PMID- 28069373 OWN - NLM STAT- MEDLINE DCOM- 20170518 LR - 20200319 IS - 1090-2422 (Electronic) IS - 0014-4827 (Linking) VI - 351 IP - 2 DP - 2017 Feb 15 TI - Memantine attenuates cell apoptosis by suppressing the calpain-caspase-3 pathway in an experimental model of ischemic stroke. PG - 163-172 LID - S0014-4827(16)30450-5 [pii] LID - 10.1016/j.yexcr.2016.12.028 [doi] AB - Ischemic stroke, the second leading cause of death worldwide, leads to excessive glutamate release, over-activation of N-methyl-D-aspartate receptor (NMDAR), and massive influx of calcium (Ca(2+)), which may activate calpain and caspase-3, resulting in cellular damage and death. Memantine is an uncompetitive NMDAR antagonist with low-affinity/fast off-rate. We investigated the potential mechanisms through which memantine protects against ischemic stroke in vitro and in vivo. Middle cerebral artery occlusion-reperfusion (MCAO) was performed to establish an experimental model of ischemic stroke. The neuroprotective effects of memantine on ischemic rats were evaluated by neurological deficit scores and infarct volumes. The activities of calpain and caspase-3, and expression levels of microtubule-associated protein-2 (MAP2) and postsynaptic density-95 (PSD95) were determined by Western blotting. Additionally, Nissl staining and immunostaining were performed to examine brain damage, cell apoptosis, and neuronal loss induced by ischemia. Our results show that memantine could significantly prevent ischemic stroke-induced neurological deficits and brain infarct, and reduce ATP depletion-induced neuronal death. Moreover, memantine markedly suppressed the activation of the calpain-caspase-3 pathway and cell apoptosis, and consequently, attenuated brain damage and neuronal loss in MCAO rats. These results provide a molecular basis for the role of memantine in reducing neuronal apoptosis and preventing neuronal damage, suggesting that memantine may be a promising therapy for stroke patients. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Chen, Bin AU - Chen B AD - Fujian Rehabilitation Tech Co-innovation Center (2011 Project), Fujian Rehabilitation Engineering Research Center & Fujian Key Lab of Motor Function Rehabilitation, Academy of Integrative Medicine Biomedical Research Center, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China; Institutes of Brain Science and State Key Laboratory for Medical Neurobiology, Collaborative Innovation Center for Brain Science, Fudan University, Shanghai 200032, China. FAU - Wang, Guoxiang AU - Wang G AD - Institutes of Brain Science and State Key Laboratory for Medical Neurobiology, Collaborative Innovation Center for Brain Science, Fudan University, Shanghai 200032, China. FAU - Li, Weiwei AU - Li W AD - Department of Anesthesiology, Shanghai Changzheng Hospital, Shanghai 200003, China. FAU - Liu, Weilin AU - Liu W AD - Fujian Rehabilitation Tech Co-innovation Center (2011 Project), Fujian Rehabilitation Engineering Research Center & Fujian Key Lab of Motor Function Rehabilitation, Academy of Integrative Medicine Biomedical Research Center, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China. FAU - Lin, Ruhui AU - Lin R AD - Fujian Rehabilitation Tech Co-innovation Center (2011 Project), Fujian Rehabilitation Engineering Research Center & Fujian Key Lab of Motor Function Rehabilitation, Academy of Integrative Medicine Biomedical Research Center, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China. FAU - Tao, Jing AU - Tao J AD - Fujian Rehabilitation Tech Co-innovation Center (2011 Project), Fujian Rehabilitation Engineering Research Center & Fujian Key Lab of Motor Function Rehabilitation, Academy of Integrative Medicine Biomedical Research Center, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China. FAU - Jiang, Min AU - Jiang M AD - Institutes of Brain Science and State Key Laboratory for Medical Neurobiology, Collaborative Innovation Center for Brain Science, Fudan University, Shanghai 200032, China. FAU - Chen, Lidian AU - Chen L AD - Fujian Rehabilitation Tech Co-innovation Center (2011 Project), Fujian Rehabilitation Engineering Research Center & Fujian Key Lab of Motor Function Rehabilitation, Academy of Integrative Medicine Biomedical Research Center, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China. Electronic address: fjtcm1958@sina.com. FAU - Wang, Yun AU - Wang Y AD - Institutes of Brain Science and State Key Laboratory for Medical Neurobiology, Collaborative Innovation Center for Brain Science, Fudan University, Shanghai 200032, China. Electronic address: yunwang@fudan.edu.cn. LA - eng PT - Journal Article DEP - 20170106 PL - United States TA - Exp Cell Res JT - Experimental cell research JID - 0373226 RN - 0 (Culture Media) RN - 0 (Disks Large Homolog 4 Protein) RN - 0 (Dlg4 protein, rat) RN - 0 (Intracellular Signaling Peptides and Proteins) RN - 0 (MAP2 protein, rat) RN - 0 (Membrane Proteins) RN - 0 (Microtubule-Associated Proteins) RN - 0 (Neuroprotective Agents) RN - 8L70Q75FXE (Adenosine Triphosphate) RN - EC 3.4.22.- (Calpain) RN - EC 3.4.22.- (Casp3 protein, rat) RN - EC 3.4.22.- (Caspase 3) RN - IY9XDZ35W2 (Glucose) RN - W8O17SJF3T (Memantine) SB - IM MH - Adenosine Triphosphate/deficiency MH - Animals MH - Apoptosis/drug effects MH - Brain Ischemia/*drug therapy/genetics/metabolism/pathology MH - Calpain/antagonists & inhibitors/*genetics/metabolism MH - Caspase 3/*genetics/metabolism MH - Cerebral Arteries/surgery MH - Cerebrovascular Disorders/surgery MH - Culture Media/pharmacology MH - Disks Large Homolog 4 Protein MH - Gene Expression Regulation MH - Glucose/deficiency MH - Hippocampus/drug effects/metabolism/pathology MH - Humans MH - Intracellular Signaling Peptides and Proteins/genetics/metabolism MH - Memantine/*pharmacology MH - Membrane Proteins/genetics/metabolism MH - Microtubule-Associated Proteins/genetics/metabolism MH - Neurons/drug effects/metabolism/pathology MH - Neuroprotective Agents/*pharmacology MH - Primary Cell Culture MH - Rats MH - Rats, Sprague-Dawley MH - Signal Transduction MH - Stroke/*drug therapy/genetics/metabolism/pathology OTO - NOTNLM OT - Apoptosis OT - Calpain OT - Caspase-3 OT - Ischemic stroke OT - Memantine EDAT- 2017/01/11 06:00 MHDA- 2017/05/19 06:00 CRDT- 2017/01/11 06:00 PHST- 2016/11/16 00:00 [received] PHST- 2016/12/29 00:00 [revised] PHST- 2016/12/31 00:00 [accepted] PHST- 2017/01/11 06:00 [pubmed] PHST- 2017/05/19 06:00 [medline] PHST- 2017/01/11 06:00 [entrez] AID - S0014-4827(16)30450-5 [pii] AID - 10.1016/j.yexcr.2016.12.028 [doi] PST - ppublish SO - Exp Cell Res. 2017 Feb 15;351(2):163-172. doi: 10.1016/j.yexcr.2016.12.028. Epub 2017 Jan 6.