Department of Pharmacology, Showa University, Shinagawa-ku, Tokyo, Japan.
Naunyn Schmiedebergs Arch Pharmacol. 2010 Sep;382(3):245-53. doi: 10.1007/s00210-010-0542-5. Epub 2010 Aug 3.
Tissue plasminogen activator (t-PA) has a short therapeutic time window for administration (3 h) and carries a risk of promoting intracerebral hemorrhage. The aim of the present study was to investigate a therapeutic time window and frequency of hemorrhagic region by treatment with Stachybotrys microspora triprenyl phenol-7 (SMTP-7). Thrombotic occlusion was induced by transfer of acetic acid-induced thrombus at the right common carotid artery into the brain of mice. Infarction area, neurological score, edema percentage, and regional cerebral blood flow (CBF) were determined as the index of the efficacy of SMTP-7. In order to evaluate the mechanism of SMTP-7, plasmin activities and the expressions of interleukin (IL)-1beta, tumor necrosis factor-alpha (TNF-alpha), and IL-6 mRNA were examined. SMTP-7 (0.1, 1, 10 mg/kg) dose dependently reduced infarction area, neurological score, and edema percentage. Additionally, its therapeutic time window was longer than that of t-PA, a high-molecular-weight compound. In addition, little hemorrhagic region was induced by treatment with SMTP-7. SMTP-7 showed plasmin activity in vivo and caused a decreased CBF to recover. Furthermore, the expressions of inflammatory cytokine mRNA (IL-1beta, TNF-alpha, IL-6) were increased by t-PA treatment 3 h after ischemia but were not induced by SMTP-7 treatment. These results indicate that SMTP-7 shows potential thrombolytic and anti-inflammatory effects as well as a wide therapeutic time window and little hemorrhagic region compared with that of t-PA. Therefore, this novel low-molecular-weight compound may represent a novel approach for the treatment of cerebral infarction.
组织型纤溶酶原激活物(t-PA)的给药治疗时间窗很短(3 小时),并且存在促进脑出血的风险。本研究旨在探讨施氏曲霉三萜酚-7(SMTP-7)治疗的治疗时间窗和出血区域的频率。通过将乙酸诱导的血栓从右侧颈总动脉转移到小鼠大脑中诱导血栓闭塞。梗塞面积、神经评分、水肿百分比和局部脑血流(CBF)作为 SMTP-7 疗效的指标进行测定。为了评估 SMTP-7 的作用机制,检测了纤溶酶活性以及白细胞介素(IL)-1β、肿瘤坏死因子-α(TNF-α)和 IL-6mRNA 的表达。SMTP-7(0.1、1、10mg/kg)剂量依赖性地减少梗塞面积、神经评分和水肿百分比。此外,其治疗时间窗长于高分子量化合物 t-PA。此外,SMTP-7 治疗很少引起出血区域。SMTP-7 在体内显示纤溶酶活性,并导致 CBF 降低得到恢复。此外,缺血后 3 小时 t-PA 治疗可引起炎症细胞因子 mRNA(IL-1β、TNF-α、IL-6)的表达增加,但 SMTP-7 治疗不会引起这种增加。这些结果表明,与 t-PA 相比,SMTP-7 具有潜在的溶栓和抗炎作用以及更宽的治疗时间窗和较少的出血区域。因此,这种新型的低分子量化合物可能为治疗脑梗死提供一种新的方法。