PMID- 25465043 OWN - NLM STAT- MEDLINE DCOM- 20150420 LR - 20181113 IS - 1559-7016 (Electronic) IS - 0271-678X (Print) IS - 0271-678X (Linking) VI - 35 IP - 3 DP - 2015 Mar TI - L-carnitine enhances axonal plasticity and improves white-matter lesions after chronic hypoperfusion in rat brain. PG - 382-91 LID - 10.1038/jcbfm.2014.210 [doi] AB - Chronic cerebral hypoperfusion causes white-matter lesions (WMLs) with oxidative stress and cognitive impairment. However, the biologic mechanisms that regulate axonal plasticity under chronic cerebral hypoperfusion have not been fully investigated. Here, we investigated whether L-carnitine, an antioxidant agent, enhances axonal plasticity and oligodendrocyte expression, and explored the signaling pathways that mediate axonal plasticity in a rat chronic hypoperfusion model. Adult male Wistar rats subjected to ligation of the bilateral common carotid arteries (LBCCA) were treated with or without L-carnitine. L-carnitine-treated rats exhibited significantly reduced escape latency in the Morris water maze task at 28 days after chronic hypoperfusion. Western blot analysis indicated that L-carnitine increased levels of phosphorylated high-molecular weight neurofilament (pNFH), concurrent with a reduction in phosphorylated phosphatase tensin homolog deleted on chromosome 10 (PTEN), and increased phosphorylated Akt and mammalian target of rapamycin (mTOR) at 28 days after chronic hypoperfusion. L-carnitine reduced lipid peroxidation and oxidative DNA damage, and enhanced oligodendrocyte marker expression and myelin sheath thickness after chronic hypoperfusion. L-carnitine regulates the PTEN/Akt/mTOR signaling pathway, and enhances axonal plasticity while concurrently ameliorating oxidative stress and increasing oligodendrocyte myelination of axons, thereby improving WMLs and cognitive impairment in a rat chronic hypoperfusion model. FAU - Ueno, Yuji AU - Ueno Y AD - 1] Department of Neurology, Juntendo University Urayasu Hospital, Chiba, Japan [2] Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan. FAU - Koike, Masato AU - Koike M AD - Department of Cell Biology and Neuroscience, Juntendo University School of Medicine, Tokyo, Japan. FAU - Shimada, Yoshiaki AU - Shimada Y AD - Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan. FAU - Shimura, Hideki AU - Shimura H AD - Department of Neurology, Juntendo University Urayasu Hospital, Chiba, Japan. FAU - Hira, Kenichiro AU - Hira K AD - Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan. FAU - Tanaka, Ryota AU - Tanaka R AD - Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan. FAU - Uchiyama, Yasuo AU - Uchiyama Y AD - 1] Department of Cell Biology and Neuroscience, Juntendo University School of Medicine, Tokyo, Japan [2] Department of Cellular and Molecular Neuropathology, Juntendo University Graduate School of Medicine, Tokyo, Japan. FAU - Hattori, Nobutaka AU - Hattori N AD - Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan. FAU - Urabe, Takao AU - Urabe T AD - Department of Neurology, Juntendo University Urayasu Hospital, Chiba, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141203 PL - United States TA - J Cereb Blood Flow Metab JT - Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism JID - 8112566 RN - 0 (Neuroprotective Agents) RN - 12001-76-2 (Vitamin B Complex) RN - S7UI8SM58A (Carnitine) SB - IM MH - Animals MH - Axons/drug effects MH - Blotting, Western MH - Brain Ischemia/*pathology MH - Carnitine/*pharmacology MH - Disease Models, Animal MH - Immunohistochemistry MH - Male MH - Maze Learning/drug effects MH - Neuronal Plasticity/*drug effects MH - Neuroprotective Agents/*pharmacology MH - Oxidative Stress/physiology MH - Rats MH - Vitamin B Complex/pharmacology MH - White Matter/drug effects/*pathology PMC - PMC4348379 EDAT- 2014/12/04 06:00 MHDA- 2015/04/22 06:00 PMCR- 2016/03/01 CRDT- 2014/12/04 06:00 PHST- 2014/08/30 00:00 [received] PHST- 2014/10/28 00:00 [revised] PHST- 2014/10/30 00:00 [accepted] PHST- 2014/12/04 06:00 [entrez] PHST- 2014/12/04 06:00 [pubmed] PHST- 2015/04/22 06:00 [medline] PHST- 2016/03/01 00:00 [pmc-release] AID - jcbfm2014210 [pii] AID - 10.1038/jcbfm.2014.210 [doi] PST - ppublish SO - J Cereb Blood Flow Metab. 2015 Mar;35(3):382-91. doi: 10.1038/jcbfm.2014.210. Epub 2014 Dec 3.