Edaravone attenuates cerebral ischemic injury by suppressing aquaporin-4

Biochem Biophys Res Commun. 2009 Dec 25;390(4):1121-5. doi: 10.1016/j.bbrc.2009.09.015. Epub 2009 Sep 6.

Abstract

Aquaporin-4 (AQP4) plays a role in the generation of post-ischemic edema. Pharmacological modulation of AQP4 function may thus provide a novel therapeutic strategy for the treatment of stroke, tumor-associated edema, epilepsy, traumatic brain injury, and other disorders of the central nervous system (CNS) associated with altered brain water balance. Edaravone, a free radical scavenger, is used for the treatment of acute ischemic stroke (AIS) in Japan. In this study, edaravone significantly reduced the infarct area and improved the neurological deficit scores at 24h after reperfusion in a rat transient focal ischemia model. Furthermore, edaravone markedly reduced AQP4 immunoreactivity and protein levels in the cerebral infarct area. In light of observations that edaravone specifically inhibited AQP4 in a rat transient focal ischemia model, we propose that edaravone might reduce cerebral edema through the inhibition of AQP4 expression following cerebral infarction.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antipyrine / analogs & derivatives*
  • Antipyrine / therapeutic use
  • Aquaporin 4 / antagonists & inhibitors*
  • Brain Edema / drug therapy*
  • Brain Edema / etiology
  • Brain Ischemia / complications*
  • Disease Models, Animal
  • Edaravone
  • Free Radical Scavengers / therapeutic use*
  • Male
  • Rats

Substances

  • Aquaporin 4
  • Free Radical Scavengers
  • Edaravone
  • Antipyrine