Orally administrated ascorbic acid suppresses neuronal damage and modifies expression of SVCT2 and GLUT1 in the brain of diabetic rats with cerebral ischemia-reperfusion

Nutrients. 2014 Apr 15;6(4):1554-77. doi: 10.3390/nu6041554.

Abstract

Diabetes mellitus is known to exacerbate cerebral ischemic injury. In the present study, we investigated antiapoptotic and anti-inflammatory effects of oral supplementation of ascorbic acid (AA) on cerebral injury caused by middle cerebral artery occlusion and reperfusion (MCAO/Re) in rats with streptozotocin-induced diabetes. We also evaluated the effects of AA on expression of sodium-dependent vitamin C transporter 2 (SVCT2) and glucose transporter 1 (GLUT1) after MCAO/Re in the brain. The diabetic state markedly aggravated MCAO/Re-induced cerebral damage, as assessed by infarct volume and edema. Pretreatment with AA (100 mg/kg, p.o.) for two weeks significantly suppressed the exacerbation of damage in the brain of diabetic rats. AA also suppressed the production of superoxide radical, activation of caspase-3, and expression of proinflammatory cytokines (tumor necrosis factor-α and interleukin-1β) in the ischemic penumbra. Immunohistochemical staining revealed that expression of SVCT2 was upregulated primarily in neurons and capillary endothelial cells after MCAO/Re in the nondiabetic cortex, accompanied by an increase in total AA (AA + dehydroascorbic acid) in the tissue, and that these responses were suppressed in the diabetic rats. AA supplementation to the diabetic rats restored these responses to the levels of the nondiabetic rats. Furthermore, AA markedly upregulated the basal expression of GLUT1 in endothelial cells of nondiabetic and diabetic cortex, which did not affect total AA levels in the cortex. These results suggest that daily intake of AA attenuates the exacerbation of cerebral ischemic injury in a diabetic state, which may be attributed to anti-apoptotic and anti-inflammatory effects via the improvement of augmented oxidative stress in the brain. AA supplementation may protect endothelial function against the exacerbated ischemic oxidative injury in the diabetic state and improve AA transport through SVCT2 in the cortex.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Animals
  • Apoptosis / drug effects
  • Ascorbic Acid / administration & dosage*
  • Brain / drug effects
  • Caspase 3
  • Diabetes Mellitus, Experimental / drug therapy*
  • Dietary Supplements
  • Endothelial Cells / drug effects
  • Glucose Transporter Type 1 / genetics
  • Glucose Transporter Type 1 / metabolism*
  • Infarction, Middle Cerebral Artery / drug therapy*
  • Infarction, Middle Cerebral Artery / pathology
  • Interleukin-1beta / metabolism
  • Male
  • Neurons / drug effects*
  • Oxidative Stress / drug effects
  • Rats
  • Rats, Sprague-Dawley
  • Sodium-Coupled Vitamin C Transporters / genetics
  • Sodium-Coupled Vitamin C Transporters / metabolism*
  • Streptozocin
  • Tumor Necrosis Factor-alpha / metabolism
  • Up-Regulation

Substances

  • Glucose Transporter Type 1
  • Interleukin-1beta
  • Slc23a2 protein, rat
  • Slc2a1 protein, rat
  • Sodium-Coupled Vitamin C Transporters
  • Tumor Necrosis Factor-alpha
  • Streptozocin
  • Casp3 protein, rat
  • Caspase 3
  • Ascorbic Acid