Key result
Ticagrelor at 30 mg/kg significantly reduced infarct volume and improved neurological deficits in a mouse model of ischemic stroke.
Why the study?
Does ticagrelor improve neurological deficits and reduce infarct volume in a mouse model of ischemic stroke?
Does ticagrelor improve neurological deficits and reduce infarct volume in a mouse model of ischemic stroke?
Ticagrelor demonstrated neuroprotective effects in a mouse model of ischemic stroke, reducing infarct volume and improving cerebral blood flow via endothelial mechanisms independent of its antiplatelet action.
Ticagrelor attenuates murine ischemia-reperfusion injury; leaves open translation to human stroke therapy.
Ticagrelor is a direct acting and reversibly binding P2Y12 antagonist approved for the prevention of thromboembolic events. Its potential benefits in ischemic stroke have not been investigated sufficiently. Mice were subjected to 2 hours of transient middle cerebral artery occlusion (MCAO). Mice were orally treated with ticagrelor (10 or 30 mg/kg), aspirin (60 mg/kg), or vehicle at 3 and 24 hours before MCAO and 0 and 6 hours after reperfusion. The infarct volume and neurological deficits 22 hours after reperfusion were evaluated. Cerebral blood flow (CBF) within 24 hours after MCAO was monitored. We performed western blotting and in vitro analysis using oxygen-glucose deprivation (OGD) stress in human brain microvessel endothelial cells (HBMVECs) to investigate the protective effects of ticagrelor. Ticagrelor (30 mg/kg) improved neurological deficits, reduced the infarct volume, and improved CBF. It promoted the phosphorylation of endothelial nitric oxide synthase (eNOS) and extracellular signal-regulated kinase 1/2 (ERK1/2) during the early phase after reperfusion. Increased phosphorylation of eNOS and ERK1/2 were also observed in HBMVECs after OGD stress. Ticagrelor attenuate ischemia reperfusion injury possibly via phosphorylation of eNOS and ERK1/2 in endothelial cells. This suggests that ticagrelor has neuroprotective effects via mechanisms other than its antiplatelet action.
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Yamauchi et al. (2017) studied Ischemic stroke (n=286). Ticagrelor vs. Vehicle or Aspirin (60 mg/kg) was evaluated on Infarct volume and neurological deficits 22 hours after reperfusion (p=<0.05). Ticagrelor at 30 mg/kg significantly reduced infarct volume and improved neurological deficits in a mouse model of ischemic stroke.
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