TROKE is the third main cause of death after heart disease and cancer and the leading cause of chronic disability. It occurs as a result of the loss of blood supply or inadequate blood flow. The pathophysiological mechanisms leading to...
moreTROKE is the third main cause of death after heart disease and cancer and the leading cause of chronic disability. It occurs as a result of the loss of blood supply or inadequate blood flow. The pathophysiological mechanisms leading to the neurological injury from stroke are complex, and a single neuroprotective approach has never been shown to be sufficient in alleviating stroke casualty. 14,15,21 Ischemic stroke triggers the cascade of events leading to excessive release of excitatory amino acid, calcium overload , generation of ROS, and alterations in gene expression. 10,20 The involvement of ROS such as superoxide, hydrogen peroxide, hydroxyl radical, and peroxynitrite has been postulated in IR injury. 1,30,34 In biological conditions, peroxynitrite is formed very rapidly from the reaction of NO with superoxide anion. Analysis of recent data indicates that most of the toxic effects of NO as well as superox-ide radicals are attributed to peroxynitrite. More specifically , peroxynitrite can cause cell membrane destruction by inducing lipid peroxidation, hydroxylation and nitration of the aromatic residues of amino acids and nucleotides, and single-and/or double-strand breaks in DNA. 3,24,26 The DNA strand breaks lead to the activation of the DNA repair enzyme, PARP, which uses NAD as a substrate. Massive DNA damage mediated by IR injury results in excessive PARP activation, leading to depletion of its substrate NAD and subsequently ATP and eventually to cell death. 13 From the aforementioned evidence one can infer the involvement of the peroxynitrite–PARP cascade in IR injury, and thus pharmacological interventions targeted at this cascade might be effective in treating cerebral IR injury. Peroxynitrite scavengers (melatonin) 14,15,21 and PARP inhibitors (3-aminobenzamide, nicotinamide, and PJ 37) 40 have been shown to be protective in an IR injury model. Previously, we demonstrated the neuroprotective effect of an antiox-Object. The authors evaluated the neuroprotective effect of 5,10,15,20-tetrakis(N-methyl-4-pyridyl)porphyrinato-iron(III) (FeTMPyP), a peroxynitrite decomposition catalyst, and 1,5-isoquinolinediol (ISO), a poly(adenosine diphos-phate [ADP]-ribose) polymerase (PARP) inhibitor, alone and in combination in rats with focal cerebral ischemia induced by middle cerebral artery occlusion (MCAO). Methods. Male Sprague–Dawley rats were subjected to 2 hours of MCAO followed by 22 hours of reperfusion. Cerebral infarction and neurological deficits were estimated after ischemia. Intraperitoneal injections of FeTMPyP (1 and 2 mg/kg) and ISO (0.05 and 0.1 mg/kg) were administered alone or in combination in ischemic animals. The PARP activity in vehicle-and drug-treated groups was estimated using anti–poly(ADP-ribose) antibody in immunofluores-cence and immunoblotting studies. Two hours of MCAO and 22 hours of reperfusion produced significant cerebral infarction and neurological deficits. Treatment with FeTMPyP (1 and 2 mg/kg) and ISO (0.05 and 0.1 mg/kg) produced a significant reduction in cerebral infarction and neurological deficits. Combination therapy (2 mg/kg FeTMPyP and 0.1 mg/kg ISO) enhanced the inhibition of ischemic volume (77.81 0.86%) compared with monotherapies (FeTMPyP 54.07 5.6% and ISO 53.06 3.88%). Immunoblotting and immunofluorescence studies showed PARP activation after ischemia, which was reduced by drug treatment. Conclusions. Neuroprotection observed with FeTMPyP and ISO alone and in combination may be attributed to inhibition of the peroxynitrite–PARP cascade of cerebral ischemia/reperfusion injury. KEY WORDS • focal cerebral ischemia • peroxynitrite decomposition catalyst • poly(adenosine diphosphate–ribose) polymerase • neuroprotection S 669 Abbreviations used in this paper: ANOVA = analysis of variance; DMSO = dimethyl sulfoxide; ECA = external carotid artery; FeTMPyP = 5,10,15,20-tetrakis(N-methyl-4-pyridyl)porphyrinato-iron(III); FITC = fluorescein isothiocyanate; IgG = immunoglobulin G; IR = ischemia/reperfusion; ISO = 1,5-isoquinolinediol; MCAO = middle cerebral artery occlusion; NAD = nicotinamide adenine di-nucleotide; NIPER = National Institute of Pharmaceutical Education and Research; NO = nitric oxide; NOS = NO synthase; PAR = poly(adenosine diphosphate–ribose); PARP = PAR polymerase; PBS = phosphate-buffered saline; ROS = reactive oxygen species; TBS = Tris-buffered saline; TTC = triphenyltetrazolium chloride.