Protective effect of C5a receptor inhibition after murine reperfused stroke

Document Type

Article

Abstract

OBJECTIVE: The complement cascade has been implicated in cerebral ischemia/reperfusion injury. To develop clinically useful therapies that successfully manipulate the complement cascade, the individual roles of its components must be clearly defined. Previous studies have shown that C5 inhibition improves outcome after experimental stroke. In this study, we investigated the role of C5a in stroke injury by inhibiting its activity at the receptor level. METHODS: C5a receptor antagonist or vehicle was administered to mice before temporary middle cerebral artery occlusion. Stroke outcomes were assessed 24 hours later in all mice using both neurological deficit scores and cerebral infarct volumes. RESULTS: Animals treated with C5a receptor antagonist experienced significantly decreased infarct volume and demonstrated an improving trend in neurological function. CONCLUSION: These findings demonstrate that modulation of C5a receptor activity significantly alters the degree of neurological damage after experimental reperfused stroke.

Medical Subject Headings

Animals; Brain Ischemia (pathology, physiopathology, prevention & control); Complement C5a (antagonists & inhibitors, physiology); Male; Mice; Mice, Inbred C57BL; Peptides (pharmacology, therapeutic use); Receptor, Anaphylatoxin C5a (antagonists & inhibitors, physiology); Reperfusion Injury (pathology, physiopathology, prevention & control); Stroke (pathology, physiopathology, prevention & control)

Publication Date

7-1-2008

Publication Title

Neurosurgery

E-ISSN

1524-4040

Volume

63

Issue

1

First Page

122

Last Page

5; discussion 125

PubMed ID

18728577

Digital Object Identifier (DOI)

10.1227/01.NEU.0000335079.70222.8D

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