Protection of FK506 against neuronal apoptosis and axonal injury following experimental diffuse axonal injury

Mol Med Rep. 2017 May;15(5):3001-3010. doi: 10.3892/mmr.2017.6350. Epub 2017 Mar 22.

Abstract

Diffuse axonal injury (DAI) is the most common and significant pathological features of traumatic brain injury (TBI). However, there are still no effective drugs to combat the formation and progression of DAI in affected individuals. FK506, also known as tacrolimus, is an immunosuppressive drug, which is widely used in transplantation medicine for the reduction of allograft rejection. Previous studies have identified that FK506 may play an important role in the nerve protective effect of the central nervous system. In the present study, apoptosis of neuronal cells was observed following the induction of experimental DAI. The results demonstrated that it was closely related with the upregulation of death‑associated protein kinase 1 (DAPK1). It was hypothesized that FK506 may inhibit the activity of DAPK1 by inhibiting calcineurin activity, which may be primarily involved in anti‑apoptosis following DAI induction. Through researching the expression of nerve regeneration associated proteins (NF‑H and GAP‑43) following DAI, the present study provides novel data to suggest that FK506 promotes axon formation and nerve regeneration following experimental DAI. Therefore, FK506 may be a potent therapeutic for inhibiting nerve injury, as well as promoting the nerve regeneration following DAI.

MeSH terms

  • Animals
  • Apoptosis / drug effects*
  • Axons / drug effects*
  • Axons / metabolism
  • Axons / pathology
  • Brain Injuries, Traumatic / drug therapy
  • Brain Injuries, Traumatic / metabolism
  • Brain Injuries, Traumatic / pathology
  • Brain Stem / drug effects
  • Brain Stem / pathology
  • CA1 Region, Hippocampal / drug effects
  • CA1 Region, Hippocampal / pathology
  • Calcineurin / drug effects
  • Death-Associated Protein Kinases / antagonists & inhibitors
  • Death-Associated Protein Kinases / metabolism
  • Diffuse Axonal Injury / drug therapy*
  • Diffuse Axonal Injury / metabolism
  • Diffuse Axonal Injury / pathology
  • GAP-43 Protein / metabolism
  • Male
  • Nerve Regeneration / drug effects
  • Neurofilament Proteins / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Tacrolimus / pharmacology*
  • Up-Regulation

Substances

  • GAP-43 Protein
  • Neurofilament Proteins
  • neurofilament protein H
  • Death-Associated Protein Kinases
  • Calcineurin
  • Tacrolimus