Targeting CD36-mediated inflammation reduces acute brain injury in transient, but not permanent, ischemic stroke

CNS Neurosci Ther. 2015 Apr;21(4):385-91. doi: 10.1111/cns.12326. Epub 2014 Sep 12.

Abstract

Aims: The pathology of stroke consists of multiple pro-death processes, and CD36 has been suggested as a multimodal target to reduce oxidative stress and inflammation in ischemic stroke. Using CD36-deficient mice and SS-31, a cell permeable tetrapeptide known to down-regulate CD36 pathways, the current study investigated whether targeting CD36 is effective in transient and permanent ischemic stroke.

Methods: Wild-type or CD36-deficient mice were subjected to either 30-min transient or permanent focal ischemic stroke. In parallel, a cohort of mice subjected to either transient or permanent stroke received either vehicle or 5 mg/kg of SS-31. Monocyte chemoattractant protein-1 (MCP-1) and its receptor CCR2, mRNA levels, and infarct volume and percent hemispheric swelling were measured in the postischemic brain.

Results: CD36 deficiency or SS-31 treatment significantly attenuated MCP-1 or CCR2 mRNA up-regulation and injury size in the transient ischemic stroke. However, the approaches failed to show the protective effect in permanent ischemic stroke.

Conclusion: The study revealed that targeting CD36 has a beneficial effect on transient but not permanent focal ischemic stroke. The study thus precludes a generalized strategy targeting CD36 in ischemic stroke and suggests careful consideration of types of stroke and associated pathology in developing stroke therapies.

Keywords: CD36; Inflammation; Permanent focal ischemia; SS-31; Transient focal ischemia.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Brain / drug effects
  • Brain / immunology*
  • Brain / pathology
  • Brain Ischemia / drug therapy
  • Brain Ischemia / immunology*
  • Brain Ischemia / pathology
  • CD36 Antigens / deficiency*
  • CD36 Antigens / genetics
  • Chemokine CCL2 / metabolism
  • Cohort Studies
  • Disease Models, Animal
  • Infarction, Middle Cerebral Artery
  • Male
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Neuroprotective Agents / pharmacology*
  • Oligopeptides / pharmacology*
  • RNA, Messenger / metabolism
  • Random Allocation
  • Receptors, CCR2 / metabolism
  • Stroke / drug therapy
  • Stroke / immunology*
  • Stroke / pathology

Substances

  • CD36 Antigens
  • Ccl2 protein, mouse
  • Ccr2 protein, mouse
  • Chemokine CCL2
  • Neuroprotective Agents
  • Oligopeptides
  • RNA, Messenger
  • Receptors, CCR2
  • arginyl-2,'6'-dimethyltyrosyl-lysyl-phenylalaninamide