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Curcumin Protects against Ischemic Stroke by Titrating Microglia/Macrophage Polarization

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机构: [1]China-America Institute of Neuroscience, Beijing Luhe Hospital, Capital Medical University, Beijing, China, [2]Central Laboratory, Beijing Luhe Hospital, Capital Medical University, Beijing, China, [3]Institute of Hypoxia Medicine, Xuanwu Hospital, Xuan Wu Hospital of the Capital Medical University, Beijing, China, [4]Division of Pharmaceutical Sciences, Duquesne University, Pittsburgh, PA, United States, [5]Pittsburgh Institute of Brain Disorders and Recovery, and Department of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
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关键词: curcumin microglial polarization ischemic stroke inflammation neuroprotection

摘要:
Stroke is the most common type of cerebrovascular disease and is a leading cause of disability and death. Ischemic stroke accounts for approximately 80% of all strokes. The remaining 20% of strokes are hemorrhagic in nature. To date, therapeutic options for acute ischemic stroke are very limited. Recent research suggests that shifting microglial phenotype from the pro-inflammatory M1 state toward the anti-inflammatory and tissue-reparative M2 phenotype may be an effective therapeutic strategy for ischemic stroke. The dietary phytochemical curcumin has shown promise in experimental stroke models, but its effects on microglial polarization and long-term recovery after stroke are unknown. Here we address these gaps by subjecting mice to distal middle cerebral artery occlusion (dMCAO) and administering curcumin intraperitoneally (150 mg/kg) immediately after ischemia and 24 h later. Histological studies revealed that curcumin post-treatment significantly reduced cerebral ischemic damage 3 days after dMCAO. Sensorimotor functions-as measured by the adhesive removal test and modified Garcia scores-were superior in curcumin-treated mice at 3, 5, 7 and 10 days after stroke. RT-PCR measurements revealed an elevation of M2 microglia/macrophage phenotypic markers and a reduction in M1 markers in curcumin-treated brains 3 days after dMCAO. Immunofluorescent staining further showed that curcumin treatment significantly increased the number of CD206(+)Iba1(+) M2 microglia/ macrophages and reduced the number of CD16 (+)Iba1(+) M1 cells 10 days after stroke. In vitro studies using the BV2 microglial cell line confirmed that curcumin inhibited lipopolysaccharide (LPS) and interferon-g (IFN-gamma)-induced M1 polarization. Curcumin treatment concentration-dependently reduced the expression of pro-inflammatory cytokines, including TNF-alpha, IL-6 and IL-12p70, in the absence of any toxic effect on microglial cell survival. In conclusion, we demonstrate that curcumin has a profound regulatory effect on microglial responses, promoting M2 microglial polarization and inhibiting microgliamediated pro-inflammatory responses. Curcumin post-treatment reduces ischemic stroke-induced brain damage and improves functional outcomes, providing new evidence that curcumin might be a promising therapeutic strategy for stroke.

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出版当年[2016]版:
大类 | 2 区 医学
小类 | 2 区 老年医学 3 区 神经科学
最新[2023]版:
大类 | 2 区 医学
小类 | 3 区 老年医学 3 区 神经科学
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出版当年[2015]版:
Q1 NEUROSCIENCES Q1 GERIATRICS & GERONTOLOGY
最新[2023]版:
Q2 NEUROSCIENCES Q2 GERIATRICS & GERONTOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

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第一作者机构: [1]China-America Institute of Neuroscience, Beijing Luhe Hospital, Capital Medical University, Beijing, China, [2]Central Laboratory, Beijing Luhe Hospital, Capital Medical University, Beijing, China,
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通讯机构: [1]China-America Institute of Neuroscience, Beijing Luhe Hospital, Capital Medical University, Beijing, China, [5]Pittsburgh Institute of Brain Disorders and Recovery, and Department of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
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