Combined Antiapoptotic and Antioxidant Approach to Acute Neuroprotection for Stroke in Hypertensive Rats

We hypothesized that targeting key points in the ischemic cascade with combined neuroglobin (Ngb) overexpression and c-jun N-terminal kinase (JNK) inhibition (SP600125) would offer greater neuroprotection than single treatment after in vitro hypoxia/reoxygenation and in a randomized, blinded in vivo...

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Veröffentlicht in:Journal of cerebral blood flow and metabolism 2013-08, Vol.33 (8), p.1215-1224
Hauptverfasser: Ord, Emily NJ, Shirley, Rachel, McClure, John D, McCabe, Christopher, Kremer, Eric J, Macrae, I Mhairi, Work, Lorraine M
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container_end_page 1224
container_issue 8
container_start_page 1215
container_title Journal of cerebral blood flow and metabolism
container_volume 33
creator Ord, Emily NJ
Shirley, Rachel
McClure, John D
McCabe, Christopher
Kremer, Eric J
Macrae, I Mhairi
Work, Lorraine M
description We hypothesized that targeting key points in the ischemic cascade with combined neuroglobin (Ngb) overexpression and c-jun N-terminal kinase (JNK) inhibition (SP600125) would offer greater neuroprotection than single treatment after in vitro hypoxia/reoxygenation and in a randomized, blinded in vivo experimental stroke study using a clinically relevant rat strain. Male spontaneously hypertensive stroke-prone rats underwent transient middle cerebral artery occlusion (tMCAO) and were divided into the following groups: tMCAO; tMCAO + control GFP-expressing canine adenovirus-2, CAVGFP; tMCAO + Ngb-expressing CAV-2, CAVNgb; tMCAO + SP600125; tMCAO + CAVNgb + SP600125; or sham procedure. Rats were assessed till day 14 for neurologic outcome before infarct determination. In vitro, combined lentivirus-mediated Ngb overexpression + SP600125 significantly reduced oxidative stress and apoptosis compared with single treatment(s) after hypoxia/reoxygenation in B50 cells. In vivo, infarct volume was significantly reduced by CAVNgb, SP600125, and further by CAVNgb + SP600125. The number of Ngb-positive cells in the peri-infarct cortex and striatum was significantly increased 14 days after tMCAO in animals receiving CAVNgb. Neurologic outcome, measured using a 32-point neurologic score, significantly improved with CAVNgb + SP600125 compared with single treatments at 14 days after tMCAO. Combined Ngb overexpression with JNK inhibition reduced hypoxia/reoxygenation-induced oxidative stress and apoptosis in cultured neurons and reduced infarct and improved neurologic outcome more than single therapy after in vivo experimental stroke in hypertensive rats.
doi_str_mv 10.1038/jcbfm.2013.70
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Male spontaneously hypertensive stroke-prone rats underwent transient middle cerebral artery occlusion (tMCAO) and were divided into the following groups: tMCAO; tMCAO + control GFP-expressing canine adenovirus-2, CAVGFP; tMCAO + Ngb-expressing CAV-2, CAVNgb; tMCAO + SP600125; tMCAO + CAVNgb + SP600125; or sham procedure. Rats were assessed till day 14 for neurologic outcome before infarct determination. In vitro, combined lentivirus-mediated Ngb overexpression + SP600125 significantly reduced oxidative stress and apoptosis compared with single treatment(s) after hypoxia/reoxygenation in B50 cells. In vivo, infarct volume was significantly reduced by CAVNgb, SP600125, and further by CAVNgb + SP600125. The number of Ngb-positive cells in the peri-infarct cortex and striatum was significantly increased 14 days after tMCAO in animals receiving CAVNgb. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SAGE Complete; PubMed Central
subjects Animals
Anthracenes - pharmacology
Antioxidants - pharmacology
Apoptosis - drug effects
Biochemistry, Molecular Biology
Dependovirus - genetics
Enzyme Inhibitors - pharmacology
Genetic Vectors
Globins - biosynthesis
Globins - genetics
Green Fluorescent Proteins - metabolism
Hypertension - complications
Hypertension - drug therapy
Hypoxia, Brain - pathology
Immunohistochemistry
Infarction, Middle Cerebral Artery - pathology
JNK Mitogen-Activated Protein Kinases - antagonists & inhibitors
Lentivirus - genetics
Life Sciences
Male
Nerve Tissue Proteins - biosynthesis
Nerve Tissue Proteins - genetics
Neuroglobin
Neuroprotective Agents - pharmacology
Original
Oxidative Stress - drug effects
Plethysmography
Rats
Rats, Inbred SHR
Real-Time Polymerase Chain Reaction
Stroke - etiology
Stroke - prevention & control
Transduction, Genetic
title Combined Antiapoptotic and Antioxidant Approach to Acute Neuroprotection for Stroke in Hypertensive Rats
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