D-4F increases microRNA-124a and reduces neuroinflammation in diabetic stroke rats

Ruizhuo Ning1,2, Poornima Venkat1, Michael Chopp1,3

  • 1Department of Neurology, Henry Ford Hospital, Detroit, MI, USA.

Oncotarget
|December 10, 2017
PubMed

Insights

The peptide D-4F improves stroke recovery in type one diabetes by reducing inflammation and enhancing brain repair. It increases microRNA-124, promoting anti-inflammatory M2 macrophage polarization.

Area of Science:

  • Neuroscience
  • Immunology
  • Endocrinology

Background:

  • Type one diabetes mellitus (T1DM) complicates stroke outcomes.
  • Apolipoprotein-A1 mimetic peptide D-4F exhibits anti-inflammatory properties.
  • MicroRNA-124 is a brain-specific microRNA with known anti-inflammatory effects.

Purpose of the Study:

  • To investigate the therapeutic efficacy of D-4F in a rat model of T1DM with stroke.
  • To elucidate the underlying mechanisms of D-4F action, focusing on microRNA-124 and inflammation.

Main Methods:

  • T1DM was induced in Wistar rats, followed by embolic middle cerebral artery occlusion.
  • Rats were treated with D-4F or PBS, with subsequent evaluation of functional outcomes, blood-brain barrier (BBB) integrity, white matter changes, and microRNA expression.
  • In vitro studies used primary cortical neuronal and microglial cultures to assess D-4F's direct effects and the role of microRNA-124 inhibition.

Main Results:

  • D-4F treatment significantly improved functional outcomes in T1DM-stroke rats.
  • D-4F reduced BBB leakage, white matter damage, and inflammatory markers while promoting M2 macrophage polarization.
  • D-4F increased microRNA-124a expression and decreased pro-inflammatory gene expression (MMP-9, TNF-α, TLR-4).
  • MicroRNA-124 inhibition attenuated D-4F's anti-inflammatory effects and M2 polarization in vitro.

Conclusions:

  • D-4F demonstrates therapeutic potential for stroke in the context of T1DM.
  • D-4F's mechanism involves upregulating microRNA-124, which promotes anti-inflammatory M2 macrophage polarization.
  • These effects contribute to improved neurological function and preserved BBB and white matter integrity.

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