TNF-α Receptor Inhibitor Alleviates Metabolic and Inflammatory Changes in a Rat Model of Ischemic Stroke

Shih-Yi Lin1,2, Ya-Yu Wang2,3, Cheng-Yi Chang4

  • 1Center for Geriatrics and Gerontology, Taichung Veterans General Hospital, Taichung City 407, Taiwan.

Insights

Tumor necrosis factor-alpha (TNF-α) inhibitor R-7050 shows neuroprotective effects against stroke by reducing inflammation and hyperglycemia. This anti-TNF therapy offers a promising strategy for improving stroke outcomes through combined anti-inflammatory and metabolic mechanisms.

Area of Science:

  • Neuroscience
  • Immunology
  • Metabolic disease

Background:

  • Hyperglycemia and inflammation exacerbate stroke severity and outcomes.
  • Tumor necrosis factor-alpha (TNF-α) plays a critical role in both inflammatory and metabolic processes relevant to stroke.
  • Targeting the TNF-α pathway presents a potential therapeutic strategy for stroke.

Purpose of the Study:

  • To investigate the neuroprotective, anti-inflammatory, and antihyperglycemic effects of the TNF-α receptor inhibitor R-7050 in a rat model of ischemic stroke.
  • To elucidate the molecular mechanisms underlying R-7050's effects on neuroprotection and metabolic regulation post-stroke.

Main Methods:

  • Permanent cerebral ischemia was induced in rats, with some pretreated with R-7050.
  • In vitro studies using bEnd.3 endothelial cells exposed to TNF-α were conducted.
  • Analysis included neurological deficit scoring, brain infarction and edema measurement, oxidative stress markers, caspase 3 activity, and molecular pathway analysis (TNFRI, NF-κB, IL-6, ZO-1, insulin signaling).
  • Plasma levels of metabolic markers (corticosterone, free fatty acids, CRP, FGF-15) were measured.

Main Results:

  • R-7050 pretreatment significantly reduced neurological deficits, brain infarction, edema, oxidative stress, and caspase 3 activation in stroke rats.
  • R-7050 reversed the activation of TNF receptor-I (TNFRI), NF-κB, and IL-6, and restored zonula occludens-1 (ZO-1) levels in injured cortical tissues.
  • In vitro, R-7050 prevented TNF-α-induced reduction of ZO-1 in endothelial cells.
  • R-7050 ameliorated post-stroke hyperglycemia and normalized plasma levels of corticosterone, free fatty acids, C-reactive protein, and fibroblast growth factor-15.
  • In muscle tissue, R-7050 improved TNFRI/NF-κB and IL-6 pathways, oxidative stress, and insulin signaling.

Conclusions:

  • R-7050 demonstrates significant neuroprotective effects in a rat stroke model, acting through anti-inflammatory and metabolic pathways.
  • The drug effectively targets key molecular players like TNFRI, NF-κB, and IL-6, while also improving endothelial barrier function.
  • R-7050's ability to counteract hyperglycemia and metabolic dysregulation post-stroke highlights its potential as a comprehensive therapeutic agent.

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