhibiting HMGB1/Nf-kappaB Pathway. PG - 1073 LID - 10.3389/fphar.2020.01073 [doi] LID - 1073 AB - Excessive cerebral inflammation plays a key role in early brain injury (EBI) after subarachnoid hemorrhage (SAH). Berberine, an isoquinoline alkaloid isolated from Chinese herb Coptis chinensis, possesses anti-inflammatory, and neuroprotective effects. Here we evaluated the beneficial effects of berberine against SAH-induced inflammatory response and the subsequent brain injury. Our data showed that berberine treatment significantly inhibited microglia activation and proinflammatory cytokines release. Concomitant with suppressed cerebral inflammation, berberine mitigated the subsequent brain injury as demonstrated by improved neurological behavior, reduced brain edema, and decreased neural apoptosis. Moreover, berberine significantly inhibited high mobile group box 1 (HMGB1)/nuclear factor-kappaB (Nf-kappaB)-dependent pathway and enhanced sirtuin 1 (SIRT1) expression after SAH. Treatment with ex527, a selective SIRT1 inhibitor, reversed berberine-induced SIRT1 activation and inhibitory effects on HMGB1/Nf-kappaB activation. In addition, ex527 pretreatment abated the anti-inflammatory and neuroprotective effects of berberine on SAH. Taken together, these findings suggest that berberine provides beneficial effects against SAH-triggered cerebral inflammation by inhibiting HMGB1/Nf-kappaB pathway, which may be modulated by SIRT1 activation. CI - Copyright (c) 2020 Zhang, Peng, Zhang, Dong, Wang, Liu, Xia and Zhang. FAU - Zhang, Xiang-Hua AU - Zhang XH AD - Department of Neurosurgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China. FAU - Peng, Lei AU - Peng L AD - Department of Neurosurgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China. FAU - Zhang, Jing AU - Zhang J AD - Department of Neurosurgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China. FAU - Dong, Yi-Peng AU - Dong YP AD - Department of Neurosurgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China. FAU - Wang, Cheng-Jun AU - Wang CJ AD - Department of Neurosurgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China. FAU - Liu, Cang AU - Liu C AD - Department of Neurosurgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China. FAU - Xia, Da-Yong AU - Xia DY AD - Department of Neurosurgery, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, China. FAU - Zhang, Xiang-Sheng AU - Zhang XS AD - Department of Neurosurgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China. LA - eng PT - Journal Article DEP - 20200710 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC7366844 OTO - NOTNLM OT - HMGB1 OT - Sirtuin 1 OT - berberine OT - inflammation OT - subarachnoid hemorrhage EDAT- 2020/08/06 06:00 MHDA- 2020/08/06 06:01 PMCR- 2020/07/10 CRDT- 2020/08/06 06:00 PHST- 2020/05/12 00:00 [received] PHST- 2020/07/01 00:00 [accepted] PHST- 2020/08/06 06:00 [entrez] PHST- 2020/08/06 06:00 [pubmed] PHST- 2020/08/06 06:01 [medline] PHST- 2020/07/10 00:00 [pmc-release] AID - 10.3389/fphar.2020.01073 [doi] PST - epublish SO - Front Pharmacol. 2020 Jul 10;11:1073. doi: 10.3389/fphar.2020.01073. eCollection 2020.