Background
Currently, therapeutic hypothermia (TH) is the only intervention approved for the treatment of neonatal hypoxic-ischaemic encephalopathy (HIE), but the treatment window for TH is narrow (within 6 h after birth), and its efficacy is not ideal. Thus, alternative treatments are urgently needed., Our previous studies showed that Genistein-3′-sodium sulfonate (GSS), a derivative of genistein (Gen), has a strong neuroprotective effect in ischemia stroke rats, but its role in HIE is unclear.
Methods
The HI brain injury model was established in male Sprague-Dawley (SD) neonatal rats. Following treatment with GSS, cerebral infarction, neurological function, neuron damaged were assessed 24 h after reperfusion. RNA-Seq and bioinformatics analysis were used to explore differential expression genes (DEGs) and signals, which were validated by Western blotting subsequently.
Results
In this study, we found that GSS not only significantly reduced brain infarct size of rats with HIE and alleviated nerve damage, but also inhibited neuronal loss and degeneration in neonatal rats with HIE. A total of 2170 DEGs, of which 1102 were upregulated and 1068 were downregulated, were identified in the GSS group compared with the HI group. Downregulated DEGs significantly enriched in the Phagosome, NF-κB signalling pathway, Complement and coagulation cascades, and so on. Upregulated DEGs were significantly enriched in the Pathways of neurodegeneration, Glutamatergic synapse, Calcium signalling pathway, and so on.
Conclusion
These results indicate that GSS intervenes the process of HIE-induced brain injury by participating in multiple pathways, which provided drug candidates for the treatment of HIE.