Agomelatine prevents macrophage infiltration and brain endothelial cell damage in a stroke mouse model

Yiqiang Cao1, Fei Wang1, Yonggang Wang1

  • 1Department of Neurosurgery, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China.

Aging
|April 11, 2021
PubMed
Abstract

Insights

Agomelatine treatment reduced inflammatory cell infiltration and protected brain endothelial cells in a stroke model. This study investigated Agomelatine's effects on ischemic/reperfusion injury, showing its therapeutic potential.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Cell Biology

Background:

  • Ischemic/reperfusion injury exacerbates stroke, causing secondary brain damage.
  • Increased blood-brain barrier (BBB) permeability and inflammatory cell infiltration contribute to this injury.
  • Understanding mechanisms to mitigate secondary injury is crucial for stroke treatment.

Purpose of the Study:

  • To investigate the therapeutic effects of Agomelatine on brain ischemic/reperfusion injury.
  • To elucidate the underlying mechanisms of Agomelatine's action in a stroke model.

Main Methods:

  • A middle cerebral artery occlusion (MCAO) mouse model was established.
  • Immunofluorescence, Evans blue staining, and trans-well assays were used to assess BBB integrity, inflammation, and cell migration.
  • Quantitative real-time PCR (qRT-PCR) and ELISA measured specific protein and gene expression levels.

Main Results:

  • Agomelatine downregulated CD68 (macrophage marker) and upregulated claudin-5 (BBB tight junction protein) in the cerebral cortex.
  • Evans blue staining indicated reduced BBB permeability in Agomelatine-treated mice.
  • Agomelatine suppressed macrophage migration and MCP-1 expression while restoring claudin-5 in endothelial cells under hypoxic conditions.

Conclusions:

  • Agomelatine demonstrates a protective effect against brain ischemic/reperfusion injury.
  • The drug prevents macrophage infiltration and mitigates damage to brain endothelial cells.
  • Agomelatine shows promise as a therapeutic agent for stroke by preserving BBB integrity and reducing neuroinflammation.

Related Concept Videos