PMID- 29997355 OWN - NLM STAT- MEDLINE DCOM- 20181102 LR - 20181202 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 19 IP - 7 DP - 2018 Jul 11 TI - Effect of Inhibition of DNA Methylation Combined with Task-Specific Training on Chronic Stroke Recovery. LID - 10.3390/ijms19072019 [doi] LID - 2019 AB - To develop new rehabilitation therapies for chronic stroke, this study examined the effectiveness of task-specific training (TST) and TST combined with DNA methyltransferase inhibitor in chronic stroke recovery. Eight weeks after photothrombotic stroke, 5-Aza-2'-deoxycytidine (5-Aza-dC) infusion was done on the contralesional cortex for four weeks, with and without TST. Functional recovery was assessed using the staircase test, the cylinder test, and the modified neurological severity score (mNSS). Axonal plasticity and expression of brain-derived neurotrophic factor (BDNF) were determined in the contralateral motor cortex. TST and TST combined with 5-Aza-dC significantly improved the skilled reaching ability in the staircase test and ameliorated mNSS scores and cylinder test performance. TST and TST with 5-Aza-dC significantly increased the crossing fibers from the contralesional red nucleus, reticular formation in medullar oblongata, and dorsolateral spinal cord. Mature BDNF was significantly upregulated by TST and TST combined with 5-Azd-dC. Functional recovery after chronic stroke may involve axonal plasticity and increased mature BDNF by modulating DNA methylation in the contralesional cortex. Our results suggest that combined therapy to enhance axonal plasticity based on TST and 5-Aza-dC constitutes a promising approach for promoting the recovery of function in the chronic stage of stroke. FAU - Choi, In-Ae AU - Choi IA AD - Center for Neuroscience Research, Institute of Biomedical Science and Technology, Konkuk University, Seoul 05029, Korea. adia86@naver.com. FAU - Lee, Cheol Soon AU - Lee CS AD - Center for Neuroscience Research, Institute of Biomedical Science and Technology, Konkuk University, Seoul 05029, Korea. slaoa1428@naver.com. FAU - Kim, Hahn Young AU - Kim HY AD - Center for Neuroscience Research, Institute of Biomedical Science and Technology, Konkuk University, Seoul 05029, Korea. hykimmd@gmail.com. FAU - Choi, Dong-Hee AU - Choi DH AD - Center for Neuroscience Research, Institute of Biomedical Science and Technology, Konkuk University, Seoul 05029, Korea. dchoi@kku.ac.kr. AD - Department of Medical Science Konkuk University School of Medicine, Konkuk University, Seoul 05029, Korea. dchoi@kku.ac.kr. FAU - Lee, Jongmin AU - Lee J AD - Center for Neuroscience Research, Institute of Biomedical Science and Technology, Konkuk University, Seoul 05029, Korea. leej@kuh.ac.kr. AD - Department of Rehabilitation Medicine, Konkuk University School of Medicine, Konkuk University, Seoul 05029, Korea. leej@kuh.ac.kr. LA - eng PT - Journal Article DEP - 20180711 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 776B62CQ27 (Decitabine) RN - M801H13NRU (Azacitidine) SB - IM MH - Animals MH - Axons/metabolism MH - Azacitidine/administration & dosage/*analogs & derivatives/pharmacology MH - Brain-Derived Neurotrophic Factor/metabolism MH - DNA Methylation/*drug effects MH - Decitabine MH - Disease Models, Animal MH - Exercise MH - Gene Expression Regulation/drug effects MH - Humans MH - Male MH - Neuronal Plasticity MH - Rats MH - Stroke/genetics/metabolism/physiopathology/*therapy MH - Stroke Rehabilitation/*methods MH - Task Performance and Analysis PMC - PMC6073594 OTO - NOTNLM OT - DNA methylation OT - axonal plasticity OT - chronic stage OT - functional recovery OT - mature brain-derived neurotrophic factor OT - stroke OT - task-specific training COIS- The authors declare no conflict of interest. EDAT- 2018/07/13 06:00 MHDA- 2018/11/06 06:00 PMCR- 2018/07/01 CRDT- 2018/07/13 06:00 PHST- 2018/05/23 00:00 [received] PHST- 2018/07/07 00:00 [revised] PHST- 2018/07/09 00:00 [accepted] PHST- 2018/07/13 06:00 [entrez] PHST- 2018/07/13 06:00 [pubmed] PHST- 2018/11/06 06:00 [medline] PHST- 2018/07/01 00:00 [pmc-release] AID - ijms19072019 [pii] AID - ijms-19-02019 [pii] AID - 10.3390/ijms19072019 [doi] PST - epublish SO - Int J Mol Sci. 2018 Jul 11;19(7):2019. doi: 10.3390/ijms19072019.