title: Acute neuroprotection by pioglitazone after mild brain ischemia without effect on long-term outcome.
abstract: Peroxisome proliferator-activated receptor-gamma (PPAR-gamma) agonists (thiazolidinediones) have anti-inflammatory effects and improve endothelium function. Here, we analyzed the effects of pioglitazone on short- and longer-term outcome after mild transient brain ischemia. 129/SV mice were subjected to 30 min filamentous middle cerebral artery occlusion (MCAo), followed by reperfusion. Post event, animals were treated with daily intraperitoneal (i.p.) pioglitazone (20 mg/kg body weight) or vehicle. Pioglitazone given acutely after transient brain ischemia/reperfusion reduced lesion size and the number of Iba1-expressing microglia in the ischemic striatum at three days. In vitro, pioglitazone attenuated migration and proliferation of primary mouse microglia. However, analysis at 6 weeks after MCAo/reperfusion no longer yielded an effect of pioglitazone on either lesion size or Iba1+ cell counts. Regarding functional longer-term outcome, we also did not detect a beneficial effect of pioglitazone on motor function measured either on the pole test or the wire hanging test or on learning and memory in the Morris water maze. Our study thus underscores the importance of extending experimental stroke studies to an analysis of longer-term outcome.
authors.affiliation: Klinik und Poliklinik für Neurologie and Center for Stroke Research Berlin, Charité-Universitätsmedizin Berlin, Charité Campus Mitte, Charitéplatz 1, D-10117 Berlin, Germany.
authors.forename: Shengbo
authors.initials: S
authors.lastname: Ji
authors.forename: Golo
authors.initials: G
authors.lastname: Kronenberg
authors.forename: Mustafa
authors.initials: M
authors.lastname: Balkaya
authors.forename: Katrin
authors.initials: K
authors.lastname: Färber
authors.forename: Karen
authors.initials: K
authors.lastname: Gertz
authors.forename: Helmut
authors.initials: H
authors.lastname: Kettenmann
authors.forename: Matthias
authors.initials: M
authors.lastname: Endres
mesh_terms: D000255:Adenosine Triphosphate / Q000494:pharmacology; D000818:Animals; D000831:Animals, Newborn; D001973:Bromodeoxyuridine / Q000378:metabolism; D002135:Calcium-Binding Proteins / Q000378:metabolism; D002452:Cell Count / Q000379:methods; D002465:Cell Movement / Q000187:drug effects; D049109:Cell Proliferation / Q000187:drug effects; D002478:Cells, Cultured; D003342:Corpus Striatum / Q000473:pathology; D004195:Disease Models, Animal; D004305:Dose-Response Relationship, Drug; D020244:Infarction, Middle Cerebral Artery / Q000188:drug therapy* / Q000473:pathology / Q000503:physiopathology; D018782:Maze Learning / Q000187:drug effects; D051379:Mice; D008840:Microfilament Proteins; D017628:Microglia / Q000187:drug effects; D009043:Motor Activity / Q000187:drug effects; D009474:Neurons / Q000378:metabolism; D018696:Neuroprotective Agents / Q000627:therapeutic use*; D000077205:Pioglitazone; D011930:Reaction Time / Q000187:drug effects; D015427:Reperfusion Injury / Q000517:prevention & control; D045162:Thiazolidinediones / Q000627:therapeutic use*; D013997:Time Factors
chemical_list: C491049:Aif1 protein, mouse; D002135:Calcium-Binding Proteins; D008840:Microfilament Proteins; D018696:Neuroprotective Agents; D045162:Thiazolidinediones; D000255:Adenosine Triphosphate; D001973:Bromodeoxyuridine; D000077205:Pioglitazone