Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA.
Department of Neurology, University of Kentucky, Lexington, KY, USA.
Transl Stroke Res. 2021 Feb;12(1):72-86. doi: 10.1007/s12975-020-00800-5. Epub 2020 Apr 7.
The extracellular matrix fragment perlecan domain V is neuroprotective and functionally restorative following experimental stroke. As neurogenesis is an important component of chronic post-stroke repair, and previous studies have implicated perlecan in developmental neurogenesis, we hypothesized that domain V could have a broad therapeutic window by enhancing neurogenesis after stroke. We demonstrated that domain V is chronically increased in the brains of human stroke patients, suggesting that it is present during post-stroke neurogenic periods. Furthermore, perlecan deficient mice had significantly less neuroblast precursor cells after experimental stroke. Seven-day delayed domain V administration enhanced neurogenesis and restored peri-infarct excitatory synaptic drive to neocortical layer 2/3 pyramidal neurons after experimental stroke. Domain V's effects were inhibited by blockade of α2β1 integrin, suggesting the importance of α2β1 integrin to neurogenesis and domain V neurogenic effects. Our results demonstrate that perlecan plays a previously unrecognized role in post-stroke neurogenesis and that delayed DV administration after experimental stroke enhances neurogenesis and improves recovery in an α2β1 integrin-mediated fashion. We conclude that domain V is a clinically relevant neuroprotective and neuroreparative novel stroke therapy with a broad therapeutic window.
细胞外基质片段多配体聚糖域 V 具有神经保护作用,并能在实验性中风后恢复功能。由于神经发生是慢性中风后修复的重要组成部分,先前的研究表明多配体聚糖参与了神经发生的发育,因此我们假设域 V 通过增强中风后的神经发生,可以具有广泛的治疗窗口。我们证明,多配体聚糖域 V 在中风患者的大脑中持续增加,表明它存在于中风后的神经发生期。此外,实验性中风后,缺乏多配体聚糖的小鼠的神经前体细胞明显减少。7 天延迟的域 V 给药可增强神经发生,并恢复实验性中风后新皮层 2/3 层锥体神经元的周围梗死兴奋性突触驱动。域 V 的作用被 α2β1 整联蛋白阻断所抑制,这表明 α2β1 整联蛋白对神经发生和域 V 神经发生作用的重要性。我们的研究结果表明,多配体聚糖在中风后神经发生中发挥了以前未被认识到的作用,并且在实验性中风后延迟 DV 给药可以增强神经发生,并以 α2β1 整联蛋白介导的方式改善恢复。我们得出结论,域 V 是一种具有广泛治疗窗口的临床相关的神经保护和神经修复新型中风治疗方法。