PMID- 30022232 OWN - NLM STAT- MEDLINE DCOM- 20181126 LR - 20211204 IS - 1432-1912 (Electronic) IS - 0028-1298 (Linking) VI - 391 IP - 10 DP - 2018 Oct TI - Neuroprotective effect of vildagliptin against cerebral ischemia in rats. PG - 1133-1145 LID - 10.1007/s00210-018-1537-x [doi] AB - Stroke is the leading cause of death worldwide. Dipeptidyl peptidase-4 (DPP-4) inhibitors are a class of anti-diabetic drugs for treatment of type-2 diabetes mellitus. The aim of this study is to evaluate the possible neuroprotective effect of a dipeptidyl peptidase-4 inhibitor, vildagliptin, independent of its anti-diabetic properties in non-diabetic rats subjected to cerebral ischemia. Anesthetized Wistar rats were subjected to either left middle cerebral artery occlusion (MCAO) or sham operation followed by reperfusion after 30 min of MCAO. The other three groups were orally administered vildagliptin at 3 dose levels (2.5, 5, 10 mg/kg) for 3 successive weeks before subjected to left focal cerebral ischemia/reperfusion and till the end of the study. Neurological deficit scores and motor activity were assessed 24 h following reperfusion. Forty-eight hours following reperfusion, rats were euthanized and their left brain hemispheres were harvested and used in biochemical, histopathological, and immunohistochemical investigations. Vildagliptin pretreatment improved neurological deficit score, locomotor activity, and motor coordination in MCAO rats. Moreover, vildagliptin reduced malondialdehyde (MDA), elevated reduced glutathione (GSH), phosphotylinosital 3 kinase (PI3K), phosphoryated of protein kinase B (p-AKT), and mechanistic target of rapamycin (mTOR) brain contents in addition to reducing protein expression of caspase-3. Also, vildagliptin showed a dose-dependent attenuation in neuronal cell loss and histopathological alterations in MCAO rats. This study proves that vildagliptin exerted a neuroprotective effect in a dose-dependent manner as shown in the attenuation of the infarct area, neuronal cell loss, and histopathological damage in MCAO rats, which may be mediated by attenuating neuronal and motor deficits, its antioxidant property, activation of the PI3K/AKT/mTOR pathway, and its anti-apoptotic effect. FAU - El-Marasy, Salma A AU - El-Marasy SA AUID- ORCID: 0000-0002-8730-0297 AD - Department of Pharmacology, National Research Centre, Giza, 12622, Egypt. salma_el_marasy@hotmail.com. FAU - Abdel-Rahman, Rehab F AU - Abdel-Rahman RF AD - Department of Pharmacology, National Research Centre, Giza, 12622, Egypt. FAU - Abd-Elsalam, Reham M AU - Abd-Elsalam RM AD - Department of Pathology, Faculty of Veterinary medicine, Cairo University, Giza, Egypt. LA - eng PT - Journal Article DEP - 20180718 PL - Germany TA - Naunyn Schmiedebergs Arch Pharmacol JT - Naunyn-Schmiedeberg's archives of pharmacology JID - 0326264 RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Neuroprotective Agents) RN - 0 (Nitriles) RN - 0 (Pyrrolidines) RN - 4Y8F71G49Q (Malondialdehyde) RN - EC 2.7.1.1 (mTOR protein, rat) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 3.4.22.- (Casp3 protein, rat) RN - EC 3.4.22.- (Caspase 3) RN - GAN16C9B8O (Glutathione) RN - I6B4B2U96P (Vildagliptin) RN - PJY633525U (Adamantane) SB - IM MH - Adamantane/*analogs & derivatives/pharmacology/therapeutic use MH - Animals MH - Caspase 3/metabolism MH - Dipeptidyl-Peptidase IV Inhibitors/pharmacology/*therapeutic use MH - Glutathione/metabolism MH - Infarction, Middle Cerebral Artery/*drug therapy/metabolism/pathology MH - Locomotion/drug effects MH - Male MH - Malondialdehyde/metabolism MH - Neuroprotective Agents/pharmacology/*therapeutic use MH - Nitriles/pharmacology/*therapeutic use MH - Phosphatidylinositol 3-Kinases/metabolism MH - Pyrrolidines/pharmacology/*therapeutic use MH - Rats, Wistar MH - TOR Serine-Threonine Kinases/metabolism MH - Vildagliptin OTO - NOTNLM OT - Caspase-3 OT - Cerebral ischemia OT - Dipeptidyl peptidase-4 inhibitor OT - Oxidative stress OT - PI3K/AKT/mTOR pathway OT - Rats OT - Vildagliptin EDAT- 2018/07/20 06:00 MHDA- 2018/11/27 06:00 CRDT- 2018/07/20 06:00 PHST- 2018/03/22 00:00 [received] PHST- 2018/07/11 00:00 [accepted] PHST- 2018/07/20 06:00 [pubmed] PHST- 2018/11/27 06:00 [medline] PHST- 2018/07/20 06:00 [entrez] AID - 10.1007/s00210-018-1537-x [pii] AID - 10.1007/s00210-018-1537-x [doi] PST - ppublish SO - Naunyn Schmiedebergs Arch Pharmacol. 2018 Oct;391(10):1133-1145. doi: 10.1007/s00210-018-1537-x. Epub 2018 Jul 18.