PMID- 24375726 OWN - NLM STAT- MEDLINE DCOM- 20140910 LR - 20220223 IS - 1097-4547 (Electronic) IS - 0360-4012 (Linking) VI - 92 IP - 3 DP - 2014 Mar TI - Neurovascular protection of cilostazol in stroke-prone spontaneous hypertensive rats associated with angiogenesis and pericyte proliferation. PG - 369-74 LID - 10.1002/jnr.23327 [doi] AB - Stroke is the major cause of death and decrease in the activities of daily living. This study sought to evaluate the effects of commonly used antiplatelet drugs on spontaneous cerebral infarction in relation to neurovascular protection associated with angiogenesis and pericyte proliferation. Stroke-prone spontaneously hypertensive rats (SHR-SP) were treated with vehicle, aspirin, clopidogrel, or cilostazol from 8 to 10 weeks of age. The interaction of neurovascular components among endothelial cells, pericytes, and astrocytic endfeet were immunohistochemically examined in brain sections. Angiogenesis associated with vascular endothelial growth factor receptor 2 (VEGFR2) and pericyte proliferation were also examined immunohistochemically. The expression and activity of matrix metalloproteinase 9 (MMP-9) were assessed immunohistochemically and by gelatin zymography. Among the antiplatelet drugs, cilostazol preserved the neurovascular unit (NVU) by preventing astrocytic endfeet or pericytes from pathological detachment found in the vehicle and aspirin treatment. Cilostazol also inhibited the expression and activity of MMP-9, which led to protection of the NVU. Furthermore, in the periinfarct area, cilostazol increased VEGFR2 expression, promoting angiogenesis through proliferation of pericytes. The present study showed a strong protection of NVU integrity by cilostazol and the promotion of angiogenesis by stimulating both endothelial VEGFR2 expression and pericyte proliferation. In addition to the antioxidative effect, these pleiotropic effects of cilostazol contribute to reduce spontaneous infarct volume and preserve motor and cognitive function in SHR-SP. CI - Copyright (c) 2013 Wiley Periodicals, Inc. FAU - Omote, Yoshio AU - Omote Y AD - Department of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan. FAU - Deguchi, Kentaro AU - Deguchi K FAU - Kono, Syoichiro AU - Kono S FAU - Liu, Ning AU - Liu N FAU - Liu, Wentao AU - Liu W FAU - Kurata, Tomoko AU - Kurata T FAU - Yamashita, Toru AU - Yamashita T FAU - Ikeda, Yoshio AU - Ikeda Y FAU - Abe, Koji AU - Abe K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131221 PL - United States TA - J Neurosci Res JT - Journal of neuroscience research JID - 7600111 RN - 0 (Antigens) RN - 0 (Fibrinolytic Agents) RN - 0 (Nerve Tissue Proteins) RN - 0 (Proteoglycans) RN - 0 (Tetrazoles) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (chondroitin sulfate proteoglycan 4) RN - A74586SNO7 (Clopidogrel) RN - EC 2.7.10.1 (Vascular Endothelial Growth Factor Receptor-2) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) RN - N7Z035406B (Cilostazol) RN - OM90ZUW7M1 (Ticlopidine) RN - R16CO5Y76E (Aspirin) SB - IM MH - Animals MH - Antigens/metabolism MH - Aspirin/therapeutic use MH - Cerebrovascular Circulation/drug effects MH - Cilostazol MH - Clopidogrel MH - Disease Models, Animal MH - Endothelium/pathology MH - Fibrinolytic Agents/pharmacology/*therapeutic use MH - Male MH - Matrix Metalloproteinase 9/metabolism MH - Neovascularization, Pathologic/etiology/*prevention & control MH - Nerve Tissue Proteins/metabolism MH - Pericytes/*drug effects MH - Proteoglycans/metabolism MH - Rats MH - Rats, Inbred SHR MH - Stroke/etiology/*prevention & control MH - Tetrazoles/pharmacology/*therapeutic use MH - Ticlopidine/analogs & derivatives/therapeutic use MH - Vascular Endothelial Growth Factor A/metabolism MH - Vascular Endothelial Growth Factor Receptor-2/metabolism OTO - NOTNLM OT - SHR-SP OT - angiogenesis OT - cerebral infarction OT - cilostazol OT - neurovascular unit EDAT- 2014/01/01 06:00 MHDA- 2014/09/11 06:00 CRDT- 2013/12/31 06:00 PHST- 2013/06/21 00:00 [received] PHST- 2013/09/12 00:00 [revised] PHST- 2013/10/23 00:00 [accepted] PHST- 2013/12/31 06:00 [entrez] PHST- 2014/01/01 06:00 [pubmed] PHST- 2014/09/11 06:00 [medline] AID - 10.1002/jnr.23327 [doi] PST - ppublish SO - J Neurosci Res. 2014 Mar;92(3):369-74. doi: 10.1002/jnr.23327. Epub 2013 Dec 21.