Inhaled nitric oxide suppresses neuroinflammation in experimental ischemic stroke

Abstract Ischemic stroke is a major global health issue and characterized by acute vascular dysfunction and subsequent neuroinflammation. However, the relationship between these processes remains elusive. In the current study, we investigated whether alleviating vascular dysfunction by restoring vas...

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Main Authors: Rebecca I. Sienel, Uta Mamrak, Janina Biller, Stefan Roth, Andreas Zellner, Tipparat Parakaw, Rayomand S. Khambata, Arthur Liesz, Christof Haffner, Amrita Ahluwalia, Burcu F. Seker, Nikolaus Plesnila
Format: Article
Language:English
Published: BMC 2023-12-01
Series:Journal of Neuroinflammation
Online Access:https://doi.org/10.1186/s12974-023-02988-3
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author Rebecca I. Sienel
Uta Mamrak
Janina Biller
Stefan Roth
Andreas Zellner
Tipparat Parakaw
Rayomand S. Khambata
Arthur Liesz
Christof Haffner
Amrita Ahluwalia
Burcu F. Seker
Nikolaus Plesnila
author_facet Rebecca I. Sienel
Uta Mamrak
Janina Biller
Stefan Roth
Andreas Zellner
Tipparat Parakaw
Rayomand S. Khambata
Arthur Liesz
Christof Haffner
Amrita Ahluwalia
Burcu F. Seker
Nikolaus Plesnila
author_sort Rebecca I. Sienel
collection DOAJ
description Abstract Ischemic stroke is a major global health issue and characterized by acute vascular dysfunction and subsequent neuroinflammation. However, the relationship between these processes remains elusive. In the current study, we investigated whether alleviating vascular dysfunction by restoring vascular nitric oxide (NO) reduces post-stroke inflammation. Mice were subjected to experimental stroke and received inhaled NO (iNO; 50 ppm) after reperfusion. iNO normalized vascular cyclic guanosine monophosphate (cGMP) levels, reduced the elevated expression of intercellular adhesion molecule-1 (ICAM-1), and returned leukocyte adhesion to baseline levels. Reduction of vascular pathology significantly reduced the inflammatory cytokines interleukin-1β (Il-1β), interleukin-6 (Il-6), and tumor necrosis factor-α (TNF-α), within the brain parenchyma. These findings suggest that vascular dysfunction is responsible for leukocyte adhesion and that these processes drive parenchymal inflammation. Reversing vascular dysfunction may therefore emerge as a novel approach to diminish neuroinflammation after ischemic stroke and possibly other ischemic disorders.
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spelling doaj.art-cff1eeded54441de8fcfefccd3e1e3902023-12-17T12:25:22ZengBMCJournal of Neuroinflammation1742-20942023-12-0120111510.1186/s12974-023-02988-3Inhaled nitric oxide suppresses neuroinflammation in experimental ischemic strokeRebecca I. Sienel0Uta Mamrak1Janina Biller2Stefan Roth3Andreas Zellner4Tipparat Parakaw5Rayomand S. Khambata6Arthur Liesz7Christof Haffner8Amrita Ahluwalia9Burcu F. Seker10Nikolaus Plesnila11Institute for Stroke and Dementia Research, Klinikum der Universität München and Ludwig Maximilian University (LMU) MunichInstitute for Stroke and Dementia Research, Klinikum der Universität München and Ludwig Maximilian University (LMU) MunichInstitute for Stroke and Dementia Research, Klinikum der Universität München and Ludwig Maximilian University (LMU) MunichInstitute for Stroke and Dementia Research, Klinikum der Universität München and Ludwig Maximilian University (LMU) MunichInstitute for Stroke and Dementia Research, Klinikum der Universität München and Ludwig Maximilian University (LMU) MunichWilliam Harvey Research Institute, Barts & The London School of Medicine and Dentistry, Queen Mary University of LondonWilliam Harvey Research Institute, Barts & The London School of Medicine and Dentistry, Queen Mary University of LondonInstitute for Stroke and Dementia Research, Klinikum der Universität München and Ludwig Maximilian University (LMU) MunichInstitute for Stroke and Dementia Research, Klinikum der Universität München and Ludwig Maximilian University (LMU) MunichWilliam Harvey Research Institute, Barts & The London School of Medicine and Dentistry, Queen Mary University of LondonInstitute for Stroke and Dementia Research, Klinikum der Universität München and Ludwig Maximilian University (LMU) MunichInstitute for Stroke and Dementia Research, Klinikum der Universität München and Ludwig Maximilian University (LMU) MunichAbstract Ischemic stroke is a major global health issue and characterized by acute vascular dysfunction and subsequent neuroinflammation. However, the relationship between these processes remains elusive. In the current study, we investigated whether alleviating vascular dysfunction by restoring vascular nitric oxide (NO) reduces post-stroke inflammation. Mice were subjected to experimental stroke and received inhaled NO (iNO; 50 ppm) after reperfusion. iNO normalized vascular cyclic guanosine monophosphate (cGMP) levels, reduced the elevated expression of intercellular adhesion molecule-1 (ICAM-1), and returned leukocyte adhesion to baseline levels. Reduction of vascular pathology significantly reduced the inflammatory cytokines interleukin-1β (Il-1β), interleukin-6 (Il-6), and tumor necrosis factor-α (TNF-α), within the brain parenchyma. These findings suggest that vascular dysfunction is responsible for leukocyte adhesion and that these processes drive parenchymal inflammation. Reversing vascular dysfunction may therefore emerge as a novel approach to diminish neuroinflammation after ischemic stroke and possibly other ischemic disorders.https://doi.org/10.1186/s12974-023-02988-3
spellingShingle Rebecca I. Sienel
Uta Mamrak
Janina Biller
Stefan Roth
Andreas Zellner
Tipparat Parakaw
Rayomand S. Khambata
Arthur Liesz
Christof Haffner
Amrita Ahluwalia
Burcu F. Seker
Nikolaus Plesnila
Inhaled nitric oxide suppresses neuroinflammation in experimental ischemic stroke
Journal of Neuroinflammation
title Inhaled nitric oxide suppresses neuroinflammation in experimental ischemic stroke
title_full Inhaled nitric oxide suppresses neuroinflammation in experimental ischemic stroke
title_fullStr Inhaled nitric oxide suppresses neuroinflammation in experimental ischemic stroke
title_full_unstemmed Inhaled nitric oxide suppresses neuroinflammation in experimental ischemic stroke
title_short Inhaled nitric oxide suppresses neuroinflammation in experimental ischemic stroke
title_sort inhaled nitric oxide suppresses neuroinflammation in experimental ischemic stroke
url https://doi.org/10.1186/s12974-023-02988-3
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