Neuroprotective effects of urolithin a in a mouse model of intracerebral hemorrhage

Yan Guo1, Xiangyu Zhang2, Jianzhong Deng3

  • 1Department of Cerebrovascular Diseases, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450000, China; Academy of Medical Science, Zhengzhou University, Zhengzhou, Henan, 450000, China; Department of Neurology, Anyang District Hospital of Henan Province, Anyang, Henan, 455000, China.

Neuropharmacology
|May 31, 2025
PubMed

Insights

Urolithin A (UroA) offers neuroprotection against intracerebral hemorrhage (ICH) by reducing brain inflammation and cell death. This study shows UroA improves neurological function in a mouse model of ICH.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Biochemistry

Background:

  • Intracerebral hemorrhage (ICH) is a severe stroke type with high mortality.
  • Secondary brain injury involves neuroinflammation and apoptosis.
  • Urolithin A (UroA), a metabolite of ellagic acid, exhibits anti-inflammatory, antioxidant, and anti-apoptotic properties.

Purpose of the Study:

  • To investigate the neuroprotective effects of UroA in a collagenase-induced mouse model of ICH.
  • To assess UroA's impact on neuroinflammation and neuronal apoptosis post-ICH.

Main Methods:

  • ICH was induced in mice using collagenase.
  • Mice received intraperitoneal injections of UroA (2.5 mg/kg) or vehicle.
  • Neurological impairment, brain water content, blood-brain barrier integrity (Evans Blue, ZO-1, Occludin), MMP-9 levels, microglial activation, neutrophil infiltration, and cell death were evaluated.

Main Results:

  • UroA treatment significantly reduced neurological deficits and brain water content 3 days post-ICH.
  • UroA mitigated blood-brain barrier disruption, indicated by reduced Evans Blue exudation and preserved tight junction proteins.
  • UroA decreased MMP-9 levels, attenuated microglial activation and neutrophil infiltration, inhibited cell death, and lessened brain injury.

Conclusions:

  • Urolithin A demonstrates significant neuroprotective effects in an ICH mouse model.
  • UroA exerts its protective role by inhibiting MMP-9 expression, reducing neuroinflammation, preserving blood-brain barrier integrity, and preventing neuronal apoptosis.
  • UroA holds potential as a therapeutic agent for managing intracerebral hemorrhage.

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