PMID- 28445478 OWN - NLM STAT- MEDLINE DCOM- 20170905 LR - 20200204 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 12 IP - 4 DP - 2017 TI - Delayed histochemical alterations within the neurovascular unit due to transient focal cerebral ischemia and experimental treatment with neurotrophic factors. PG - e0174996 LID - 10.1371/journal.pone.0174996 [doi] LID - e0174996 AB - Current stroke therapy is focused on recanalizing strategies, but neuroprotective co-treatments are still lacking. Modern concepts of the ischemia-affected neurovascular unit (NVU) and surrounding penumbra emphasize the complexity during the transition from initial damaging to regenerative processes. While early treatment with neurotrophic factors was shown to result in lesion size reduction and blood-brain barrier (BBB) stabilization, cellular consequences from these treatments are poorly understood. This study explored delayed cellular responses not only to ischemic stroke, but also to an early treatment with neurotrophic factors. Rats underwent 60 minutes of focal cerebral ischemia. Fluorescence labeling was applied to sections from brains perfused 7 days after ischemia. Analyses focused on NVU constituents including the vasculature, astrocytes and microglia in the ischemic striatum, the border zone and the contralateral hemisphere. In addition to histochemical signs of BBB breakdown, a strong up-regulation of collagen IV and microglia activation occurred within the ischemic core with simultaneous degradation of astrocytes and their endfeet. Activated astroglia were mainly depicted at the border zone in terms of a glial scar formation. Early treatment with pigment epithelium-derived factor (PEDF) resulted in an attenuation of the usually up-regulated collagen IV-immunoreactivity. However, glial activation was not influenced by treatment with PEDF or the epidermal growth factor (EGF). In conclusion, these data on ischemia-induced cellular reactions within the NVU might help to develop treatments addressing the transition from injury towards regeneration. Thereby, the integrity of the vasculature in close relation to neighboring structures like astrocytes appears as a promising target. FAU - Michalski, Dominik AU - Michalski D AD - Department of Neurology, University of Leipzig, Liebigstr. 20, Leipzig, Germany. FAU - Pitsch, Roman AU - Pitsch R AD - Paul Flechsig Institute for Brain Research, University of Leipzig, Liebigstr. 19, Leipzig, Germany. FAU - Pillai, Deepu R AU - Pillai DR AD - Department of Neurology, University of Regensburg and Clinic for Neurological Rehabilitation II, Universitatsstr. 84, Regensburg, Germany. AD - Institute of Neuroscience and Medicine (INM) 4, Forschungszentrum Julich GmbH, Julich, Germany. FAU - Mages, Bianca AU - Mages B AD - Department of Neurology, University of Leipzig, Liebigstr. 20, Leipzig, Germany. AD - Paul Flechsig Institute for Brain Research, University of Leipzig, Liebigstr. 19, Leipzig, Germany. FAU - Aleithe, Susanne AU - Aleithe S AD - Department of Neurology, University of Leipzig, Liebigstr. 20, Leipzig, Germany. AD - Paul Flechsig Institute for Brain Research, University of Leipzig, Liebigstr. 19, Leipzig, Germany. FAU - Grosche, Jens AU - Grosche J AD - Effigos GmbH, Am Deutschen Platz 4, Leipzig, Germany. FAU - Martens, Henrik AU - Martens H AD - Synaptic Systems, Gottingen, Germany. FAU - Schlachetzki, Felix AU - Schlachetzki F AD - Department of Neurology, University of Regensburg and Clinic for Neurological Rehabilitation II, Universitatsstr. 84, Regensburg, Germany. FAU - Hartig, Wolfgang AU - Hartig W AD - Paul Flechsig Institute for Brain Research, University of Leipzig, Liebigstr. 19, Leipzig, Germany. LA - eng PT - Journal Article DEP - 20170426 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Aquaporin 4) RN - 0 (Collagen Type IV) RN - 0 (Eye Proteins) RN - 0 (GFAP protein, rat) RN - 0 (Glial Fibrillary Acidic Protein) RN - 0 (Nerve Growth Factors) RN - 0 (Serpins) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (pigment epithelium-derived factor) RN - 62229-50-9 (Epidermal Growth Factor) SB - IM MH - Animals MH - Aquaporin 4/metabolism MH - Astrocytes/metabolism/pathology MH - Blood-Brain Barrier/drug effects/metabolism MH - Brain/diagnostic imaging/*drug effects/metabolism/pathology MH - Collagen Type IV/metabolism MH - Disease Models, Animal MH - Epidermal Growth Factor/pharmacology/therapeutic use MH - Eye Proteins/pharmacology/therapeutic use MH - Glial Fibrillary Acidic Protein/metabolism MH - Ischemic Attack, Transient/diagnostic imaging/drug therapy/*pathology MH - Magnetic Resonance Imaging MH - Male MH - Microglia/metabolism/pathology MH - Microscopy, Fluorescence MH - Nerve Growth Factors/*pharmacology/therapeutic use MH - Rats MH - Rats, Sprague-Dawley MH - Serpins/pharmacology/therapeutic use MH - Up-Regulation/drug effects MH - Vascular Endothelial Growth Factor A/metabolism PMC - PMC5405989 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2017/04/27 06:00 MHDA- 2017/09/07 06:00 PMCR- 2017/04/26 CRDT- 2017/04/27 06:00 PHST- 2016/11/12 00:00 [received] PHST- 2017/03/17 00:00 [accepted] PHST- 2017/04/27 06:00 [entrez] PHST- 2017/04/27 06:00 [pubmed] PHST- 2017/09/07 06:00 [medline] PHST- 2017/04/26 00:00 [pmc-release] AID - PONE-D-16-45020 [pii] AID - 10.1371/journal.pone.0174996 [doi] PST - epublish SO - PLoS One. 2017 Apr 26;12(4):e0174996. doi: 10.1371/journal.pone.0174996. eCollection 2017.