Polydeoxyribonucleotide (PDRN) is an agonist that selectively stimulates
adenosine A2A receptor (ADORA2A), which suppresses inflammatory responses.
Ischemia/reperfusion (I/R) injury plays a major role in the pathogenesis of
ischemic stroke by inducing
neuroinflammation. Therefore, this study aimed to investigate the
therapeutic effects of PDRN in an in vitro I/R injury model. The in vitro model was established with differentiated Neuro-2a cells under
oxygen and
glucose deprivation condition. The cells were treated with PDRN for 24 h under reoxygenation condition. As the results of
RNA-seq transcriptome analysis, CSF1,
IL-6, PTPN6, RAC2, and STAT1 were identified of its relation to the effect of PDRN on inflammatory responses in the model. To further investigate
therapeutic effects of PDRN, RT-qPCR, western blotting, LDH assay, and TUNEL assay were performed. PDRN significantly reversed the expression of genes and
proteins related to inflammatory responses. The elevated ADORA2A expression by PDRN treatment downregulated JAK/STAT pathway in the model. Furthermore, PDRN inhibited neuronal cell death in the model. Consequently, our results suggested that PDRN alleviated inflammatory responses through inhibition of JAK/STAT pathway by mediating ADORA2A expression and inhibited neuronal cell death in the model. These results provide significant insights into potential therapeutic approaches involving PDRN treatment for I/R injury.