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on March 20, 2003

Stroke. 2003
Published online before print March 20, 2003, doi: 10.1161/01.STR.0000064320.73388.C6
A more recent version of this article appeared on April 1, 2003
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Submitted on November 11, 2002
Accepted on November 13, 2002

Increased Expression of Neuronal Apolipoprotein E in Human Brain With Cerebral Infarction

Kazuko Aoki MD, PhD; Toshiki Uchihara MD, PhD*; Nobuo Sanjo MD, PhD; Ayako Nakamura; Kenji Ikeda MD, PhD; Kuniaki Tsuchiya MD, PhD; and Yoshihiro Wakayama MD, PhD

From the Department of Neuropathology, Tokyo Metropolitan Institute for Neuroscience (K.A., T.U., N.S., A.N.), Tokyo; Department of Neurology, Fujigaoka Hospital of Showa University (K.A., Y.W.), Yokohama; Department of Neurology, Saitama Rehabilitation Center (N.S.), Saitama; Department of Neuropathology, Tokyo Institute of Psychiatry (K.I., K.T.), Tokyo; and Department of Laboratory Medicine and Pathology, Tokyo Metropolitan Matsuzawa Hospital (K.T.), Tokyo, Japan.

* To whom correspondence should be addressed. E-mail: uchihara{at}tmin.ac.jp.

Background and Purpose--Cellular origin of apolipoprotein E (ApoE) in the human brain and its roles in physiological and pathological conditions remain to be clarified.

Methods--Immunolocalization of ApoE was investigated in a series of autopsied human brains with or without infarction. ApoE expression was also estimated on immunoblot on protein extracts from autopsied brains and a cultured neuroblastoma cell line of human origin (GOTO) subjected to an oxidative stress induced by exposure to hydrogen peroxide (0.2 mmol/L).

Results--In addition to astrocytes and microglia, neurons and degenerated axons in and around the ischemic foci contained ApoE-like immunoreactivity, which was more intense in recent ischemic foci. Immunoblot demonstrated an increase in expression of ApoE in brain extracts from ischemic lesion, and this increase was also pronounced in the cultured neuroblastoma cell line after the stress.

Conclusions--Accumulation of ApoE in neurons in and around ischemic foci of the human brain is related to an increase in ApoE synthesis in neurons, as seen in cultured neuronal cells after oxidative stress. Intrinsic regenerative activity of neuron in reaction to external insults may be related to this increase in ApoE of neuronal origin.


Key words: apolipoproteins • cerebral infarction • neurons • oxidative stress




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