Key result
tAUCB administered after stroke onset reduced cortical infarct size in nondiabetic mice (31.4% vs 43.8%, p<0.05) but provided no neuroprotection in diabetic mice.
Why the study?
Pre-ischemic sEH blockade reduces stroke-induced infarct, but whether benefit occurs when sEH blockade is administered after stroke onset in normal and DM2 mice was unknown.
Does tAUCB administered after stroke onset reduce brain infarct size in normal and DM2 mice?
Does tAUCB administered after stroke onset reduce brain infarct size in normal and DM2 mice?
Absolute Event Rate: 31.4% vs 43.8%
p-value: p=< 0.05
Soluble epoxide hydrolase blockade after stroke onset provides neuroprotection in nondiabetic mice, but this benefit is abolished by type 2 diabetes.
sEH inhibition may reduce diabetic stroke infarct in mice; leaves open post-ischemic efficacy and human translation.
Soluble epoxide hydrolase (sEH) is abundant in the brain, is upregulated in type 2 diabetes mellitus (DM2), and is possible mediator of ischemic injury via the breakdown of neuroprotective epoxyeicosatrienoic acids (EETs). Prophylactic, pre-ischemic sEH blockade with 4-[[trans-4-[[(tricyclo[3.3.1.13,7]dec-1-ylamino)carbonyl]amino]cyclohexyl]oxy]-benzoic acid (tAUCB) reduces stroke-induced infarct in normal and diabetic mice, with larger neuroprotection in DM2. The present study tested whether benefit occurs in normal and DM2 mice if tAUCB is administered after stroke onset. We performed 60 min middle cerebral artery occlusion in young adult male C57BL mice divided into four groups: normal or DM2, with t-AUCB 2 mg/kg or vehicle 30 min before reperfusion. Endpoints were (1) cerebral blood flow (CBF) by laser Doppler, and (2) brain infarct at 24 h. In nondiabetic mice, t-AUCB reduced infarct size by 30% compared to vehicle-treated mice in the cortex (31.4 ± 4 vs. 43.8 ± 3 (SEM)%, respectively) and 26% in the whole hemisphere (26.3 ± 3 vs. 35.2 ± 2%, both p < 0.05). In contrast, in DM2 mice, tAUCB failed to ameliorate either cortical or hemispheric injury. No differences were seen in CBF. We conclude that tAUCB administered after ischemic stroke onset exerts brain protection in nondiabetic but not DM2 mice, that the neuroprotection appears independent of changes in gross CBF, and that DM2-induced hyperglycemia abolishes t-AUCB-mediated neuroprotection after stroke onset.
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Davis et al. (2021) studied Ischemic stroke. tAUCB vs. vehicle was evaluated on brain infarct size in the cortex at 24 h (p=< 0.05). tAUCB administered after stroke onset reduced cortical infarct size in nondiabetic mice (31.4% vs 43.8%, p<0.05) but provided no neuroprotection in diabetic mice.
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