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Ischemic Stroke ll: Pathophysiology01:15

Ischemic Stroke ll: Pathophysiology

An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...

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A Preclinical Model to Assess Brain Recovery After Acute Stroke in Rats
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Nicotinamide attenuates the decrease of astrocytic phosphoprotein PEA-15 in focal cerebral ischemic injury.

Phil-Ok Koh1

  • 1Department of Anatomy, College of Veterinary Medicine, Research Institute of Life Science, Gyeongsang National University, Jinju 660–701, South Korea. pokoh@gnu.ac.kr

The Journal of Veterinary Medical Science
|November 10, 2011
PubMed
Summary

Nicotinamide protects the brain from stroke injury by maintaining levels of the anti-apoptotic protein Phosphoprotein enriched in astrocytes 15 (PEA-15) and its phosphorylated forms. This neuroprotective effect involves preventing cell death pathways.

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Area of Science:

  • Neuroscience
  • Biochemistry
  • Cell Biology

Background:

  • Focal cerebral ischemic injury, such as stroke, leads to significant neuronal damage and cell death.
  • Phosphoprotein enriched in astrocytes 15 (PEA-15) is a key anti-apoptotic protein found in astrocytes.
  • Astrocytic PEA-15 plays a crucial role in protecting neurons from apoptotic cell death.

Purpose of the Study:

  • To investigate the effect of nicotinamide on PEA-15 and its phosphorylated forms (Serine 104 and 116) in a rat model of ischemic stroke.
  • To determine if nicotinamide modulates PEA-15 expression and phosphorylation following middle cerebral artery occlusion (MCAO).

Main Methods:

  • Adult male rats underwent MCAO to induce ischemic injury.
  • Rats were treated with either vehicle or nicotinamide (500 mg/kg) 2 hours post-MCAO.
  • Cerebral cortices were collected 24 hours after MCAO for proteomic and Western blot analyses.

Main Results:

  • MCAO induced a significant decrease in PEA-15 protein levels.
  • Nicotinamide treatment attenuated the MCAO-induced reduction in PEA-15 levels.
  • Western blot analysis revealed that nicotinamide prevented the injury-induced decrease in phospho-PEA-15 (Serine 104 and Serine 116) levels.

Conclusions:

  • Nicotinamide exerts neuroprotective effects against focal cerebral ischemic injury.
  • The neuroprotection is mediated, in part, by the preservation of PEA-15 and its phosphorylated forms, which are critical for anti-apoptotic functions.
  • Nicotinamide may represent a therapeutic strategy for stroke by preventing MCAO-induced decreases in PEA-15 and its phosphorylation.