Ginkgolide B Protects Against Ischemic Stroke Via Modulating Microglia Polarization in Mice

Zhao-Ma Shu1, Xiao-Dong Shu1, Hui-Qin Li2

  • 1Jiangsu Key Laboratory of Neurodegeneration, Department of Pharmacology, Nanjing Medical University, 140 Hanzhong Road, Nanjing, Jiangsu, 210029, China.

Abstract

Insights

Ginkgolide B (GB) mitigates ischemic stroke damage by shifting microglia/macrophages from inflammatory M1 to protective M2 states, revealing a novel neuroprotective mechanism.

Area of Science:

  • Neuroscience
  • Immunology
  • Pharmacology

Background:

  • Ginkgolide B (GB) exhibits neuroprotective effects in ischemic stroke, linked to anti-inflammatory properties.
  • The role of GB in modulating microglia/macrophage polarization, crucial in ischemic stroke pathology, remains unclear.

Purpose of the Study:

  • To investigate Ginkgolide B's effect on microglia/macrophage polarization in the context of ischemic stroke.
  • To elucidate the underlying mechanisms of GB's neuroprotective action.

Main Methods:

  • Transient middle cerebral artery occlusion (tMCAO) model in mice.
  • In vitro induction of M1/M2 phenotypes in BV2 microglia and bone marrow-derived macrophages.
  • Immunofluorescence, flow cytometry, and qPCR for analyzing M1/M2 markers and gene expression.

Main Results:

  • GB significantly reduced cerebral ischemic damage and neurological deficits post-tMCAO.
  • GB promoted the shift of microglia/macrophages from M1 to M2 phenotype both in vivo and in vitro.
  • Platelet-activating factor (PAF) receptor was identified as involved in GB-mediated polarization modulation.

Conclusions:

  • GB demonstrates a novel pharmacological effect in modulating microglia/macrophage polarization after ischemic stroke.
  • This finding deepens the understanding of GB's neuroprotective mechanisms in ischemic stroke treatment.
  • The identified mechanism suggests potential therapeutic applications of GB in other inflammatory diseases involving microglia/macrophage polarization.

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