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TAK-242, an antagonist for Toll-like receptor 4, protects against acute cerebral ischemia/reperfusion injury in mice.

Abstract
Toll-like receptor 4 (TLR4) contributes to cerebral ischemia/reperfusion (I/R) injury and is a potential target for the treatment of ischemic stroke. This experiment is to evaluate the effect of an exogenous TLR4 antagonist, TAK-242, against acute cerebral I/R injury. A mouse model of cerebral I/R was induced by transient middle cerebral artery occlusion. TAK-242 (3 mg/kg body weight) was injected intraperitoneally 1 hour after ischemia. Our results showed that the concentration of TAK-242 in plasma increased to 52.0 ng/mL 3 hours after injection, was maintained at 54.1 ng/mL 8 hours after injection, and decreased to 22.6 ng/mL 24 hours after injection. The concentration of TAK-242 in brain tissue increased to 26.1 ng/mL in ischemic hemisphere and 14.2 ng/mL in nonischemic hemisphere 3 hours after injection, and was maintained at the similar levels 24 hours after injection. We found that TAK-242 significantly reduced cerebral infarction compared with vehicle control, improved neurologic function, inhibited the phosphorylation of downstream protein kinases in TLR4 signaling pathway, and downregulated the expression of inflammatory cytokines. We conclude that TAK-242 is able to cross blood-brain barrier, blocks TLR4 signaling, mediates the expression of inflammatory cytokines, and protects the brain from acute damage induced by I/R.
AuthorsFang Hua, Huiling Tang, Jun Wang, Megan C Prunty, Xiaodong Hua, Iqbal Sayeed, Donald G Stein
JournalJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism (J Cereb Blood Flow Metab) Vol. 35 Issue 4 Pg. 536-42 (Mar 31 2015) ISSN: 1559-7016 [Electronic] United States
PMID25586141 (Publication Type: Journal Article)
Chemical References
  • Neuroprotective Agents
  • Sulfonamides
  • Toll-Like Receptor 4
  • ethyl 6-(N-(2-chloro-4-fluorophenyl)sulfamoyl)cyclohex-1-ene-1-carboxylate
Topics
  • Animals
  • Brain (blood supply, drug effects, pathology)
  • Brain Ischemia (pathology, prevention & control)
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Neuroprotective Agents (pharmacokinetics, therapeutic use)
  • Reperfusion Injury (pathology, prevention & control)
  • Sulfonamides (pharmacokinetics, therapeutic use)
  • Toll-Like Receptor 4 (antagonists & inhibitors)

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