PMID- 11935065 OWN - NLM STAT- MEDLINE DCOM- 20020416 LR - 20190727 IS - 1524-4628 (Electronic) IS - 0039-2499 (Linking) VI - 33 IP - 4 DP - 2002 Apr TI - NAP, a femtomolar-acting peptide, protects the brain against ischemic injury by reducing apoptotic death. PG - 1085-92 AB - BACKGROUND AND PURPOSE: We sought to determine the cerebroprotective potential of NAP, a synthetic octapeptide related to vasoactive intestinal peptide. Activity-dependent neuroprotective protein mediates some of the protective effects of vasoactive intestinal peptide. The neuroprotective NAP sequence is derived from activity-dependent neuroprotective protein. METHODS: Spontaneously hypertensive rats underwent permanent middle cerebral artery occlusion by craniotomy and electrocoagulation. After dose-response and time-course experiments, the animals were injected with NAP (3 microg/kg) or vehicle intravenously 1 hour after stroke onset. Another group of rats was injected with the D-amino acid isomer of NAP (D-NAP) and served as a negative control. Rats were examined for motor and behavioral deficits 24 hours to 30 days later, and infarct volumes were determined. The effect of NAP administration on apoptotic death was determined by terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) and caspase-3 stainings. RESULTS: NAP significantly reduced motor disability and infarct volumes compared with vehicle or D-NAP when tested at 24 hours after stroke onset (9.67+/-1.4% versus 17.04+/-1.18% and 19.19+/-1.9% of hemispheric volume, respectively; P<0.05). NAP given 4 but not 6 hours after permanent middle cerebral artery occlusion still conferred significant neuroprotection (infarct volume 10.9+/-3.9% of hemispheric volume; P<0.05 versus vehicle). Long-term studies demonstrated that infarct volumes and disability scores remained significantly lower after 30 days in NAP-treated animals. NAP significantly reduced the number of apoptotic cells. CONCLUSIONS: Our results indicate that the durable cerebroprotection by NAP involves antiapoptotic mechanisms. FAU - Leker, Ronen R AU - Leker RR AD - Department of Neurology, Agnes Ginges Center for Human Neurogenetics, Hebrew University-Hadassah Medical School, University Hospital, Jerusalem, Israel. leker@cc.huji.ac.il FAU - Teichner, Angella AU - Teichner A FAU - Grigoriadis, Nikolas AU - Grigoriadis N FAU - Ovadia, Haim AU - Ovadia H FAU - Brenneman, Douglas E AU - Brenneman DE FAU - Fridkin, Mati AU - Fridkin M FAU - Giladi, Eli AU - Giladi E FAU - Romano, Jacob AU - Romano J FAU - Gozes, Illana AU - Gozes I LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Stroke JT - Stroke JID - 0235266 RN - 0 (Neuroprotective Agents) RN - 0 (Oligopeptides) RN - GF00K3IIWE (davunetide) SB - IM MH - Animals MH - Apoptosis/*drug effects MH - Behavior, Animal/drug effects MH - Brain/blood supply/*drug effects/pathology MH - Brain Chemistry MH - Cerebral Infarction/etiology/pathology/*prevention & control MH - Disease Models, Animal MH - Dose-Response Relationship, Drug MH - Drug Evaluation, Preclinical MH - Infarction, Middle Cerebral Artery/complications/*drug therapy/pathology MH - Injections, Intravenous MH - Liver/chemistry/metabolism MH - Male MH - Motor Activity/drug effects MH - Neuroprotective Agents/*pharmacology MH - Oligopeptides/analysis/pharmacokinetics/*pharmacology MH - Rats MH - Rats, Inbred SHR MH - Recovery of Function/drug effects MH - Time MH - Tissue Distribution EDAT- 2002/04/06 10:00 MHDA- 2002/04/17 10:01 CRDT- 2002/04/06 10:00 PHST- 2002/04/06 10:00 [pubmed] PHST- 2002/04/17 10:01 [medline] PHST- 2002/04/06 10:00 [entrez] AID - 10.1161/01.str.0000014207.05597.d7 [doi] PST - ppublish SO - Stroke. 2002 Apr;33(4):1085-92. doi: 10.1161/01.str.0000014207.05597.d7.