An inhibitory and beneficial effect of chlorpromazine and promethazine (C + P) on hyperglycolysis through HIF-1α regulation in ischemic stroke

Copyright © 2021 Elsevier B.V. All rights reserved..

BACKGROUND: After ischemic stroke, the increased catabolism of glucose (hyperglycolysis) results in the production of reactive oxygen species (ROS) via nicotinamide adenine dinucleotide phosphate (NADPH) oxidase (NOX). A depressive or hibernation-like effect of C + P on brain activity was reported to induce neuroprotection. The current study assesses the effect of C + P on hyperglycolysis and NOX activation.

METHODS: Adult male Sprague-Dawley rats were subjected to 2 h of middle cerebral artery occlusion (MCAO) followed by 6 or 24 h of reperfusion. At the onset of reperfusion, rats received C + P with or without temperature control, or phloretin [glucose transporter (GLUT)-1 inhibitor], or cytochalasin B (GLUT-3 inhibitor). We detected brain ROS, apoptotic cell death, and ATP levels along with HIF-1α expression. Cerebral hyperglycolysis was measured by glucose, protein expression of GLUT-1/3, and phosphofructokinase-1 (PFK-1), as well as lactate and lactate dehydrogenase (LDH) at 6 and 24 h of reperfusion. The enzymatic activity of NOX and protein expression of its subunits (gp91phox) were detected. Neural SHSY5Y cells were placed under 2 h of oxygen-glucose deprivation (OGD) followed by reoxygenation for 6 and 24 h with C + P treatment. Cell viability and protein levels of HIF-1α, GLUT-1/3, PFK-1, LDH, and gp91phox were measured. A HIF-1α overexpression vector was transfected into the cells, and then protein levels of HIF-1α, GLUT-1/3, PFK-1, and LDH were quantitated. In sham-operated rats and control cells, the protein levels of HIF-1α, GLUT-1/3, PFK-1, LDH, and gp91phox were measured at 6 and 24 h after C + P administration.

RESULTS: C + P reduced the protein elevations after stroke in HIF-1α, glycolytic enzymes, as well as in ROS, cell death, glucose and lactate, but raised ATP levels in the brain. In ischemic rats exposed to GLUT-1/3 inhibitors, ROS, cell death, glucose, and lactate were all decreased, as well as GLUT-1, GLUT-3, LDH, and PFK-1 protein levels. C + P decreased ischemia-induced NOX activation by reducing the enzymatic activity and protein expression of the NOX subunit gp91phox, as was observed in the presence of GLUT-1/3 inhibitors. These markers were significantly decreased following C + P administration with the induced hypothermia, while C + P administration with temperature control at 37 °C induced lesser protection after ischemia stroke. In the OGD/reoxygenation model, C + P treatment increased cell viability and diminished protein levels of HIF-1α, GLUT-1, GLUT-3, PFK-1, LDH, and gp91phox. However, in OGD with HIF-1α overexpression, C + P was unable to effectively reduce the upregulated GLUT-1, GLUT-3, and LDH. In normal conditions, C + P reduced HIF-1α and the levels of key glycolytic enzymes depending on its pharmacological effect.

CONCLUSION: C + P, partially depending on hypothermia, attenuates hyperglycolysis and NOX activation through HIF-1α regulation.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:1763

Enthalten in:

Brain research - 1763(2021) vom: 15. Juli, Seite 147463

Sprache:

Englisch

Beteiligte Personen:

Guo, Sichao [VerfasserIn]
Cosky, Eric [VerfasserIn]
Li, Fengwu [VerfasserIn]
Guan, Longfei [VerfasserIn]
Ji, Yu [VerfasserIn]
Wei, Wenjing [VerfasserIn]
Peng, Changya [VerfasserIn]
Geng, Xiaokun [VerfasserIn]
Ding, Yuchuan [VerfasserIn]

Links:

Volltext

Themen:

Chlorpromazine
Chlorpromazine and Promethazine (C+P)
Cybb protein, rat
EC 1.1.1.27
EC 1.6.3.-
EC 2.7.1.11
FF28EJQ494
Glucose
Glucose Transporter Type 1
Glucose Transporter Type 3
Hif1a protein, rat
Hypoxia-Inducible Factor 1, alpha Subunit
Hypoxia-induced factor-1α (HIF-1α)
IY9XDZ35W2
Ischemia/reperfusion
Journal Article
L-Lactate Dehydrogenase
NADPH Oxidase 2
Pharmacological hypothermia
Phenothiazines
Phosphofructokinase-1
Promethazine
Research Support, Non-U.S. Gov't
Stroke
U42B7VYA4P

Anmerkungen:

Date Completed 24.01.2022

Date Revised 24.01.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.brainres.2021.147463

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM323673198