DCPIB Attenuates Ischemia-Reperfusion Injury by Regulating Microglial M1/M2 Polarization and Oxidative Stress

Guihua Cao1, Jianbin Guo2, Kaikai Yang1

  • 1Department of Geriatrics, Xijing Hospital of Air Force Military Medical University, Xi'an 710032, China.

Neuroscience
|May 11, 2024
PubMed

Insights

DCPIB, a volume-regulated anion channel blocker, reduces brain damage after stroke by shifting microglia from inflammatory M1 to healing M2 states. This anti-inflammatory action also combats oxidative stress, improving outcomes in cerebral ischemia-reperfusion injury.

Area of Science:

  • Neuroscience
  • Immunology
  • Pharmacology

Background:

  • Inflammatory responses, particularly microglial polarization, are critical in ischemia-reperfusion injury (IRI).
  • Anti-inflammatory therapies are vital for managing failed vascular reconstruction and brain homeostasis.
  • The role of DCPIB, a volume-regulated anion channel (VRAC) blocker, in cerebral IRI-induced inflammation remains unclear.

Purpose of the Study:

  • To investigate the relationship between DCPIB and inflammation mediated by microglial M1/M2 polarization following cerebral IRI.
  • To elucidate DCPIB's mechanism in mitigating neuroinflammation and neuronal damage.

Main Methods:

  • Transient middle cerebral artery occlusion (tMCAO) model in C57BL/6 mice.
  • DCPIB administration via lateral ventricular injection post-reperfusion.
  • Assessment of behavioral deficits, pathological injury (TTC, HE, Nissl, brain water content), inflammatory cytokine levels (qPCR, ELISA), and microglial phenotypes (immunofluorescence).

Main Results:

  • DCPIB administration significantly reduced mortality, improved behavioral performance, and alleviated brain injury in the tMCAO model.
  • DCPIB treatment inhibited inflammatory responses and promoted M1 to M2 microglial polarization via the MAPK signaling pathway.
  • DCPIB also suppressed oxidative stress, offering neuroprotection against IRI.

Conclusions:

  • DCPIB attenuates cerebral IRI by modulating microglial M1/M2 polarization and reducing oxidative stress.
  • DCPIB demonstrates therapeutic potential for treating stroke and related neurological conditions.
  • Targeting VRAC with DCPIB offers a novel strategy for managing neuroinflammation post-stroke.

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