PMID- 35695696 OWN - NLM STAT- MEDLINE DCOM- 20220908 LR - 20221031 IS - 1755-5949 (Electronic) IS - 1755-5930 (Print) IS - 1755-5930 (Linking) VI - 28 IP - 10 DP - 2022 Oct TI - Transplantation of Roxadustat-preconditioned bone marrow stromal cells improves neurological function recovery through enhancing grafted cell survival in ischemic stroke rats. PG - 1519-1531 LID - 10.1111/cns.13890 [doi] AB - AIMS: The therapeutic effect of bone marrow stromal cell (BMSC) transplantation for ischemic stroke is limited by its low survival rate. The purpose of this study was to evaluate whether Roxadustat (FG-4592) pretreatment could promote the survival rate of grafted BMSCs and improve neurological function deficits in ischemia rats. METHODS: Oxygen-glucose deprivation (OGD) and permanent middle cerebral artery occlusion (pMCAO) were constructed as stroke models in vitro and in vivo. Flow cytometry analysis and expression of Bax and Bcl-2 were detected to evaluate BMSCs apoptosis. Infarct volume and neurobehavioral score were applied to evaluate functional recovery. Inflammatory cytokine expression, neuronal apoptosis, and microglial M1 polarization were assessed to confirm the enhanced neurological recovery after FG-4592 pretreatment. RESULTS: FG-4592 promoted autophagy level to inhibit OGD-induced apoptosis through HIF-1alpha/BNIP3 pathway. GFP and Ki67 double staining showed an improved survival rate of BMSCs in the FG-4592 group, whereas infarct volume and neurobehavioral score verified its enhanced neurological recovery activity simultaneously. NeuN and Iba-1 fluorescence staining showed improved neural survival and decreased microglial activation, along with decreased IL-1beta, IL-6, and TNF-alpha levels through the TLR-4/NF-kB pathway. CONCLUSIONS: FG-4592 pretreated BMSCs improve neurological function recovery after stroke and are likely to be a promising strategy for stroke management. CI - (c) 2022 The Authors. CNS Neuroscience & Therapeutics published by John Wiley & Sons Ltd. FAU - Chen, Jiayu AU - Chen J AUID- ORCID: 0000-0003-3353-938X AD - Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research, Department of Neurosurgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Lin, Xiao AU - Lin X AD - Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research, Department of Neurosurgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Yao, Chaojie AU - Yao C AD - Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research, Department of Neurosurgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Bingwa, Lebohang Anesu AU - Bingwa LA AD - Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research, Department of Neurosurgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Wang, Hao AU - Wang H AD - Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research, Department of Neurosurgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Lin, Zhongxiao AU - Lin Z AD - Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research, Department of Neurosurgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Jin, Kunlin AU - Jin K AD - Department of Pharmacology and Neuroscience, University of North Texas Health Science Center, Fort Worth, Texas, USA. FAU - Zhuge, Qichuan AU - Zhuge Q AD - Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research, Department of Neurosurgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Yang, Su AU - Yang S AD - Zhejiang Provincial Key Laboratory of Aging and Neurological Disorder Research, Department of Neurosurgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220613 PL - England TA - CNS Neurosci Ther JT - CNS neuroscience & therapeutics JID - 101473265 RN - 0 (Isoquinolines) RN - TE7660XO1C (Glycine) RN - X3O30D9YMX (roxadustat) SB - IM MH - Animals MH - Bone Marrow Cells/metabolism MH - Bone Marrow Transplantation MH - *Brain Ischemia/drug therapy/metabolism MH - Cell Survival MH - Glycine/analogs & derivatives MH - Infarction, Middle Cerebral Artery/metabolism/therapy MH - *Ischemic Stroke MH - Isoquinolines MH - *Mesenchymal Stem Cell Transplantation MH - *Mesenchymal Stem Cells/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Recovery of Function/physiology MH - *Stroke/drug therapy/metabolism PMC - PMC9437235 OTO - NOTNLM OT - HIF-1alpha/BNIP3 signal pathway OT - autophagy OT - bone marrow stromal cells OT - stroke COIS- The authors declare no conflict of interest. EDAT- 2022/06/14 06:00 MHDA- 2022/09/09 06:00 PMCR- 2022/06/13 CRDT- 2022/06/13 09:43 PHST- 2022/05/25 00:00 [revised] PHST- 2022/01/09 00:00 [received] PHST- 2022/05/26 00:00 [accepted] PHST- 2022/06/14 06:00 [pubmed] PHST- 2022/09/09 06:00 [medline] PHST- 2022/06/13 09:43 [entrez] PHST- 2022/06/13 00:00 [pmc-release] AID - CNS13890 [pii] AID - 10.1111/cns.13890 [doi] PST - ppublish SO - CNS Neurosci Ther. 2022 Oct;28(10):1519-1531. doi: 10.1111/cns.13890. Epub 2022 Jun 13.