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on June 22, 2006

Stroke. 2006
Published online before print June 22, 2006, doi: 10.1161/01.STR.0000229888.55078.72
A more recent version of this article appeared on August 1, 2006
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Right arrow Apoptosis
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Submitted on January 13, 2006
Revised on March 7, 2006
Accepted on March 13, 2006

Akt/GSK3{beta} Survival Signaling Is Involved in Acute Brain Injury After Subarachnoid Hemorrhage in Rats

Hidenori Endo MD; Chikako Nito MD, PhD; Hiroshi Kamada MD, PhD; Fengshan Yu MD; and Pak H. Chan PhD*

From the Department of Neurosurgery, Department of Neurology and Neurological Sciences, and the Program in Neurosciences, Stanford University School of Medicine, Stanford, Calif.

* To whom correspondence should be addressed. E-mail: phchan{at}stanford.edu.

Background and Purpose--Apoptotic cell death is associated with acute brain injury after subarachnoid hemorrhage (SAH). The Akt/glycogen synthase kinase-3{beta} (GSK3{beta}) pathway plays an important role in the cell death/survival pathway after a variety of cell death stimuli. However, its role in acute brain injury after SAH remains unknown.

Methods--We used an endovascular perforation model of SAH in rats. Phospho-Akt and phospho-GSK3{beta} expression was examined by Western blot analysis and immunohistochemistry. Terminal deoxynucleotidyl transferase-mediated uridine 5'-triphosphate-biotin nick end-labeling (TUNEL) and a cell death assay were used for detection of apoptosis. We administered LY294002 to examine the role of the Akt/GSK3{beta} pathway in the phosphoinositide 3-kinase pathway after SAH.

Results--Phosphorylation of Akt and GSK3{beta} was accelerated after SAH. In the cerebral cortex, where acute brain injury was the most severe, phosphorylation of these proteins was observed in the early phase after SAH. Cortical neurons with continuous Akt phosphorylation did not colocalize with TUNEL-positive cells at 24 hours. LY294002 reduced Akt and GSK3{beta} phosphorylation and increased brain injury after SAH.

Conclusions--The present study suggests that the Akt/GSK3{beta} pathway might be involved in neuronal survival in acute brain injury after SAH.


Key words: apoptosis • brain injuries • subarachnoid hemorrhage




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