The role of brain
insulin-like growth factors (IGFs) and
IGF binding proteins (IGFBPs) in neuroprotection was further investigated using in vitro and in vivo models of
cerebral ischemia by assessing the effects of
IGF-I,
IGF-II, and high affinity
IGFBP ligand inhibitors (the
peptide [Leu24, 59, 60, Ala31]hIGF-I (
IGFBP-LI) and the small molecule
NBI-31772 (1-(3,4-dihydroxybenzoyl)-3-hydroxycarbonyl-6, 7-dihydroxyisoquinoline), which pharmacologically displace and elevate endogenous, bioactive IGFs from IGFBPs. Treatment with
IGF-I,
IGF-II, or
IGFBP-LI (2 microg/mL) significantly (P < 0.05) reduced CA1 damage in organotypic hippocampal cultures resulting from 35 minutes of
oxygen and
glucose deprivation by 71%, 60%, and 40%, respectively. In the subtemporal
middle cerebral artery occlusion (MCAO) model of focal
ischemia, intracerebroventricular (icv) administration of
IGF-I and
IGF-II at the time of artery occlusion reduced ischemic brain damage in a dose-dependent manner, with maximum reductions in total
infarct size of 37% (P < 0.01) and 38% (P < 0.01), respectively. In this model of MCAO, i.c.v. administration of
NBI-31772 at the time of
ischemia onset also dose-dependently reduced
infarct size, and the highest dose (100 microg) significantly reduced both total (by 40%, P < 0.01) and cortical (by 43%, P < 0.05)
infarct volume. In the intraluminal
suture MCAO model, administration of
NBI-31772 (50 microg i.c.v.) at the time of artery occlusion reduced both cortical
infarct volume (by 40%, P < 0.01) and
brain swelling (by 24%, P < 0.05), and it was still effective when treatment was delayed up to 3 hours after the induction of
ischemia. These results further define the neuroprotective properties of IGFs and
IGFBP ligand inhibitors in experimental models of
cerebral ischemia.