An alteration of the blood-brain barrier (BBB) permeability contributes to the development of brain edema after stroke. In this study, we evaluated the effects of 3-[2-[4-(3-chloro-2-methylphenyl)-1-piperazinyl]ethyl]-5,6-dimethoxy-1-(4-imidazolylmethyl)-1H-indazole dihydrochloride 3.5 hydrate (DY9760e), a novel calmodulin antagonist, on brain edema formation and BBB integrity in rats subjected to transient focal ischemia. DY-9760e (1 mg/kg/h) was intravenously infused for 6 h, starting immediately after reperfusion of a 1-h middle cerebral artery occlusion. Treatment with DY-9760e significantly suppressed the increase in water content and the extravasation of Evans blue dye after transient focal ischemia. Analysis of a magnetic resonance imaging method revealed that DY-9760e significantly prevented the development of brain edema in the cortical region of the ipsilateral hemisphere. Trifluoperazine, a calmodulin antagonist that is structurally different from DY-9760e, also attenuated brain edema elicited by transient focal ischemia. Furthermore, DY-9760e and trifluoperazine reduced tumor necrosis factor-␣-induced hyperpermeability of inulin through a cultured brain microvascular endothelial cell monolayer, suggesting an involvement of calmodulin in the regulation of brain microvascular barrier function. The present results demonstrate that DY-9760e ameliorates brain edema formation and suggest that this effect may be mediated in part by the inhibition of enhanced BBB permeability after ischemic insults. Thus, DY-9760e is expected to be a therapeutic drug for treatment of acute stroke patients.In acute-stage cerebral ischemia, the development of infarction is accompanied by the formation of severe edema. Brain edema produces increased intracranial pressure, leading to a compression of the microvasculature, which causes further cerebrocirculatory disorder followed by secondary expansion of the infarct volume and often leads to a fatal condition (Klatzo et al., 1986). Therefore, alleviation of brain edema may not only improve clinical symptoms by restricting subsequent infarction but also reduce mortality.The blood-brain barrier (BBB) functions to eliminate the free passage of hormones, drug, and other neuroactive and neurotoxic substances into the central nervous system. Ischemia and reperfusion injury causes BBB disruption, which accelerates the development of abnormal vascular permeability and exacerbates postischemic edema (Cole et al., 1991;Yang and Betz, 1994). Although the precise cellular mechanisms underlying changes in BBB permeability after cerebral ischemia are unclear, there are several lines of evidence that calcium and cytokines may play an important role in altering BBB permeability (Tschugguel et al., 1995;Merrill and Murphy, 1997;Abbruscato and Davis, 1999;Brown and Davis, 2002). Tumor necrosis factor-␣ (TNF␣) is an inflammatory cytokine that elicits enhanced vascular permeability (Deli et al., 1995;Mark and Miller, 1999). Increases in TNF␣ mRNA and protein expression occur in the rat and ...