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Silencing VEGF-B Diminishes the Neuroprotective Effect of Candesartan Treatment After Experimental Focal Cerebral Ischemia.

Abstract
The pro-survival effect of VEGF-B has been documented in different in vivo and in vitro models. We have previously shown an enhanced VEGF-B expression in response to candesartan treatment after focal cerebral ischemia. In this study, we aimed to silence VEGF-B expression to assess its contribution to candesartan's benefit on stroke outcome. Silencing VEGF-B expression was achieved by bilateral intracerebroventricular injections of lentiviral particles containing short hairpin RNA (shRNA) against VEGF-B. Two weeks after lentiviral injections, rats were subjected to either 90 min or 3 h of middle cerebral artery occlusion (MCAO) and randomized to intravenous candesartan (1 mg/kg) or saline at reperfusion. Animals were sacrificed at 24 or 72 h and brains were collected and analyzed for hemoglobin (Hb) excess and infarct size, respectively. Functional outcome at 24, 48 and 72 h was assessed blindly. Candesartan treatment improved neurobehavioral and motor function, and decreased infarct size and Hb. While silencing VEGF-B expression diminished candesartan's neuroprotective effect, candesartan-mediated vascular protection was maintained even in the absence of VEGF-B suggesting that this growth factor is not the mediator of candesartan's vascular protective effects. However, VEGF-B is a mediator of neuroprotection achieved by candesartan and represents a potential drug target to improve stroke outcome. Further studies are needed to elucidate the underlying molecular mechanisms of VEGF-B in neuroprotection and recovery after ischemic stroke.
AuthorsTauheed Ishrat, Sahar Soliman, Wael Eldahshan, Bindu Pillai, Adviye Ergul, Susan C Fagan
JournalNeurochemical research (Neurochem Res) Vol. 43 Issue 10 Pg. 1869-1878 (Oct 2018) ISSN: 1573-6903 [Electronic] United States
PMID30088238 (Publication Type: Journal Article)
Chemical References
  • Benzimidazoles
  • Biphenyl Compounds
  • Neuroprotective Agents
  • Tetrazoles
  • Vascular Endothelial Growth Factor B
  • candesartan
Topics
  • Animals
  • Benzimidazoles (pharmacology)
  • Biphenyl Compounds
  • Brain Ischemia (drug therapy, genetics)
  • Disease Models, Animal
  • Infarction, Middle Cerebral Artery (drug therapy, genetics)
  • Neuroprotective Agents (pharmacology)
  • Tetrazoles (pharmacology)
  • Vascular Endothelial Growth Factor B (genetics)

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