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Annexin A5 derived from lung alleviates brain damage after ischemic stroke
Jiaxin Hu1, Jiaqi Guo2, Chuanjie Wu2
1Department of Respiratory and Critical Care Medicine, Beijing Anzhen Hospital, Capital Medical University, China.
Brain Research
|October 31, 2024
Summary
Annexin A5, a protein found in lung tissue, may protect the brain after ischemic stroke. Increased Annexin A5 levels in the brain correlate with reduced stroke damage and improved neurological function.
Area of Science:
- Neuroscience
- Biochemistry
- Pulmonology
Background:
- Ischemic stroke is a major global health concern causing disability and death.
- Brain-organ crosstalk after neurological injury is recognized but poorly understood.
- Specific mediators of this communication remain largely unidentified.
Purpose of the Study:
- To investigate the role of Annexin A5 in ischemic stroke.
- To explore the potential neuroprotective function of Annexin A5 originating from lung tissue.
- To evaluate Annexin A5 as a therapeutic target for ischemic stroke.
Main Methods:
- Plasma Annexin A5 levels were measured in human stroke patients and healthy controls.
- Annexin A5 expression and localization were analyzed in mouse models of ischemic stroke.
- The effect of Annexin A5 administration and inhibition on stroke outcomes was assessed in mice.
- Annexin A5 levels were correlated with disease severity in patients with ischemic stroke and chronic obstructive pulmonary disease (COPD).
Main Results:
- Plasma Annexin A5 levels were elevated in stroke patients compared to controls.
- In mice, Annexin A5 increased in the brain and decreased in the lung post-stroke.
- Annexin A5 was found to cross the blood-brain barrier (BBB).
- Recombinant Annexin A5 reduced stroke infarct volume and improved neurological function in mice.
- Anti-Annexin A5 antibodies worsened stroke outcomes.
- Lower plasma Annexin A5 levels were observed in stroke patients with co-existing lung disease and in severe COPD patients.
Conclusions:
- Annexin A5 plays a neuroprotective role in ischemic stroke, potentially originating from the lung.
- Increased Annexin A5 may mitigate brain injury and improve neurological function after stroke.
- Annexin A5 shows promise as a therapeutic candidate for ischemic stroke treatment.
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