Non-Invasive Multimodality Imaging Directly Shows TRPM4 Inhibition Ameliorates Stroke Reperfusion Injury

The transient receptor potential melastatin 4 (TRPM4) channel has been suggested to play a key role in the treatment of ischemic stroke. However, in vivo evaluation of TRPM4 channel, in particular by direct channel suppression, is lacking. In this study, we used multimodal imaging to assess edema fo...

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Veröffentlicht in:Translational stroke research 2019-02, Vol.10 (1), p.91-103
Hauptverfasser: Chen, Bo, Ng, Gandi, Gao, Yahui, Low, See Wee, Sandanaraj, Edwin, Ramasamy, Boominathan, Sekar, Sakthivel, Bhakoo, Kishore, Soong, Tuck Wah, Nilius, Bernd, Tang, Carol, Robins, Edward G., Goggi, Julian, Liao, Ping
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container_end_page 103
container_issue 1
container_start_page 91
container_title Translational stroke research
container_volume 10
creator Chen, Bo
Ng, Gandi
Gao, Yahui
Low, See Wee
Sandanaraj, Edwin
Ramasamy, Boominathan
Sekar, Sakthivel
Bhakoo, Kishore
Soong, Tuck Wah
Nilius, Bernd
Tang, Carol
Robins, Edward G.
Goggi, Julian
Liao, Ping
description The transient receptor potential melastatin 4 (TRPM4) channel has been suggested to play a key role in the treatment of ischemic stroke. However, in vivo evaluation of TRPM4 channel, in particular by direct channel suppression, is lacking. In this study, we used multimodal imaging to assess edema formation and quantify the amount of metabolically functional brain salvaged after a rat model of stroke reperfusion. TRPM4 upregulation in endothelium emerges as early as 2 h post-stroke induction. Expression of TRPM4 channel was suppressed directly in vivo by treatment with siRNA; scrambled siRNA was used as a control. T2-weighted MRI suggests that TRPM4 inhibition successfully reduces edema by 30% and concomitantly salvages functionally active brain, measured by 18 F-FDG-PET. These in vivo imaging results correlate well with post-mortem 2,3,5-triphenyltetrazolium chloride (TTC) staining which exhibits a 34.9% reduction in infarct volume after siRNA treatment. Furthermore, in a permanent stroke model, large areas of brain tissue displayed both edema and significant reductions in metabolic activity which was not shown in transient models with or without TRPM4 inhibition, indicating that tissue salvaged by TRPM4 inhibition during stroke reperfusion may survive. Evans Blue extravasation and hemoglobin quantification in the ipsilateral hemisphere were greatly reduced, suggesting that TRPM4 inhibition can improve BBB integrity after ischemic stroke reperfusion. Our results support the use of TRPM4 blocker for early stroke reperfusion.
doi_str_mv 10.1007/s12975-018-0621-3
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Furthermore, in a permanent stroke model, large areas of brain tissue displayed both edema and significant reductions in metabolic activity which was not shown in transient models with or without TRPM4 inhibition, indicating that tissue salvaged by TRPM4 inhibition during stroke reperfusion may survive. Evans Blue extravasation and hemoglobin quantification in the ipsilateral hemisphere were greatly reduced, suggesting that TRPM4 inhibition can improve BBB integrity after ischemic stroke reperfusion. 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Stroke Res</addtitle><addtitle>Transl Stroke Res</addtitle><description>The transient receptor potential melastatin 4 (TRPM4) channel has been suggested to play a key role in the treatment of ischemic stroke. However, in vivo evaluation of TRPM4 channel, in particular by direct channel suppression, is lacking. In this study, we used multimodal imaging to assess edema formation and quantify the amount of metabolically functional brain salvaged after a rat model of stroke reperfusion. TRPM4 upregulation in endothelium emerges as early as 2 h post-stroke induction. Expression of TRPM4 channel was suppressed directly in vivo by treatment with siRNA; scrambled siRNA was used as a control. T2-weighted MRI suggests that TRPM4 inhibition successfully reduces edema by 30% and concomitantly salvages functionally active brain, measured by 18 F-FDG-PET. These in vivo imaging results correlate well with post-mortem 2,3,5-triphenyltetrazolium chloride (TTC) staining which exhibits a 34.9% reduction in infarct volume after siRNA treatment. Furthermore, in a permanent stroke model, large areas of brain tissue displayed both edema and significant reductions in metabolic activity which was not shown in transient models with or without TRPM4 inhibition, indicating that tissue salvaged by TRPM4 inhibition during stroke reperfusion may survive. Evans Blue extravasation and hemoglobin quantification in the ipsilateral hemisphere were greatly reduced, suggesting that TRPM4 inhibition can improve BBB integrity after ischemic stroke reperfusion. 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Ng, Gandi ; Gao, Yahui ; Low, See Wee ; Sandanaraj, Edwin ; Ramasamy, Boominathan ; Sekar, Sakthivel ; Bhakoo, Kishore ; Soong, Tuck Wah ; Nilius, Bernd ; Tang, Carol ; Robins, Edward G. ; Goggi, Julian ; Liao, Ping</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-3ed4986554a15b54e23111c7b39e78dc19d36db72d3c08a009339805378184283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Animals</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Blood-brain barrier</topic><topic>Blood-Brain Barrier - pathology</topic><topic>Blood-Brain Barrier - physiopathology</topic><topic>Brain</topic><topic>Brain Edema</topic><topic>Cardiology</topic><topic>Disease Models, Animal</topic><topic>Edema</topic><topic>Fluorodeoxyglucose F18 - pharmacokinetics</topic><topic>Functional Laterality</topic><topic>Gene Expression Regulation - physiology</topic><topic>Hemoglobin</topic><topic>Image Processing, Computer-Assisted</topic><topic>Infarction, Middle Cerebral Artery - complications</topic><topic>Infarction, Middle Cerebral Artery - drug therapy</topic><topic>Ischemia</topic><topic>Magnetic resonance imaging</topic><topic>Male</topic><topic>Microarray Analysis</topic><topic>Multimodal Imaging - methods</topic><topic>Neurology</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Original</topic><topic>Original Article</topic><topic>Phosphopyruvate Hydratase - metabolism</topic><topic>Rats</topic><topic>Rats, Wistar</topic><topic>Reperfusion Injury - complications</topic><topic>Reperfusion Injury - drug therapy</topic><topic>RNA, Messenger - metabolism</topic><topic>RNA, Small Interfering - therapeutic use</topic><topic>Stroke</topic><topic>TRPM Cation Channels - antagonists &amp; 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Stroke Res</stitle><addtitle>Transl Stroke Res</addtitle><date>2019-02-01</date><risdate>2019</risdate><volume>10</volume><issue>1</issue><spage>91</spage><epage>103</epage><pages>91-103</pages><issn>1868-4483</issn><eissn>1868-601X</eissn><abstract>The transient receptor potential melastatin 4 (TRPM4) channel has been suggested to play a key role in the treatment of ischemic stroke. However, in vivo evaluation of TRPM4 channel, in particular by direct channel suppression, is lacking. In this study, we used multimodal imaging to assess edema formation and quantify the amount of metabolically functional brain salvaged after a rat model of stroke reperfusion. TRPM4 upregulation in endothelium emerges as early as 2 h post-stroke induction. Expression of TRPM4 channel was suppressed directly in vivo by treatment with siRNA; scrambled siRNA was used as a control. T2-weighted MRI suggests that TRPM4 inhibition successfully reduces edema by 30% and concomitantly salvages functionally active brain, measured by 18 F-FDG-PET. These in vivo imaging results correlate well with post-mortem 2,3,5-triphenyltetrazolium chloride (TTC) staining which exhibits a 34.9% reduction in infarct volume after siRNA treatment. Furthermore, in a permanent stroke model, large areas of brain tissue displayed both edema and significant reductions in metabolic activity which was not shown in transient models with or without TRPM4 inhibition, indicating that tissue salvaged by TRPM4 inhibition during stroke reperfusion may survive. Evans Blue extravasation and hemoglobin quantification in the ipsilateral hemisphere were greatly reduced, suggesting that TRPM4 inhibition can improve BBB integrity after ischemic stroke reperfusion. 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subjects Animals
Biomedical and Life Sciences
Biomedicine
Blood-brain barrier
Blood-Brain Barrier - pathology
Blood-Brain Barrier - physiopathology
Brain
Brain Edema
Cardiology
Disease Models, Animal
Edema
Fluorodeoxyglucose F18 - pharmacokinetics
Functional Laterality
Gene Expression Regulation - physiology
Hemoglobin
Image Processing, Computer-Assisted
Infarction, Middle Cerebral Artery - complications
Infarction, Middle Cerebral Artery - drug therapy
Ischemia
Magnetic resonance imaging
Male
Microarray Analysis
Multimodal Imaging - methods
Neurology
Neurosciences
Neurosurgery
Original
Original Article
Phosphopyruvate Hydratase - metabolism
Rats
Rats, Wistar
Reperfusion Injury - complications
Reperfusion Injury - drug therapy
RNA, Messenger - metabolism
RNA, Small Interfering - therapeutic use
Stroke
TRPM Cation Channels - antagonists & inhibitors
TRPM Cation Channels - genetics
TRPM Cation Channels - metabolism
Vascular Surgery
von Willebrand Factor - metabolism
title Non-Invasive Multimodality Imaging Directly Shows TRPM4 Inhibition Ameliorates Stroke Reperfusion Injury
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