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Dimethyl Fumarate Attenuates Lymphocyte Infiltration and Reduces Infarct Size in Experimental Stroke
Michael K Schuhmann1, Friederike Langhauser2, Lena Zimmermann1
1Department of Neurology, University Hospital Würzburg, Josef-Schneider Strasse 11, 97080 Würzburg, Germany.
International Journal of Molecular Sciences
|November 14, 2023
Summary
Dimethyl fumarate (DMF) reduces brain damage after ischemic stroke by decreasing lymphocyte infiltration in the acute phase. This immune modulation may offer a new therapeutic strategy for stroke recovery.
Area of Science:
- Neuroscience
- Immunology
- Pharmacology
Background:
- Ischemic stroke causes significant tissue damage through immune cell activation and inflammation.
- Dimethyl fumarate (DMF) is known to modulate immune responses and activate antioxidant pathways.
- The precise effects of DMF on immune cells post-cerebral ischemia require further investigation.
Purpose of the Study:
- To investigate the impact of Dimethyl fumarate (DMF) on immune cell infiltration and brain damage following ischemic stroke in a mouse model.
- To assess the therapeutic potential of DMF in mitigating inflammation and tissue injury after stroke.
Main Methods:
- Male mice underwent transient middle cerebral artery occlusion (tMCAO) for 30 minutes.
- Mice received oral DMF (15 mg/kg) or vehicle immediately post-tMCAO, with continued administration for 7 days.
- Infarct volume, brain edema, and brain-infiltrating immune cells (lymphocytes, monocytes, microglia) were quantified.
Main Results:
- DMF treatment significantly reduced infarct volumes and brain edema.
- A notable decrease in lymphocyte infiltration was observed on day 1 post-tMCAO in DMF-treated mice compared to controls.
- No significant differences in monocyte or microglial cell counts were found between groups on days 1 or 7.
Conclusions:
- Dimethyl fumarate (DMF) demonstrates a therapeutic effect in the acute phase of ischemic stroke, primarily by attenuating lymphocyte infiltration.
- The observed reduction in lymphocyte infiltration may be attributed to DMF's blood-brain barrier (BBB) stabilizing properties.
- DMF shows promise as a potential therapeutic agent for reducing immune cell-mediated damage in stroke patients.

