Panahpour Hamdollah, Terpolilli Nicole A, Schaffert David, Culmsee Carsten, Plesnila Nikolaus
Laboratory of Experimental Stroke Research, Institute for Stroke and Dementia Research (ISD), Munich University Hospital, Munich, Germany.
Department of Physiology, Medical School, Ardabil University of Medical Sciences, Ardabil, Iran.
Front Neurol. 2019 Sep 4;10:942. doi: 10.3389/fneur.2019.00942. eCollection 2019.
Epidemiological studies suggest that pharmacological reduction of systemic hypertension lowers incidence and severity of stroke. However, whether the reduction of blood pressure or the compounds used to reduce hypertension are responsible for this effect received little attention. In the current study we therefore aimed to investigate whether Aliskiren, a renin-inhibitor used to treat arterial hypertension, may improve outcome in a mouse model of ischemic stroke when applied centrally and in a dose not affecting blood pressure. Male C57BL/6 mice received 0.6, 2.0, or 6.0 μg Aliskiren or vehicle by intracerebroventricular injection as a pre-treatment and were then subjected to 60 min of middle cerebral artery occlusion (MCAo). Infarct volume, brain edema formation, mortality, antioxidant effects, and functional outcome were assessed up to seven days after MCAo. Central administration of Aliskiren (0.6 or 2.0 μg) had no effect on systemic blood pressure but significantly reduced infarct volume and brain edema formation, blunted mortality, and improved neurological outcome up to 1 week after MCAo. Due to the central and prophylactic administration of the compound, we cannot make any conclusions about the potency of Aliskiren for acute stroke treatment, however, our study clearly demonstrates, that in addition to lowering blood pressure Aliskiren seems to have a direct neuroprotective effect. Hence, renin-inhibitors may be an effective addition to prophylactic treatment regimens in stroke patients.
流行病学研究表明,通过药物降低系统性高血压可降低中风的发病率和严重程度。然而,血压降低或用于降低高血压的化合物是否对此效果负责却很少受到关注。因此,在本研究中,我们旨在调查阿利吉仑(一种用于治疗动脉高血压的肾素抑制剂)在以不影响血压的剂量进行中枢给药时,是否能改善缺血性中风小鼠模型的预后。雄性C57BL/6小鼠通过脑室内注射接受0.6、2.0或6.0μg阿利吉仑或赋形剂作为预处理,然后进行60分钟的大脑中动脉闭塞(MCAo)。在MCAo后长达7天的时间里,评估梗死体积、脑水肿形成、死亡率、抗氧化作用和功能结局。中枢给予阿利吉仑(0.6或2.0μg)对系统性血压没有影响,但显著减少了梗死体积和脑水肿形成,降低了死亡率,并改善了MCAo后长达1周的神经功能结局。由于该化合物是中枢预防性给药,我们无法对阿利吉仑治疗急性中风的效力得出任何结论,然而,我们的研究清楚地表明,除了降低血压外,阿利吉仑似乎还具有直接的神经保护作用。因此,肾素抑制剂可能是中风患者预防性治疗方案中一种有效的补充药物。