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      Biphasic roles of pentraxin 3 in cerebrovascular function after white matter stroke

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          Abstract

          Recent clinical studies suggest that pentraxin 3 (PTX3), which is known as an acute‐phase protein that is produced rapidly at local sites of inflammation, may be a new biomarker of disease risk for central nervous system disorders, including stroke. However, the effects of PTX3 on cerebrovascular function in the neurovascular unit (NVU) after stroke are mostly unknown, and the basic research regarding the roles of PTX3 in NVU function is still limited. In this reverse translational study, we prepared mouse models of white matter stroke by vasoconstrictor (ET‐1 or L‐Nio) injection into the corpus callosum region to examine the roles of PTX3 in the pathology of cerebral white matter stroke. PTX3 expression was upregulated in GFAP‐positive astrocytes around the affected region in white matter for at least 21 days after vasoconstrictor injection. When PTX3 expression was reduced by PTX3 siRNA, blood‐brain barrier (BBB) damage at day 3 after white matter stroke was exacerbated. In contrast, when PTX3 siRNA was administered at day 7 after white matter stroke, compensatory angiogenesis at day 21 was promoted. In vitro cell culture experiments confirmed the inhibitory effect of PTX3 in angiogenesis, that is, recombinant PTX3 suppressed the tube formation of cultured endothelial cells in a Matrigel‐based in vitro angiogenesis assay. Taken together, our findings may support a novel concept that astrocyte‐derived PTX3 plays biphasic roles in cerebrovascular function after white matter stroke; additionally, it may also provide a proof‐of‐concept that PTX3 could be a therapeutic target for white matter‐related diseases, including stroke.

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          The science of stroke: mechanisms in search of treatments.

          This review focuses on mechanisms and emerging concepts that drive the science of stroke in a therapeutic direction. Once considered exclusively a disorder of blood vessels, growing evidence has led to the realization that the biological processes underlying stroke are driven by the interaction of neurons, glia, vascular cells, and matrix components, which actively participate in mechanisms of tissue injury and repair. As new targets are identified, new opportunities emerge that build on an appreciation of acute cellular events acting in a broader context of ongoing destructive, protective, and reparative processes. The burden of disease is great, and its magnitude widens as a role for blood vessels and stroke in vascular and nonvascular dementias becomes more clearly established. This review then poses a number of fundamental questions, the answers to which may generate new directions for research and possibly new treatments that could reduce the impact of this enormous economic and societal burden.
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            Role of matrix metalloproteinases in delayed cortical responses after stroke.

            Matrix metalloproteinases (MMPs) are zinc-endopeptidases with multifactorial actions in central nervous system (CNS) physiology and pathology. Accumulating data suggest that MMPs have a deleterious role in stroke. By degrading neurovascular matrix, MMPs promote injury of the blood-brain barrier, edema and hemorrhage. By disrupting cell-matrix signaling and homeostasis, MMPs trigger brain cell death. Hence, there is a movement toward the development of MMP inhibitors for acute stroke therapy. But MMPs may have a different role during delayed phases after stroke. Because MMPs modulate brain matrix, they may mediate beneficial plasticity and remodeling during stroke recovery. Here, we show that MMPs participate in delayed cortical responses after focal cerebral ischemia in rats. MMP-9 is upregulated in peri-infarct cortex at 7-14 days after stroke and is colocalized with markers of neurovascular remodeling. Treatment with MMP inhibitors at 7 days after stroke suppresses neurovascular remodeling, increases ischemic brain injury and impairs functional recovery at 14 days. MMP processing of bioavailable VEGF may be involved because inhibition of MMPs reduces endogenous VEGF signals, whereas additional treatment with exogenous VEGF prevents MMP inhibitor-induced worsening of infarction. These data suggest that, contrary to MMP inhibitor therapies for acute stroke, strategies that modulate MMPs may be needed for promoting stroke recovery.
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              Neurorestorative therapies for stroke: underlying mechanisms and translation to the clinic.

              Restorative cell-based and pharmacological therapies for experimental stroke substantially improve functional outcome. These therapies target several types of parenchymal cells (including neural stem cells, cerebral endothelial cells, astrocytes, oligodendrocytes, and neurons), leading to enhancement of endogenous neurogenesis, angiogenesis, axonal sprouting, and synaptogenesis in the ischaemic brain. Interaction between these restorative events probably underpins the improvement in functional outcome. This Review provides examples of cell-based and pharmacological restorative treatments for stroke that stimulate brain plasticity and functional recovery. The molecular pathways activated by these therapies, which induce remodelling of the injured brain via angiogenesis, neurogenesis, and axonal and dendritic plasticity, are discussed. The ease of treating intact brain tissue to stimulate functional benefit in restorative therapy compared with treating injured brain tissue in neuroprotective therapy might more readily help with translation of restorative therapy from the laboratory to the clinic.
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                Author and article information

                Contributors
                karai@mgh.harvard.edu
                Journal
                CNS Neurosci Ther
                CNS Neurosci Ther
                10.1111/(ISSN)1755-5949
                CNS
                CNS Neuroscience & Therapeutics
                John Wiley and Sons Inc. (Hoboken )
                1755-5930
                1755-5949
                11 December 2020
                January 2021
                : 27
                : 1 , Neurovascular Unit Protection ( doiID: 10.1111/cns.v27.1 )
                : 60-70
                Affiliations
                [ 1 ] Neuroprotection Research Laboratory Departments of Radiology and Neurology Massachusetts General Hospital and Harvard Medical School Charlestown MA USA
                [ 2 ] Department of Neurology Mie University Graduate School of Medicine Tsu Japan
                [ 3 ] Department of Neurology Kyoto University Graduate School of Medicine Kyoto Japan
                [ 4 ] Pediatric Critical Care Medicine Massachusetts General Hospital Boston MA USA
                Author notes
                [*] [* ] Correspondence

                Ken Arai, Neuroprotection Research Laboratory, MGH East 149‐2401, Charlestown, MA 02129, USA.

                Email: karai@ 123456mgh.harvard.edu

                Author information
                https://orcid.org/0000-0003-1615-3258
                Article
                CNS13510
                10.1111/cns.13510
                7804900
                33314664
                5347b1bd-f41f-4dfd-98e4-a46f28a2763e
                © 2020 The Authors. CNS Neuroscience & Therapeutics Published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 30 August 2020
                : 24 October 2020
                : 25 October 2020
                Page count
                Figures: 5, Tables: 0, Pages: 11, Words: 6276
                Funding
                Funded by: National Institutes of Health , open-funder-registry 10.13039/100000002;
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                January 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.6 mode:remove_FC converted:21.01.2021

                Neurosciences
                angiogenesis,blood‐brain barrier,neurovascular unit,pentraxin 3,stroke,white matter
                Neurosciences
                angiogenesis, blood‐brain barrier, neurovascular unit, pentraxin 3, stroke, white matter

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