Kocic Ivan, Kowianski Przemyslaw, Rusiecka Izabela, Lietzau Grazyna, Mansfield Colin, Moussy Alain, Hermine Olivier, Dubreuil Patrice
Department of Pharmacology, Medical University of Gdansk, Debowa 23, 80-204, Gdansk, Poland,
Naunyn Schmiedebergs Arch Pharmacol. 2015 Jan;388(1):79-86. doi: 10.1007/s00210-014-1061-6. Epub 2014 Oct 26.
This study evaluated the therapeutic potential of masitinib, an oral tyrosine kinase inhibitor with activity against c-Kit and platelet-derived growth factor receptors (PDGFR), to reduce ischemic brain area and neurological deficit. Using a well-established filament model of ischemic stroke in rats, the responses to oral treatment with masitinib alone or in combination with recombinant tissue plasminogen activator (rt-PA) were compared to those after rt-PA (10 mg/kg intravenously (i.v.)) monotherapy. In both cases, two doses of masitinib were used--25 or 100 mg/kg, twice per day. Ischemic brain area and the neurological deficit were assessed using the triphenyltetrazolium chloride (TTC) method and behavioral neurological tests, respectively. Masitinib, as a single agent, reduced significantly the infarct size, as compared with the stroke control group. Brain ischemic area decreased from 9.14 to 4.36 % (25 mg/kg) or 2.60 % (100 mg/kg). Moreover, a combined treatment of masitinib with rt-PA produced a stronger effect than the one observed after each of the compound alone. The size of the brain ischemic area (rt-PA 1.67 %) was further reduced to 0.83 or 0.7 % at masitinib doses of 25 and 100 mg/kg, respectively. Masitinib reduced significantly brain ischemia induced by experimental stroke and potentiated the therapeutic effect of rt-PA.
本研究评估了马西替尼(一种对c-Kit和血小板衍生生长因子受体(PDGFR)有活性的口服酪氨酸激酶抑制剂)减少脑缺血面积和神经功能缺损的治疗潜力。使用成熟的大鼠缺血性中风丝线模型,将单独口服马西替尼或与重组组织型纤溶酶原激活剂(rt-PA)联合治疗的反应与rt-PA(10mg/kg静脉注射(i.v.))单药治疗后的反应进行比较。在这两种情况下,均使用了两种剂量的马西替尼——25或100mg/kg,每日两次。分别使用氯化三苯基四氮唑(TTC)法和行为神经学测试评估脑缺血面积和神经功能缺损。与中风对照组相比,马西替尼作为单一药物可显著减小梗死面积。脑缺血面积从9.14%降至4.36%(25mg/kg)或2.60%(100mg/kg)。此外,马西替尼与rt-PA联合治疗产生的效果比单独使用每种化合物时观察到的效果更强。在马西替尼剂量为25和100mg/kg时,脑缺血面积(rt-PA为1.67%)分别进一步降至0.83%或0.7%。马西替尼可显著减轻实验性中风诱导的脑缺血,并增强rt-PA的治疗效果。