Longitudinal MRI evaluation of neuroprotective effects of pharmacologically induced hypothermia in experimental

Silun Wang1, Xiaohuan Gu2, Ramesh Paudyal3

  • 1Yerkes Imaging Center, Yerkes National Primate Research Center, Emory University, Atlanta, GA 30329, United States.

Insights

Pharmacologically induced hypothermia (PIH) using HPI201 significantly reduces stroke infarct and apoptosis in mice. MRI monitoring revealed a dramatically reduced infarction growth rate, highlighting PIH

Area of Science:

  • Neuroscience
  • Medical Imaging
  • Pharmacology

Background:

  • Pharmacologically induced hypothermia (PIH) demonstrates neuroprotective potential post-stroke.
  • The precise evolution of stroke infarcts under PIH therapy requires further elucidation.

Purpose of the Study:

  • To longitudinally characterize stroke infarct evolution using MRI in a mouse model treated with PIH.
  • To evaluate the neuroprotective efficacy of the neurotensin agonist HPI201.

Main Methods:

  • Permanent middle cerebral artery occlusion (MCAO) in adult male C57BL/6 mice.
  • Treatment with vehicle or HPI201, followed by longitudinal MRI (T2-weighted and DWI) at acute (1-3h) and 24h post-stroke.
  • Assessment of infarct/edema volumes, TTC staining, and TUNEL staining for apoptosis.

Main Results:

  • PIH treatment with HPI201 significantly reduced infarct and edema volumes compared to controls.
  • TUNEL staining revealed decreased apoptotic cells in the ischemic cortex of PIH-treated mice.
  • A dramatically reduced infarction growth rate was observed in the PIH-treated group.

Conclusions:

  • HPI201 demonstrates significant neuroprotection in acute ischemic stroke.
  • Longitudinal MRI and numerical modeling offer a valuable method to assess and predict PIH treatment response in stroke evolution.

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