PMID- 11136943 OWN - NLM STAT- MEDLINE DCOM- 20010125 LR - 20190727 IS - 1524-4628 (Electronic) IS - 0039-2499 (Linking) VI - 32 IP - 1 DP - 2001 Jan TI - Antisense oligodeoxynucleotide inhibition of tumor necrosis factor-alpha expression is neuroprotective after intracerebral hemorrhage. PG - 240-8 AB - BACKGROUND AND PURPOSE: Tumor necrosis factor-alpha (TNF-alpha) expression is increased in brain after cerebral ischemia, although little is known about its abundance and role in intracerebral hemorrhage (ICH). A TNF-alpha-specific antisense oligodeoxynucleotide (ORF4-PE) was used to study the extent to which TNF-alpha expression influenced neurobehavioral outcomes and brain damage in a collagenase-induced ICH model in rat. METHODS: Male Sprague-Dawley rats were anesthetized, and ICH was induced by intrastriatal administration of heparin and collagenase. Immediately before or 3 hours after ICH induction, ORF4-PE was administered directly into the site of ICH. TNF-alpha mRNA and protein levels were measured by reverse transcriptase-polymerase chain reaction and immunoblot analyses. Cell death was measured by terminal deoxynucleotidyl transferase-mediated uridine 5'triphosphate-biotin nick end labeling (TUNEL). Neurobehavioral deficits were measured for 4 weeks after ICH. RESULTS: ICH induction (n=6) elevated TNF-alpha mRNA and protein levels (P:<0.01) at 24 hours after the onset of injury compared with sham controls (n=6). Immunohistochemical labeling indicated that ICH was accompanied by elevated expression of TNF-alpha in neutrophils, macrophages, and microglia. Administration of ORF4-PE (2.0 nmol) directly into striatal parenchyma, 15 minutes before (n=4) or 3 hours after (n=6) ICH, decreased levels of TNF-alpha mRNA (P:<0.001) and protein (P:<0. 01) in the brain tissue surrounding the hematoma compared with animals treated with saline alone (n=6). Mean+/-SEM striatal cell death (cells per high-powered field) was also reduced in animals receiving ORF4-PE (34.1+/-5.0) compared with the saline-treated ICH group (80.3+/-7.50) (P:<0.001). ORF4-PE treatment improved neurobehavioral deficits observed at 24 hours (P:<0.001) after induction of ICH (n=6) compared with the untreated ICH group (n=6). This improvement was maintained at 28 days after hemorrhage induction (P:<0.001). CONCLUSIONS: These results indicate a pathogenic role for TNF-alpha during ICH and demonstrate that reducing TNF-alpha expression using antisense oligodeoxynucleotides is neuroprotective. FAU - Mayne, M AU - Mayne M AD - Department of Pharmacology and Therapeutics, University of Manitoba, Winnipeg, Manitoba, Canada. FAU - Ni, W AU - Ni W FAU - Yan, H J AU - Yan HJ FAU - Xue, M AU - Xue M FAU - Johnston, J B AU - Johnston JB FAU - Del Bigio, M R AU - Del Bigio MR FAU - Peeling, J AU - Peeling J FAU - Power, C AU - Power C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Stroke JT - Stroke JID - 0235266 RN - 0 (Neuroprotective Agents) RN - 0 (Oligonucleotides, Antisense) RN - 0 (RNA, Messenger) RN - 0 (Tumor Necrosis Factor-alpha) RN - 9005-49-6 (Heparin) RN - EC 3.4.24.- (Collagenases) SB - IM MH - Animals MH - Apoptosis/drug effects MH - Behavior, Animal/drug effects MH - Cerebral Hemorrhage/chemically induced/*drug therapy/pathology MH - Collagenases MH - Corpus Striatum/drug effects/pathology MH - Disease Models, Animal MH - Encephalitis/immunology/pathology MH - Heparin MH - Immunohistochemistry MH - In Situ Nick-End Labeling MH - Magnetic Resonance Imaging MH - Male MH - Microinjections MH - Neuroprotective Agents/*administration & dosage MH - Neutrophil Infiltration/drug effects/immunology MH - Oligonucleotides, Antisense/*administration & dosage MH - RNA, Messenger/biosynthesis MH - Rats MH - Rats, Sprague-Dawley MH - Reverse Transcriptase Polymerase Chain Reaction MH - Severity of Illness Index MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors/biosynthesis/genetics EDAT- 2001/01/04 11:00 MHDA- 2001/02/28 10:01 CRDT- 2001/01/04 11:00 PHST- 2001/01/04 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2001/01/04 11:00 [entrez] AID - 10.1161/01.str.32.1.240 [doi] PST - ppublish SO - Stroke. 2001 Jan;32(1):240-8. doi: 10.1161/01.str.32.1.240.