Physical and chemical constraints imposed by the periinfarct glial scar may contribute to the limited clinical improvement often observed after ischemic brain injury. To investigate the role of some of these mediators in outcome from cerebral ischemia, we treated rats with the growth-inhibitory chondroitin sulfate proteoglycan neurocan, the growth-stimulating heparan sulfate proteoglycan glypican, or the chondroitin sulfate proteoglycandegrading enzyme chondroitinase ABC. Neurocan, glypican, or chondroitinase ABC was infused directly into the infarct cavity for 7 d, beginning 7 d after middle cerebral artery occlusion. Glypican and chondroitinase ABC reduced glial fibrillary acidic protein immunoreactivity and increased microtubule-associated protein-2 immunoreactivity in the periinfarct region, and glypican-and chondroitinase ABC-treated rats showed behavioral improvement compared with neurocan-or saline-treated rats. Glypican and chondroitinase ABC also increased neurite extension in cortical neuron cultures. Glypican increased fibroblast growth factor-2 expression and chondroitinase ABC increased brain-derived neurotrophic factor expression in these cultures, whereas no such effects were seen following neurocan treatment. Thus, treatment with glypican or enzymatic disruption of neurocan with chondroitinase ABC improves gross anatomical, histological, and functional outcome in the chronic phase of experimental stroke in rats. Changes in growth factor expression and neuritogenesis may help to mediate these effects.astrocyte | astrogliosis | glia P atients who survive an acute stroke are typically left with fixed anatomical deficits and associated functional impairment in the chronic phase of injury, for which few therapeutic options exist. One reason for limited recovery from stroke may be the development of a glial scar at the border between normal and ischemic tissue (1, 2). The glial scar, which contains reactive astrocytes and associated extracellular matrix (ECM) proteins such as chondroitin sulfate proteoglycans (CSPGs) (3, 4), appears to serve a beneficial function in the acute phase of stroke, by confining the lesion and limiting toxic effects on adjacent tissue (5). However, it also inhibits axonal growth and, perhaps, other repair processes (1, 6, 7), thereby interfering with long-term anatomical and functional recovery. Conversely, some ECM proteins, such as the heparan sulfate proteoglycan (HSPG) glypican (8), can stimulate neurite growth after CNS injury (9). The role of these proteins in inhibition of recovery by the postischemic glial scar and the effect of their modification on functional and anatomical outcome from stroke are unknown.CSPGs, a major constituent of the glial scar (10), exist in several isoforms (11). Despite variations in their core proteins, CSPG isoforms share a conserved glycosaminoglycan side chain, which appears to inhibit axonal migration. CSPGs such as neurocan are powerful inhibitors of axonal growth cones and neurite extension in vitro (11), but this effect can be overco...