Oxidative stress is implicated in the pathogenesis of ischemia/ reperfusion injury. Recently, we demonstrated that activation of CD36, a class B scavenger receptor, mediates free radical production and tissue injury in cerebral ischemia (1). Oxidized low density lipoproteins (oxLDL) are among the ligands that bind to CD36 and are elevated in acute cerebral infarction. SS31 is a cell-permeable antioxidant peptide that reduces intracellular free radicals and inhibits LDL oxidation/lipid peroxidation (2). The current study was designed to investigate whether treatment with SS31 normalizes ischemia-induced redox changes and attenuates CD36-mediated tissue injury. C57BL/6 mice were subjected to transient middle cerebral artery occlusion (MCAO). Redox status and infarct volume were measured in animals treated with either saline or SS31. Oxidative stress induced by ischemia/reperfusion profoundly depleted glutathione (GSH) concentrations in the ipsilateral cortex and striatum. Treating mice with SS31 immediately after reperfusion significantly attenuated ischemia-induced GSH depletion in the cortex and reduced infarct size. By contrast, the protective effect of SS31 was absent in CD36 knock-out mice, indicating that SS31 is acting through inhibition of CD36. Treating C57BL/6 mice with SS31 reduced CD36 expression in postischemic brain and mouse peritoneal macrophages (MPM). Further in vitro studies revealed that SS31 attenuated oxLDL-induced CD36 expression and foam cell formation in MPM. These in vivo and in vitro studies indicate that the down-regulation of CD36 by novel class antioxidant peptides may be a useful strategy to treat ischemic stroke victims.
Generation of reactive oxygen species (ROS)2 and depletion of intracellular antioxidants following cerebral ischemia/reperfusion are hallmarks of oxidative stress and lead to tissue injury. Glutathione and ascorbate are major endogenous cerebral antioxidants that serve as biochemical markers of intracellular redox status (3). It is generally accepted that these antioxidants are important for protection of brain during post-ischemic oxidative stress, although dynamic interactions among antioxidants in vivo are not entirely clear. Depletion of intracellular antioxidants has been associated with stroke pathology and repletion of antioxidant status has reduced neuronal damage but has produced inconsistent improvement in stroke outcome (4 -8). Ischemic injury also causes a local inflammatory reaction by activated microglia and infiltrated inflammatory cells that further release pro-inflammatory cytokines and ROS within the injured site.CD36, a glycosylated surface receptor, belongs to a class B scavenger receptor and is localized in lipid rafts of plasma membrane and in mitochondria (9 -11). It is expressed on microglia, macrophages, microvascular endothelium, cardiac and skeletal muscle, adipocytes, and platelets and recognizes a variety of ligands including oxidized low density lipoproteins (oxLDL), advanced glycation end products, long chain fatty acids, fibrillar -a...