The pathophysiology of cerebral ischemia involves multiple mechanisms including neuroinflammation mediated by activated microglia and infiltrating macrophages/monocytes. The present study employed a rat permanent middle cerebral artery occlusion (pMCAO) model to study effects of histone deacetylase (HDAC) inhibition on ischemia-induced brain infarction, neuroinflammation, gene expression, and neurological deficits. We found that post-pMCAO injections with HDAC inhibitors, valproic acid (VPA), sodium butyrate (SB), or trichostatin A (TSA), decreased brain infarct volume. Postinsult treatment with VPA or SB also suppressed microglial activation, reduced the number of microglia, and inhibited other inflammatory markers in the ischemic brain. The reduction in levels of acetylated histone H3 in the ischemic brain was prevented by treatment with VPA, SB, or TSA. Moreover, injections with HDAC inhibitors superinduced heat-shock protein 70 and blocked pMCAO-induced down-regulation of phospho-Akt, as well as ischemia-elicited up-regulation of p53, inducible nitric oxide synthase, and cyclooxygenase-2. The motor, sensory, and reflex performance of pMCAO rats was improved by VPA, SB, or TSA treatment. The beneficial effects of SB and VPA in reducing brain infarct volume and neurological deficits occurred when either drug was administrated at least 3 h after ischemic onset, and the behavioral improvement was long-lasting. Together, our results demonstrate robust neuroprotective effects of HDAC inhibitors against cerebral ischemia-induced brain injury. The neuroprotection probably involves multiple mechanisms including suppression of ischemia-induced cerebral inflammation. Given that there is no effective treatment for stroke, HDAC inhibitors, such as VPA, SB, and TSA, should be evaluated for their potential use for clinical trials in stroke patients.Stroke, also referred to as cerebral ischemia, is a pathological condition resulting from occlusion or hemorrhage of blood vessels supplying oxygen and essential nutrients to the brain. In all cases, stroke ultimately induces death and/or dysfunction of brain cells, as well as neurological impairments that reflect the location and size of the ischemic brain area. Mechanisms leading to cell death during cerebral ischemic injury are complex, including excitotoxicity, ionic imbalance, oxidative/nitrosative stress, and inflammation (for review, see Lo et al., 2003). It is increasingly recognized that cerebral inflammation mediated by activated microglia and infiltrating leukocytes, including monocytes/macrophages, also plays a key role in focal ischemia-induced neurodegeneration. Activated microglia and invading leukocytes exert a cytotoxic function by releasing proinflammatory cytokine factors (IL-1, IL-2, and TNF-␣), nitric oxide (NO), and reactive oxygen species, which contribute to brain infarction and excitotoxicity (Gregersen et al., 2000).Valproic acid (2-propylpentanoic acid sodium salt; VPA), a drug commonly used to treat seizures and bipolar mood disorder, has been...
Growing evidence from in vitro studies supports that valproic acid (VPA), an anti-convulsant and mood-stabilizing drug, has neuroprotective effects. The present study investigated whether VPA reduces brain damage and improves functional outcome in a transient focal cerebral ischemia model of rats. Subcutaneous injection of VPA (300 mg/kg) immediately after ischemia followed by repeated injections every 12 h, was found to markedly decrease infarct size and reduce ischemiainduced neurological deficit scores measured at 24 and 48 h after ischemic onset. VPA treatment also suppressed ischemia-induced neuronal caspase-3 activation in the cerebral cortex. VPA treatments resulted in a time-dependent increase in acetylated histone H3 levels in the cortex and striatum of both ipsilateral and contralateral brain hemispheres of middle cerebral artery occlusion (MCAO) rats, as well as in these brain areas of normal, non-surgical rats, supporting the in vitro finding that VPA is a histone deacetylase (HDAC) inhibitor. Similarly, heat shock protein 70 (HSP70) levels were timedependently up-regulated by VPA in the cortex and striatum of both ipsilateral and contralateral sides of MCAO rats and in these brain areas of normal rats. Altogether, our results demonstrate that VPA is neuroprotective in the cerebral ischemia model and suggest that the protection mechanisms may involve HDAC inhibition and HSP induction. Keywords: acetylated histone 3, cerebral ischemia, heat shock protein 70, neuroprotection, rat, valproic acid. (De Sarno et al. 2002). In rat cortical neurons, long-term VPA treatment blocks glutamate-induced excitotoxicity (Hashimoto et al. 2002) and prolongs life span of these cortical cultures (Jeong et al. 2003). Similar to the effect of another mood stabilizing drug, lithium, VPA protects mature rat cerebellar granule cells in cultures from NMDA receptor-mediated excitotoxicity and this action is mimicked by other histone HDAC inhibitors such as butyrate and trichostatin A (Kanai et al. 2002). A growing body of reports also demonstrate that VPA is neuroprotective against a variety of other insults (Mark et al. 1995;Mora et al. 1999;Bown et al. 2000;Wang et al. 2003).Stroke is one of the leading causes of mortality and morbidity world-wide. Although our knowledge concerning the molecular and cellular pathophysiology of brain injury after focal ischemia has advanced greatly, the development of new treatment drugs for acute ischemic stroke has not progressed as rapidly. The use of intravenous recombinant Abbreviations used: HDAC, histone deacetylase; HSP70, heat shock protein 70; GSK-3b, glycogen synthase kinase-3b; MCAO, middle cerebral artery occlusion; rt-PA, recombinant tissue-type plasminogen activator; TTC, 2,3,5-triphenyltetrazolium chloride; VPA, valproic acid.
The fragile X mental retardation protein (FMRP) is an RNA-binding protein that controls translational efficiency and regulates synaptic plasticity. Here, we report that FMRP is involved in dopamine (DA) modulation of synaptic potentiation. AMPA glutamate receptor subtype 1 (GluR1) surface expression and phosphorylation in response to D1 receptor stimulation were reduced in cultured Fmr1(-/-) prefrontal cortex (PFC) neurons. Furthermore, D1 receptor signaling was impaired, accompanied by D1 receptor hyperphosphorylation at serine sites and subcellular redistribution of G protein-coupled receptor kinase 2 (GRK2) in both PFC and striatum of Fmr1(-/-) mice. FMRP interacted with GRK2, and pharmacological inhibition of GRK2 rescued D1 receptor signaling in Fmr1(-/-) neurons. Finally, D1 receptor agonist partially rescued hyperactivity and enhanced the motor function of Fmr1(-/-) mice. Our study has identified FMRP as a key messenger for DA modulation in the forebrain and may provide insights into the cellular and molecular mechanisms underlying fragile X syndrome.
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