Background:
Ischemic stroke is the second leading cause of death and disability worldwide, which needs to develop new pharmaceuticals for its prevention and treatment. Qingda granule (QDG), a
traditional Chinese medicine formulation, could improve
angiotensin II-induced
brain injury and decrease systemic
inflammation. In this study, we aimed to evaluate the
neuroprotective effect of QDG against
ischemia/reperfusion-induced cerebral injury and illustrate the potential mechanisms. Methods: The
middle cerebral artery occlusion/reperfusion (MCAO/R) surgery in vivo and
oxygen-
glucose deprivation/reoxygenation (OGD/R) in vitro models were established. Ischemic
infarct volume was quantified using magnetic resonance imaging (MRI). Neurobehavioral deficits were assessed using a five-point scale. Cerebral histopathology was determined by
hematoxylin-
eosin (HE) staining. Neuronal apoptosis was evaluated by TUNEL and immunostaining with NeuN
antibodies. The protective effect of QDG on OGD/R-injured HT22 cells was determined by MTT assay and
Hoechst 33258 staining. The expression of
lncRNA GAS5, miR-137 and apoptosis-related
proteins were investigated in MCAO/R-injured rats and in OGD/R-injured HT22 cells using RT-qPCR and western blot analysis. Results: QDG significantly reduced the ischemic
infarct volume, which was accompanied with improvements in neurobehavioral deficits. Additionally, QDG significantly ameliorated cerebral histopathological changes and reduced neuron loss in MCAO/R-injured rats. Moreover, QDG improved growth and inhibited apoptosis of HT22 cells injured by OGD/R in vitro. Finally, QDG significantly decreased the expression of
lncRNA GAS5, Bax and cleaved caspase3, whereas it increased miR-137 and Bcl-2 expression in MCAO/R-injured rats and in OGD/R-injured HT22 cells. Conclusion: QDG plays a neuroprotective role in
ischemic stroke via regulation of the
lncRNA GAS5/miR-137 signaling pathway.