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Stroke. 2004;35:2566-2570
Published online before print October 7, 2004, doi: 10.1161/01.STR.0000143730.29964.93
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(Stroke. 2004;35:2566.)
© 2004 American Heart Association, Inc.


Original Contributions

Two Sodium/Calcium Exchanger Gene Products, NCX1 and NCX3, Play a Major Role in the Development of Permanent Focal Cerebral Ischemia

Giuseppe Pignataro, PhD; Rosaria Gala, BS; Ornella Cuomo, PhD St; Anna Tortiglione, PhD; Lucia Giaccio, PhD; Pasqualina Castaldo, PhD; Rossana Sirabella, MD; Carmela Matrone, PhD; Adriana Canitano, PhD; Salvatore Amoroso, MD; Gianfranco Di Renzo, MD Lucio Annunziato, MD

From the Division of Pharmacology, Department of Neuroscience, University of Naples "Federico II," Naples, Italy.

Correspondence to Dr Lucio Annunziato, Division of Pharmacology, Department of Neuroscience, University of Naples, "Federico II" Via S. Pansini 5, 80131 Naples, Italy. E-mail lannunzi{at}unina.it

Background and Purpose— The Na+/Ca2+ exchanger, by mediating Ca2+ and Na+ fluxes in a bidirectional way across the synaptic plasma membrane, may play a pivotal role in the events leading to anoxic damage. In the brain, there are 3 different genes coding for 3 different proteins: NCX1, NCX2, and NCX3. The aim of this study was to determine whether NCX1, NCX2, and NCX3 might play a differential role in the development of cerebral injury induced by permanent middle cerebral artery occlusion (pMCAO).

Methods— By means of Western blotting, NCX1, NCX2, and NCX3 protein expression was evaluated in the ischemic core and in the remaining nonischemic area of the slice at different time intervals starting from ischemia induction. The role of each isoform was also assessed with antisense oligodeoxynucleotides (ODNs) targeted for each isoform. These ODNs were continuously intracerebroventricularly infused with an osmotic minipump (1 µL/h) for 48 hours, 24 hours before pMCAO.

Results— The results showed that after pMCAO all 3 NCX proteins were downregulated in ischemic core; NCX3 decreased in periinfarctual area whereas NCX1 and NCX2 were unchanged. The ODNs for NCX1 and NCX3 gene products were capable of inducing an increase in the ischemic lesion and to worsen neurological scores.

Conclusions— The results of this study suggest that in the neuroprotective effect exerted by NCX during ischemic injury, the major role is prevalently exerted by NCX1 and NCX3 gene products.


Key Words: neuroprotection • oligodeoxynucleotides, antisense • protein expression • sodium–calcium exchange




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