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Updated: Jun 14, 2026

Induction of Acute Ischemic Stroke in Mice Using the Distal Middle Artery Occlusion Technique
Published on: December 15, 2023
Blocking TRAIL-DR5 signaling with soluble DR5 reduces delayed neuronal damage after transient global cerebral
Min Cui1, Limei Wang, Xiaohong Liang
1Department of Physiology, Shandong University School of Medicine, 44#, Wenhua Xi Road, Jinan, Shandong, 250012, P.R. China. cuimin@sdu.edu.cn <cuimin@sdu.edu.cn>
Abstract:
Mechanisms underlying delayed selective neuronal death after global cerebral ischemia remain to be clarified. Here, we report a critical role for tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL) in the pathogenesis of cerebral ischemia. C57BL/6j mice were subjected to transient global brain ischemia. RT-PCR and immunohistochemistry showed that the expression of TRAIL and DR5 was upregulated following transient ischemia-reperfusion. Dual immunofluorescence analysis indicated that TRAIL expression was significantly more pronounced in astrocytes and activated microglia/macrophages, whereas DR5 expression was more pronounced in neurons, which had a good correlation with the distribution of apoptotic cells. Treatment with soluble DR5 reduced ischemic cell death after transient global ischemia through blocking the interaction of endogenous TRAIL with DR5. These results indicate that TRAIL plays a deleterious role in the pathogenesis of delayed neuronal damage after global cerebral ischemia and inhibition of TRAIL function in the brain may represent a novel neuroprotective strategy to treat ischemic stroke.
Insights
Tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL) exacerbates brain damage after ischemic stroke. Inhibiting TRAIL function offers a potential neuroprotective strategy for treating stroke by reducing neuronal death.
Area of Science:
- Neuroscience
- Immunology
- Pathology
Background:
- Delayed selective neuronal death following global cerebral ischemia is not fully understood.
- The role of tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL) in cerebral ischemia pathogenesis requires further investigation.
Purpose of the Study:
- To elucidate the role of TRAIL in the mechanisms of delayed neuronal death after global cerebral ischemia.
- To evaluate the potential of inhibiting TRAIL as a neuroprotective strategy for ischemic stroke.
Main Methods:
- Transient global brain ischemia was induced in C57BL/6j mice.
- Reverse transcription-polymerase chain reaction (RT-PCR) and immunohistochemistry were used to assess TRAIL and DR5 expression.
- Dual immunofluorescence analysis identified cell-specific expression patterns.
- Treatment with soluble DR5 was administered to evaluate its effect on ischemic cell death.
Main Results:
- TRAIL and DR5 expression were upregulated post-ischemia-reperfusion.
- TRAIL was predominantly expressed in astrocytes and activated microglia/macrophages, while DR5 was mainly in neurons.
- Neuronal apoptosis correlated with the distribution of TRAIL and DR5 expression.
- Soluble DR5 treatment reduced ischemic cell death by blocking TRAIL-DR5 interaction.
Conclusions:
- TRAIL plays a detrimental role in delayed neuronal damage after global cerebral ischemia.
- Inhibition of TRAIL function presents a promising neuroprotective therapeutic strategy for ischemic stroke.
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