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(Stroke. 2003;34:752.)
© 2003 American Heart Association, Inc.
Original Contributions |
From the A.I. Virtanen Institute for Molecular Sciences, University of Kuopio, Kuopio, Finland (N.V., G.G., V.K-G., J.K.); Department of Oncology, University Hospital, Kuopio, Finland (J.K.); and Department of Neurosurgery, Department of Neurology and Neurological Sciences, and Program in Neurosciences, Stanford University School of Medicine, Palo Alto, Calif (N.V., P.H.C., J.K.).
Correspondence to Jari Koistinaho, MD, PhD, A.I. Virtanen Institute, University of Kuopio, PO Box 1627, 70211 Kuopio, Finland. E-mail Jari.Koistinaho{at}uku.fi
Background and Purpose Acetylsalicylic acid (ASA) is preventive against stroke and protects against focal brain ischemia in rats. We studied the mechanisms of the manner in which ASA provides neuroprotection against hypoxia/reoxygenation (H/R) injury.
Methods Spinal cord cultures exposed to 20 hours of hypoxia followed by reoxygenation were treated with a vehicle, ASA or inhibitors of inducible nitric oxide synthase (iNOS), mitogen-activated protein kinases p38 MAPK and ERK1/2, or an N-methyl-D-aspartic acid (NMDA) receptor antagonist. Cell viability was assessed by LDH release measurement and cell counts. Prostaglandin production was measured by enzyme immunoassay, MAPK signaling by immunoblotting, and DNA binding of nuclear factor-
B (NF-
B) and activating protein-1 (AP-1) by electrophoretic mobility shift assay.
Results One to 3 mmol/L ASA inhibited H/R-induced neuronal death when present during H/R but not when administered only for the reoxygenation period. Prostaglandin E2 production was very low and was not altered by ASA. The AP-1 and NF-
B DNA binding activities increased after H/R. ASA increased the H/R-induced AP-1 binding but had no effect on NF-
B binding. H/R induced a sustained ERK1/2 activation followed by neuronal death, whereas no changes in p38 or c-Jun N-terminal kinase were detected. ASA strongly inhibited this ERK1/2 activation. PD98059, an ERK1/2 inhibitor, was also neuroprotective, prevented H/R-induced ERK1/2 activation, and had no effect on NF-
B binding activity. Inhibition of NMDA receptors, iNOS, or p38 MAPK did not provide neuroprotection.
Conclusions Inhibition of the sustained activation of ERK1/2 may partially contribute to neuroprotection achieved by ASA against H/R injury.
Key Words: cell death cyclooxygenase reactive oxygen species transcription factors
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