Induction of
protein disulfide isomerase (PDI) is validated as a main mechanism by which
4-hydroxybenzyl alcohol (4-HBA), an active principle of Gastrodia elata Blume, reduces
cerebral infarct volumes in a murine model of focal
brain ischemia/reperfusion. In contrast to its position isomers, i.e.
3-hydroxybenzyl alcohol (3-HBA) and 2-hydroxybenzyl alcohol (2-HBA), and to aliphatic diols (1,4-butanediol and 1,5-pentanediol),
4-HBA administered intravenously at 25 mg/kg protected mice, significantly reducing total, cortical and sub-cortical
infarct volumes by 42, 28 and 55%, respectively. All compounds,
4-HBA included, were devoid of antioedematous properties. Only the
stroke protective
4-HBA, but neither 3-HBA nor 2-HBA, was capable of significantly inducing PDI in intact mouse brains.
Stroke protection was fully prevented by
bacitracin (500 mg/kg), a known inhibitor of PDI, which, without affecting basal brain PDI levels, altered the ability of
4-HBA to induce significantly PDI in intact brains. Taken as a whole, our data indicate that
stroke protection induced by
4-HBA involves PDI as a key player, making this
protein a valuable target to control
brain injury disorders. The fact that
4-HBA, at doses up to 200mg/kg, was devoid of neurotoxicity in the rotarod test is also a decisive
element to promote the neuroprotective use of this plant compound.