Exercise postconditioning reduces ischemic injury via suppression of cerebral gluconeogenesis in rats

Abstract Pre‐stroke exercise conditioning reduces neurovascular injury and improves functional outcomes after stroke. The goal of this study was to explore if post‐stroke exercise conditioning (PostE) reduced brain injury and whether it was associated with the regulation of gluconeogenesis. Adult ra...

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Main Authors: Fengwu Li, Xiaokun Geng, Roxanne Ilagan, Shangying Bai, Yuhua Chen, Yuchuan Ding
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.2805
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author Fengwu Li
Xiaokun Geng
Roxanne Ilagan
Shangying Bai
Yuhua Chen
Yuchuan Ding
author_facet Fengwu Li
Xiaokun Geng
Roxanne Ilagan
Shangying Bai
Yuhua Chen
Yuchuan Ding
author_sort Fengwu Li
collection DOAJ
description Abstract Pre‐stroke exercise conditioning reduces neurovascular injury and improves functional outcomes after stroke. The goal of this study was to explore if post‐stroke exercise conditioning (PostE) reduced brain injury and whether it was associated with the regulation of gluconeogenesis. Adult rats received 2 h of middle cerebral artery (MCA) occlusion, followed by 24 h of reperfusion. Treadmill activity was then initiated 24 h after reperfusion for PostE. The severity of the brain damage was determined by infarct volume, apoptotic cell death, and neurological deficit at one and three days after reperfusion. We measured gluconeogenesis including oxaloacetate (OAA), phosphoenolpyruvate (PEP), pyruvic acid, lactate, ROS, and glucose via ELISA, as well as the location and expression of the key enzyme phosphoenolpyruvate carboxykinase (PCK)‐1/2 via immunofluorescence. We also determined upstream pathways including forkhead transcription factor (FoxO1), p‐FoxO1, 3‐kinase (PI3K)/Akt, and p‐PI3K/Akt via Western blot. Additionally, the cytoplasmic expression of p‐FoxO1 was detected by immunofluorescence. Compared to non‐exercise control, PostE (*p < .05) decreased brain infarct volumes, neurological deficits, and cell death at one and three days. PostE groups (*p < .05) saw increases in OAA and decreases in PEP, pyruvic acid, lactate, ROS, glucose levels, and tissue PCKs expression on both days. PCK‐1/2 expressions were also significantly (*p < .05) suppressed by the exercise setting. Additionally, phosphorylated PI3K, AKT, and FoxO1 protein expression were significantly induced by PostE at one and three days (*p < .05). In this study, PostE reduced brain injury after stroke, in association with activated PI3K/AKT/FoxO1 signaling, and inhibited gluconeogenesis. These results suggest the involvement of FoxO1 regulation of gluconeogenesis underlying post‐stroke neuroprotection.
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spelling doaj.art-394f46b1dd0f4f658051d90895ddb6ff2023-02-28T07:01:06ZengWileyBrain and Behavior2162-32792023-01-01131n/an/a10.1002/brb3.2805Exercise postconditioning reduces ischemic injury via suppression of cerebral gluconeogenesis in ratsFengwu Li0Xiaokun Geng1Roxanne Ilagan2Shangying Bai3Yuhua Chen4Yuchuan Ding5China‐America Institute of Neuroscience Beijing Luhe Hospital, Capital Medical University Beijing ChinaChina‐America Institute of Neuroscience Beijing Luhe Hospital, Capital Medical University Beijing ChinaDepartment of Neurosurgery Wayne State University School of Medicine Detroit Michigan USAChina‐America Institute of Neuroscience Beijing Luhe Hospital, Capital Medical University Beijing ChinaDepartment of Developmental Cell Biology Key Laboratory of Cell Biology, Ministry of Public Health, and Key Laboratory of Medical Cell Biology, Ministry of Education, China Medical University Shenyang ChinaDepartment of Neurosurgery Wayne State University School of Medicine Detroit Michigan USAAbstract Pre‐stroke exercise conditioning reduces neurovascular injury and improves functional outcomes after stroke. The goal of this study was to explore if post‐stroke exercise conditioning (PostE) reduced brain injury and whether it was associated with the regulation of gluconeogenesis. Adult rats received 2 h of middle cerebral artery (MCA) occlusion, followed by 24 h of reperfusion. Treadmill activity was then initiated 24 h after reperfusion for PostE. The severity of the brain damage was determined by infarct volume, apoptotic cell death, and neurological deficit at one and three days after reperfusion. We measured gluconeogenesis including oxaloacetate (OAA), phosphoenolpyruvate (PEP), pyruvic acid, lactate, ROS, and glucose via ELISA, as well as the location and expression of the key enzyme phosphoenolpyruvate carboxykinase (PCK)‐1/2 via immunofluorescence. We also determined upstream pathways including forkhead transcription factor (FoxO1), p‐FoxO1, 3‐kinase (PI3K)/Akt, and p‐PI3K/Akt via Western blot. Additionally, the cytoplasmic expression of p‐FoxO1 was detected by immunofluorescence. Compared to non‐exercise control, PostE (*p < .05) decreased brain infarct volumes, neurological deficits, and cell death at one and three days. PostE groups (*p < .05) saw increases in OAA and decreases in PEP, pyruvic acid, lactate, ROS, glucose levels, and tissue PCKs expression on both days. PCK‐1/2 expressions were also significantly (*p < .05) suppressed by the exercise setting. Additionally, phosphorylated PI3K, AKT, and FoxO1 protein expression were significantly induced by PostE at one and three days (*p < .05). In this study, PostE reduced brain injury after stroke, in association with activated PI3K/AKT/FoxO1 signaling, and inhibited gluconeogenesis. These results suggest the involvement of FoxO1 regulation of gluconeogenesis underlying post‐stroke neuroprotection.https://doi.org/10.1002/brb3.2805conditioninggluconeogenesisneuroprotectionPI3K/AKT/FoxO1rehabilitation
spellingShingle Fengwu Li
Xiaokun Geng
Roxanne Ilagan
Shangying Bai
Yuhua Chen
Yuchuan Ding
Exercise postconditioning reduces ischemic injury via suppression of cerebral gluconeogenesis in rats
Brain and Behavior
conditioning
gluconeogenesis
neuroprotection
PI3K/AKT/FoxO1
rehabilitation
title Exercise postconditioning reduces ischemic injury via suppression of cerebral gluconeogenesis in rats
title_full Exercise postconditioning reduces ischemic injury via suppression of cerebral gluconeogenesis in rats
title_fullStr Exercise postconditioning reduces ischemic injury via suppression of cerebral gluconeogenesis in rats
title_full_unstemmed Exercise postconditioning reduces ischemic injury via suppression of cerebral gluconeogenesis in rats
title_short Exercise postconditioning reduces ischemic injury via suppression of cerebral gluconeogenesis in rats
title_sort exercise postconditioning reduces ischemic injury via suppression of cerebral gluconeogenesis in rats
topic conditioning
gluconeogenesis
neuroprotection
PI3K/AKT/FoxO1
rehabilitation
url https://doi.org/10.1002/brb3.2805
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AT shangyingbai exercisepostconditioningreducesischemicinjuryviasuppressionofcerebralgluconeogenesisinrats
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