A non-steroidal anti-inflammatory agent provides significant protection during focal ischemic stroke with decreased expression of matrix metalloproteinases

Curr Neurovasc Res. 2007 Aug;4(3):176-83. doi: 10.2174/156720207781387187.

Abstract

The present study was designed to investigate whether the neuroprotective effect of nimesulide was mediated by inhibiting expression of matrix metalloproteinase-9 (MMP-9) and/or matrix metalloproteinase-2 (MMP-2) in a rat model of thrombolytic reperfusion after the embolic focal cerebral ischemia (FCI). It was found that nimesulide at therapeutically relevant doses (3, 6 and 12 mg/kg) decreased neurological deficits, infarct volume, brain index and brain water content in a dose-dependent manner. Hemorrhagic transformation was reduced by 64% with treatment of 12 mg/kg nimesulide. Quantitative analysis of immunohistochemical staining of brain slices showed that the neuron number expressing MMP-9 and MMP-2 increased in the model animals treated with vehicle (p<0.01 vs sham group), and significantly decreased in nimesulide-treated animals (p<0.05 or p<0.01 vs vehicle group). Our results demonstrate that nimesulide significantly reduces the degree of neuronal injury and hemorrhage transformation caused by thrombolytic reperfusion after the embolic FCI, and that inhibition of MMP-9 and MMP-2 expression contributes at least in part to the neuroprotection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analysis of Variance
  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / pharmacology
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use*
  • Brain / pathology
  • Brain Ischemia / complications
  • Brain Ischemia / prevention & control*
  • Cerebral Hemorrhage / drug therapy
  • Cerebral Hemorrhage / prevention & control
  • Cerebral Infarction / etiology
  • Cerebral Infarction / prevention & control
  • Disability Evaluation
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Gene Expression / drug effects*
  • Male
  • Matrix Metalloproteinase 2 / metabolism*
  • Matrix Metalloproteinase 9 / metabolism*
  • Organ Size / drug effects
  • Rats
  • Rats, Sprague-Dawley
  • Sulfonamides / pharmacology
  • Sulfonamides / therapeutic use*
  • Time Factors

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Sulfonamides
  • Matrix Metalloproteinase 2
  • Matrix Metalloproteinase 9
  • nimesulide