Fingolimod promotes angiogenesis and attenuates ischemic brain damage via modulating microglial polarization

Ke Shang1, Jia He2, Jing Zou2

  • 1Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, PR China.

Brain Research
|October 19, 2019
PubMed
Abstract

Insights

Fingolimod (FTY720) treatment reduced neuronal loss and improved motor function in a mouse model of ischemic stroke by promoting M2 microglial polarization and enhancing angiogenesis.

Area of Science:

  • Neuroscience
  • Immunology
  • Vascular Biology

Background:

  • Microglial activation is key in ischemic stroke pathology.
  • Fingolimod (FTY720) shows neuroprotection via immunomodulation in chronic hypoperfusion models.
  • This study investigates FTY720's pro-angiogenic potential in acute ischemic stroke.

Purpose of the Study:

  • To assess the neuroprotective and pro-angiogenic effects of FTY720 in acute cortical ischemic stroke.
  • To elucidate the role of microglial polarization in FTY720's mechanism of action.
  • To evaluate FTY720's impact on angiogenesis and behavioral recovery.

Main Methods:

  • Acute cortical ischemic stroke induced using the photothrombotic (PT) method in mice.
  • Evaluation of cortical damage, behavioral deficits, microglial polarization (M1/M2), and angiogenesis.
  • Immunofluorescence staining and in vitro/in vivo assays to assess molecular mechanisms.

Main Results:

  • FTY720 treatment reduced neuronal loss and improved motor function post-PT stroke.
  • FTY720 ameliorated neuroinflammation by polarizing microglia towards the M2 phenotype.
  • Enhanced angiogenesis was observed in conjunction with the M2 microglial phenotype.

Conclusions:

  • FTY720 promotes angiogenesis through M2 microglial polarization.
  • FTY720 exerts significant neuroprotection in photothrombotic ischemic stroke models.
  • FTY720 represents a potential therapeutic agent for acute ischemic stroke.

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