Peroxynitrite decomposition with FeTMPyP improves plasma-induced vascular dysfunction and infarction during mild but

Sara Morales Palomares1, Ira Gardner-Morse, Julie G Sweet

  • 1Departments of Neurology, Obstetrics, Gynecology and Reproductive Sciences, and Pharmacology, University of Vermont College of Medicine, Burlington, VT, USA.

Insights

Hyperglycemic stroke plasma affects brain blood vessels via peroxynitrite and endothelin-1. Peroxynitrite reduction improved outcomes in mild hyperglycemic stroke but not severe cases.

Area of Science:

  • Cardiovascular Sciences
  • Neuroscience
  • Endocrinology

Background:

  • Hyperglycemia exacerbates stroke outcomes.
  • Circulating factors in hyperglycemic states may impair cerebrovascular function.
  • The role of peroxynitrite in hyperglycemic stroke is not fully understood.

Purpose of the Study:

  • To investigate how circulating factors during hyperglycemia affect cerebrovascular function.
  • To determine the role of peroxynitrite in stroke outcomes.
  • To explore potential therapeutic targets for hyperglycemic stroke.

Main Methods:

  • Isolated rat middle cerebral arteries (MCAs) were perfused with plasma from hyperglycemic rats.
  • Vascular responses were assessed with and without inhibitors of NADPH oxidase, peroxynitrite, and endothelin-1.
  • In vivo studies involved treating rats with a peroxynitrite inhibitor before reperfusion after mild or severe middle cerebral artery occlusion (MCAO).

Main Results:

  • Plasma from hyperglycemic rats induced increased tone in MCAs.
  • This effect was reversed by a peroxynitrite inhibitor but not by NADPH oxidase or endothelin-1 inhibitors.
  • A peroxynitrite inhibitor provided neuroprotection during mild hyperglycemic MCAO but not severe MCAO.

Conclusions:

  • Circulating factors in hyperglycemic stroke impact cerebrovascular function through peroxynitrite and endothelin-1.
  • Peroxynitrite decomposition offers acute neuroprotection in mild hyperglycemic stroke.
  • Therapeutic strategies targeting peroxynitrite may be beneficial in specific hyperglycemic stroke contexts.