1. Epicortical Brevetoxin Treatment Promotes Neural Repair and Functional Recovery after Ischemic Stroke
- Author
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Sequeira, Erica, Pierce, Marsha L, Akasheh, Dina, Sellers, Stacey, Gerwick, William H, Baden, Daniel G, and Murray, Thomas F
- Subjects
Biomedical and Clinical Sciences ,Neurosciences ,Rehabilitation ,Brain Disorders ,Stroke ,Aging ,Neurological ,Animals ,Bacterial Proteins ,Cerebral Cortex ,Disease Models ,Animal ,Excitatory Amino Acid Agonists ,Injections ,Luminescent Proteins ,Marine Toxins ,Mice ,Transgenic ,Motor Activity ,Neuronal Plasticity ,Oxocins ,Recovery of Function ,Thrombotic Stroke ,brevetoxin ,ischemic stroke ,peri-infarct ,neuroplasticity ,Physical Chemistry (incl. Structural) ,Pharmacology and Pharmaceutical Sciences ,Medicinal & Biomolecular Chemistry ,Pharmacology and pharmaceutical sciences ,Physical chemistry - Abstract
Emerging literature suggests that after a stroke, the peri-infarct region exhibits dynamic changes in excitability. In rodent stroke models, treatments that enhance excitability in the peri-infarct cerebral cortex promote motor recovery. This increase in cortical excitability and plasticity is opposed by increases in tonic GABAergic inhibition in the peri-infarct zone beginning three days after a stroke in a mouse model. Maintenance of a favorable excitatory-inhibitory balance promoting cerebrocortical excitability could potentially improve recovery. Brevetoxin-2 (PbTx-2) is a voltage-gated sodium channel (VGSC) gating modifier that increases intracellular sodium ([Na+]i), upregulates N-methyl-D-aspartate receptor (NMDAR) channel activity and engages downstream calcium (Ca2+) signaling pathways. In immature cerebrocortical neurons, PbTx-2 promoted neuronal structural plasticity by increasing neurite outgrowth, dendritogenesis and synaptogenesis. We hypothesized that PbTx-2 may promote excitability and structural remodeling in the peri-infarct region, leading to improved functional outcomes following a stroke. We tested this hypothesis using epicortical application of PbTx-2 after a photothrombotic stroke in mice. We show that PbTx-2 enhanced the dendritic arborization and synapse density of cortical layer V pyramidal neurons in the peri-infarct cortex. PbTx-2 also produced a robust improvement of motor recovery. These results suggest a novel pharmacologic approach to mimic activity-dependent recovery from stroke.
- Published
- 2020