Insulin-like growth factor-1 has pleiotropic effects in the central nervous system and can act both as a survival and a differentiation factor.
Insulin-like growth factor-1 can be proteolytically cleaved into des-N-(1-3)-insulin-like growth factor-1 and a N-terminal tripeptide fragment,
glycine-proline-glutamate. Both
insulin-like growth factor-1 and des-N-(1-3)-insulin-like growth factor-1 can improve neuronal survival after hypoxic-ischemic
brain injury in vivo. The present study investigates the effects of
glycine-proline-glutamate on different brain regions and neuronal populations after hypoxic-ischemic injury. Unilateral hypoxic-ischemic injury was induced in adult rats.
Glycine-proline-glutamate (3 microg) was administered centrally 2 h after the injury and the extent of brain damage determined five days later. In a separate trial immunohistochemical techniques were used to determine the effects of
glycine-proline-glutamate on specific populations of neurons in the striatum after the injury. Compared to the vehicle treatment,
glycine-proline-glutamate (n=19) treatment reduced the extent of cortical damage and neuronal loss in the CA1-2 subregions of the hippocampus (P<0.05). In the striatum, there was a trend towards a reduction in neuronal loss after
glycine-proline-glutamate treatment (P=0.053) compared to the vehicle (n=21)-treated animals. In a separate study,
glycine-proline-glutamate (n=8) treatment prevented the loss of
choline acetyltransferase (P<0.05),
glutamate acid decarboxylase (P<0.05) and
somatostatin (P<0.05) containing neurons in the ipsilateral striatum following hypoxic-ischemic
brain injury and also increased the numbers of
neuronal nitric oxide synthase (P<0.05) containing neurons in the contralateral side. These studies suggest that in addition to
neuroprotective effects,
glycine-proline-glutamate can influence neuronal activity after hypoxic-ischemic injury.