Abstract
Statins possess critical function in the brain. Here, we intended to investigate the role of lovastatin in brain damage after intracerebral hemorrhage (ICH). A collagenase-induced ICH rat model was established followed by lovastatin treatment. Then, the effect of lovastatin on ICH-induced brain damage was explored with cognitive function, learning and memory abilities, and neurological damage of rats analyzed. Besides, brain water content, number of degenerate neurons, Nissl's body, and apoptosis of neurons were detected. Oxidative stress levels, inflammation, and autophagy levels in ICH were measured after treatment of lovastatin. Lovastatin improved the cognitive impairment of rats, enhanced their spatial learning and memory abilities, reduced nervous system damage, lesion area, and brain water content after ICH. Lovastatin was capable of reducing the number of degenerated neurons, the apoptosis level, autophagy level, and increasing the number of Nissl's body. Lovastatin inhibited the oxidative stress response and inflammatory factors in the brain tissue after ICH, and increased the expression of anti-inflammatory factor IL-10. Lovastatin inhibited AMPK/mTOR signaling pathway after ICH. Our study highlighted the suppressive role of lovastatin in ICH-induced brain damage.
Similar content being viewed by others
Data availability
The datasets used or analyzed during the current study are available from the corresponding author on reasonable request.
References
Avolio E, Fazzari G, Mele M, Alo R, Zizza M, Jiao W, Di Vito A, Barni T, Mandala M, Canonaco M (2017) Unpredictable Chronic Mild Stress Paradigm Established Effects of Pro- and Anti-inflammatory Cytokine on Neurodegeneration-Linked Depressive States in Hamsters with Brain Endothelial Damages. Mol Neurobiol 54(8):6446–6458
Chen CC, Liu TY, Huang SP, Ho CT, Huang TC (2015) Differentiation and apoptosis induction by lovastatin and gamma-tocotrienol in HL-60 cells via Ras/ERK/NF-kappaB and Ras/Akt/NF-kappaB signaling dependent down-regulation of glyoxalase 1 and HMG-CoA reductase. Cell Signal 27(11):2182–2190
Chen J, Li Y, Wang L, Zhang Z, Lu D, Lu M, Chopp M (2001) Therapeutic benefit of intravenous administration of bone marrow stromal cells after cerebral ischemia in rats. Stroke 32(4):1005–1011
Chen Q, Shi X, Tan Q, Feng Z, Wang Y, Yuan Q, Tao Y, Zhang J, Tan L, Zhu G, Feng H, Chen Z (2017) Simvastatin Promotes Hematoma Absorption and Reduces Hydrocephalus Following Intraventricular Hemorrhage in Part by Upregulating CD36. Transl Stroke Res 8(4):362–373
Chen SF, Hung TH, Chen CC, Lin KH, Huang YN, Tsai HC, Wang JY (2007) Lovastatin improves histological and functional outcomes and reduces inflammation after experimental traumatic brain injury. Life Sci 81(4):288–298
Chen X, Zhou Y, Wang S, Wang W (2022) Mechanism of Baicalein in Brain Injury After Intracerebral Hemorrhage by Inhibiting the ROS/NLRP3 Inflammasome Pathway. Inflammation 45(2):590–602
Choi HW, Shin PG, Lee JH, Choi WS, Kang MJ, Kong WS, Oh MJ, Seo YB, Kim GD (2018) Anti-inflammatory effect of lovastatin is mediated via the modulation of NF-kappaB and inhibition of HDAC1 and the PI3K/Akt/mTOR pathway in RAW264.7 macrophages. Int J Mol Med 41(2):1103–1109
Duan X, Wen Z, Shen H, Shen M, Chen G (2016) Intracerebral Hemorrhage, Oxidative Stress, and Antioxidant Therapy. Oxid Med Cell Longev 2016:1203285
Fracassi A, Marangoni M, Rosso P, Pallottini V, Fioramonti M, Siteni S, Segatto M (2019) Statins and the Brain: More than Lipid Lowering Agents? Curr Neuropharmacol 17(1):59–83
Freeman WD, Aguilar MI (2012) Intracranial hemorrhage: diagnosis and management. Neurol Clin 30(1):211–240, ix
Gouveia TL, Scorza FA, Iha HA, Frangiotti MI, Perosa SR, Cavalheiro EA, Silva JA Jr, Feliciano RS, de Almeida AC, Naffah-Mazzacoratti MG (2014) Lovastatin decreases the synthesis of inflammatory mediators during epileptogenesis in the hippocampus of rats submitted to pilocarpine-induced epilepsy. Epilepsy Behav 36:68–73
Guo W, Liu H, Li L, Yang M, Du A (2014) Regulation of lovastatin on a key inflammation-related microRNA in myocardial cells. Chin Med J (engl) 127(16):2977–2981
He Y, Wan S, Hua Y, Keep RF, Xi G (2008) Autophagy after experimental intracerebral hemorrhage. J Cereb Blood Flow Metab 28(5):897–905
Hostettler IC, Seiffge DJ, Werring DJ (2019) Intracerebral hemorrhage: an update on diagnosis and treatment. Expert Rev Neurother 19(7):679–694
Indraswari F, Wang H, Lei B, James ML, Kernagis D, Warner DS, Dawson HN, Laskowitz DT (2012) Statins improve outcome in murine models of intracranial hemorrhage and traumatic brain injury: a translational approach. J Neurotrauma 29(7):1388–1400
Jiang S, Li T, Ji T, Yi W, Yang Z, Wang S, Yang Y, Gu C (2018) AMPK: Potential Therapeutic Target for Ischemic Stroke. Theranostics 8(16):4535–4551
Kang SY, Lee SB, Kim HJ, Kim HT, Yang HO, Jang W (2017) Autophagic modulation by rosuvastatin prevents rotenone-induced neurotoxicity in an in vitro model of Parkinson’s disease. Neurosci Lett 642:20–26
Karki K, Knight RA, Han Y, Yang D, Zhang J, Ledbetter KA, Chopp M, Seyfried DM (2009) Simvastatin and atorvastatin improve neurological outcome after experimental intracerebral hemorrhage. Stroke 40(10):3384–3389
Keep RF, Hua Y, Xi G (2012) Intracerebral haemorrhage: mechanisms of injury and therapeutic targets. Lancet Neurol 11(8):720–731
Khan J, Noboru N, Young A, Thomas D (2017) Pro and anti-inflammatory cytokine levels (TNF-alpha, IL-1beta, IL-6 and IL-10) in rat model of neuroma. Pathophysiology 24(3):155–159
Khan J, Ramadan K, Korczeniewska O, Anwer MM, Benoliel R, Eliav E (2015) Interleukin-10 levels in rat models of nerve damage and neuropathic pain. Neurosci Lett 592:99–106
Leker RR, Khoury ST, Rafaeli G, Shwartz R, Eichel R, Tanne D, Investigators N (2009) Prior use of statins improves outcome in patients with intracerebral hemorrhage: prospective data from the National Acute Stroke Israeli Surveys (NASIS). Stroke 40(7):2581–2584
Li Q, Zhuang QK, Yang JN, Zhang YY (2014) Statins excert neuroprotection on cerebral ischemia independent of their lipid-lowering action: the potential molecular mechanisms. Eur Rev Med Pharmacol Sci 18(8):1113–1126
Lin CM, Lin YT, Lin RD, Huang WJ, Lee MH (2015) Neurocytoprotective Effects of Aliphatic Hydroxamates from Lovastatin, a Secondary Metabolite from Monascus-Fermented Red Mold Rice, in 6-Hydroxydopamine (6-OHDA)-Treated Nerve Growth Factor (NGF)-Differentiated PC12 Cells. ACS Chem Neurosci 6(5):716–724
Lu Q, Gao L, Huang L, Ruan L, Yang J, Huang W, Li Z, Zhang Y, Jin K, Zhuge Q (2014) Inhibition of mammalian target of rapamycin improves neurobehavioral deficit and modulates immune response after intracerebral hemorrhage in rat. J Neuroinflammation 11:44
Ma Y, Li Z, Chen L, Li X (2016) Blood lipid levels, statin therapy and the risk of intracerebral hemorrhage. Lipids Health Dis 15:43
Marcolini E, Stretz C, DeWitt KM (2019) Intracranial Hemorrhage and Intracranial Hypertension. Emerg Med Clin North Am 37(3):529–544
Mendoza-Oliva A, Ferrera P, Arias C (2013) Interplay between cholesterol and homocysteine in the exacerbation of amyloid-beta toxicity in human neuroblastoma cells. CNS Neurol Disord Drug Targets 12(6):842–848
Mendoza-Oliva A, Zepeda A, Arias C (2014) The complex actions of statins in brain and their relevance for Alzheimer’s disease treatment: an analytical review. Curr Alzheimer Res 11(9):817–833
Morotti A, Goldstein JN (2016) Diagnosis and Management of Acute Intracerebral Hemorrhage. Emerg Med Clin North Am 34(4):883–899
Mulder KC, Mulinari F, Franco OL, Soares MS, Magalhaes BS, Parachin NS (2015) Lovastatin production: From molecular basis to industrial process optimization. Biotechnol Adv 33(6 Pt 1):648–665
Omolaoye TS, Skosana BT, du Plessis SS (2018) Diabetes mellitus- induction: Effect of different streptozotocin doses on male reproductive parameters. Acta Histochem 120(2):103–109
Saha S, Panigrahi DP, Patil S, Bhutia SK (2018) Autophagy in health and disease: A comprehensive review. Biomed Pharmacother 104:485–495
Salins P, Shawesh S, He Y, Dibrov A, Kashour T, Arthur G, Amara F (2007) Lovastatin protects human neurons against Abeta-induced toxicity and causes activation of beta-catenin-TCF/LEF signaling. Neurosci Lett 412(3):211–216
Salminen A, Kaarniranta K, Kauppinen A, Ojala J, Haapasalo A, Soininen H, Hiltunen M (2013) Impaired autophagy and APP processing in Alzheimer’s disease: The potential role of Beclin 1 interactome. Prog Neurobiol 106–107:33–54
Saxton RA, Sabatini DM (2017) mTOR Signaling in Growth, Metabolism, and Disease. Cell 168(6):960–976
Siddiqui FM, Langefeld CD, Moomaw CJ, Comeau ME, Sekar P, Rosand J, Kidwell CS, Martini S, Osborne JL, Stutzman S, Hall C, Woo D (2017) Use of Statins and Outcomes in Intracerebral Hemorrhage Patients. Stroke 48(8):2098–2104
Thabet AM, Kottapally M, Hemphill JC 3rd (2017) Management of intracerebral hemorrhage. Handb Clin Neurol 140:177–194
Wagner RJ, Martin KA, Powell RJ, Rzucidlo EM (2010) Lovastatin induces VSMC differentiation through inhibition of Rheb and mTOR. Am J Physiol Cell Physiol 299(1):C119-127
Wang J (2010) Preclinical and clinical research on inflammation after intracerebral hemorrhage. Prog Neurobiol 92(4):463–477
Wang P, Shao BZ, Deng Z, Chen S, Yue Z, Miao CY (2018) Autophagy in ischemic stroke. Prog Neurobiol 163–164:98–117
Wang Y, Chen Q, Tan Q, Feng Z, He Z, Tang J, Feng H, Zhu G, Chen Z (2018) Simvastatin accelerates hematoma resolution after intracerebral hemorrhage in a PPARgamma-dependent manner. Neuropharmacology 128:244–254
Wei N, Wei Y, Li B, Pang L (2017) Baicalein Promotes Neuronal and Behavioral Recovery After Intracerebral Hemorrhage Via Suppressing Apoptosis. Oxidative Stress and Neuroinflammation Neurochem Res 42(5):1345–1353
Wu H, Zhang Z, Li Y, Zhao R, Li H, Song Y, Qi J, Wang J (2010) Time course of upregulation of inflammatory mediators in the hemorrhagic brain in rats: correlation with brain edema. Neurochem Int 57(3):248–253
Xiong L, Reijmer YD, Charidimou A, Cordonnier C, Viswanathan A (2016) Intracerebral hemorrhage and cognitive impairment. Biochim Biophys Acta 1862(5):939–944
Yang D, Knight RA, Han Y, Karki K, Zhang J, Chopp M, Seyfried DM (2013a) Statins Protect the Blood Brain Barrier Acutely after Experimental Intracerebral Hemorrhage. J Behav Brain Sci 3(1):100–106
Yang D, Zhang J, Han Y, James E, Chopp M, Seyfried DM (2013b) Acute Statin Treatment Improves Recovery after Experimental Intracerebral Hemorrhage. World J Neurosci 3(2):69–75
Zhao J, Zhang X, Dong L, Wen Y, Cui L (2014) The many roles of statins in ischemic stroke. Curr Neuropharmacol 12(6):564–574
Zhao M, Gao J, Cui C, Zhang Y, Jiang X, Cui J (2021) Inhibition of PTEN Ameliorates Secondary Hippocampal Injury and Cognitive Deficits after Intracerebral Hemorrhage: Involvement of AKT/FoxO3a/ATG-Mediated Autophagy. Oxid Med Cell Longev 2021:5472605
Ziai WC, Carhuapoma JR (2018) Intracerebral Hemorrhage. Continuum (minneap Minn) 24(6):1603–1622
Zolkiflee NF, Affandi M, Majeed ABA (2020) Thermodynamics and solute-solvent interactions of lovastatin in an aqueous arginine solution. Eur J Pharm Sci 141:105111
Funding
Thanks for the grant from the Shaoyang science and technology planning projec (Grant No. 2020GZ93).
Author information
Authors and Affiliations
Contributions
DX conceived the ideas. TS designed the experiments. DX performed the experiments. TS analyzed the data. YJM and QRQ provided critical materials. YHY and YPH wrote the manuscript. DX supervised the study. All the authors have read and approved the final version for publication.
Corresponding author
Ethics declarations
Ethics approval and consent to participate
Animal experiments were carried out in accordance with the standards established by the Animal Experiment Committee of The First Affiliated Hospital of Shaoyang University, and were approved by the Ethics Committee of The First Affiliated Hospital of Shaoyang University. All animal experiments were carried out in accordance with the "Guidelines for the Care and Use of Laboratory Animals" issued by the National Institutes of Health (NIH).
Consent to publish
Not applicable.
Conflict of interests
The authors declare there is no conflict of interests.
Additional information
Publisher's note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Deng, X., Yang, J., Qing, R. et al. Suppressive role of lovastatin in intracerebral hemorrhage through repression of autophagy. Metab Brain Dis 38, 361–372 (2023). https://doi.org/10.1007/s11011-022-01101-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11011-022-01101-6