Dongyong Zhu1, Bo He1, Yixuan Wan1, Mengdi Zhang1, and Fabao Gao1
1Department of Radiology, West China Hospital of Sichuan University, Chengdu, China
Synopsis
Ovariectomized
Female Rats Suffer Hippocampal Neuroinflammation and
the Blood-Brain Barrier Disruption Easier than Male and Intact Female Rats following
Prolonged Exposure of a Hypobaric and Hypoxic Environment at High Altitude
Introduction
It is well-known that both the estrogen and testosterone
have neuroprotective effects in neuronal system [1,2]. Therefore, in this study, we hypothesized that OVX female
animals can be more prone to hippocampal damage than intact females and males due
to low levels of neuroinflammation and BBB permeability. Thus, the aim of this
study to investigate the gender difference in hypobaric hypoxia induced
neuroinflammation and blood-brain barrier changes by establishing a real
plateau environment-induced hypobaric hypoxia model with male, and female
integral and castrated rats.
Objective: The present study aimed
at investigating the role of sex in hypobaric hypoxia
induced neuroinflammation and blood-brain barrier changes in adult male,
female, and ovariectomized (OVX) female rats.
Materials
and Methods: Male, intact
female, and ovariectomized (OVX) female rats were randomly assigned to chronic
hypobaric hypoxia (CHH) group and control (C) group. The CHH group was transported from Chengdu to the Qinghai-Tibet Plateau (4250
m above sea level (a.s.l.)) and was then fed for 1 month, while the C group was reared in Chengdu (500 m a.s.l.). One month later,
dynamic contrast-enhanced magnetic resonance imaging
(DCE-MRI) at a 7.0T preclinical MR scanner (Bruker, Ettlingen, Germany) was
used to evaluate BBB permeability in the hippocampus in vivo. In addition, biochemical
analysis, behavioral assessment, histological, and molecular examinations were performed
on each group.
Results:
After 1 month of exposure to plateau hypoxia, OVX female animals had a learning
deficit in the Morris water maze, while male and intact females did not show
this deficit. DCE-MRI analysis of the same animals indicated higher levels of BBB
permeability of OVX female animals than intact females or males. Biochemical
methods showed that the contents of MDA, and the contents of IL-6, IL-1β, and
TNF-α in hippocampus were increased, while the activities of SOD, GSH, GSH-Px, and
CAT decreased in OVX female animals. Immunohistochemical staining results
showed that increased activation of microglia in the hippocampus. At the
molecular level, hypobaric hypoxia promoted the activation of nNOS, and decreased
the levels of HO-1 and paraoxonase 2 (PON2) expression in the hippocampal
region caused by deficiency of estrogen. Additionally, we found that hypobaric
hypoxia decreased the gene expression of the NR2A and NR2B subunit of
N-methyl-D-aspartate (NMDA) receptors in the hippocampus of OVX female rats.
Conclusion:
A lack of ovarian function may increase
neuroinflammation and blood-brain barrier permeability at altitude.
Discussion and conclusion
Under
hypobaric hypoxia, OVX female rats exhibit a higher incidence of neuroinflammation
and blood-brain barrier disruption
than intact female and male rats in our study. Further pathology and molecular examination confirmed this finding. Thus,
the sex hormone estrogen is thought to play a critical role in preventing neuroinflammation
and blood-brain barrier disruption
encountering chronic hypobaric hypoxia.
Our data also indicate that plateau hypoxia exposure caused oxidative stress and neuroinflammation in male and female rats that extended in hippocampus tissue but was more pronounced in the male and OVX female rats than intact female brain. Therefore, the OVX female rats may be more prone to plateau hypoxia induced hippocampal damages than male and intact female rats due to low levels of paraoxonase 2 (PON2) expression, intracellular antioxidants, and anti-inflammatory enzymes.Acknowledgements
This study was
supported by the National Natural Science Foundation of China (no. 81930046, 81771800,
and 81829003).References
1. Lara A, Esperante I, Meyer M, Liere P, Di Giorgio N, Schumacher M,
Guennoun R, Gargiulo-Monachelli G, De Nicola AF, Gonzalez Deniselle MC: Neuroprotective Effects of Testosterone in
Male Wobbler Mouse, a Model of Amyotrophic Lateral Sclerosis. Molecular neurobiology 2021, 58(5):2088-2106.
2. Yang Y, Zhao L, Li N, Dai C, Yin N, Chu Z, Duan X, Niu X, Yan P, Lv P. Estrogen Exerts Neuroprotective Effects in Vascular Dementia Rats by Suppressing Autophagy and Activating the Wnt/β-Catenin Signaling Pathway. Neurochem Res. 2020 Sep;45(9):2100-2112. doi: 10.1007/s11064-020-03072-5