脳卒中後の注射が脳を保護する前臨床研究(Post-stroke injection protects the brain in preclinical study)

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2026-01-06 ノースウェスタン大学

米国ノースウェスタン大学の研究チームは、脳卒中後に投与することで脳を保護する新しい治療法の前臨床研究成果を発表した。この研究では、脳卒中モデル動物に対して特定の分子を注射することで、神経細胞の死滅を抑制し、炎症反応を軽減して脳機能の低下を防ぐ効果が確認された。治療は発症後の早期に行われ、血流再開後に続発する二次的な損傷プロセスに強く作用することが示された。実験では、注射された分子が細胞死に関与するシグナル伝達経路を調節し、損傷領域の拡大を抑えることが分かった。今回の結果は、脳卒中という重大な神経疾患に対する新たな治療戦略の有望性を示すものであり、将来的な臨床応用に向けたさらなる研究が期待される。

<関連情報>

急性虚血性脳卒中に対する動的超分子ペプチド療法の開発に向けて Toward development of a dynamic supramolecular peptide therapy for acute ischemic stroke

Zijun Gao, Luisa Helena Andrade da Silva, Zhiwei Li, Feng Chen, Cara Smith  Zoie Lipfert, Ryan Martynowicz, Erika Arias, William A. Muller, David P. Sullivan, Samuel I. Stupp, Ayush Batra
Neurotherapeutics  Available online: 8 January 2026
DOI:https://doi.org/10.1016/j.neurot.2025.e00820

Graphical abstract

脳卒中後の注射が脳を保護する前臨床研究(Post-stroke injection protects the brain in preclinical study)

Abstract

Acute ischemic stroke (AIS) treatment relies on early restoration of blood flow; however, ischemia/reperfusion (I/R) may lead to secondary brain injury. Supramolecular peptide assemblies in which many molecules move collectively by design can activate key cellular pathways by displaying bioactive molecules on their surfaces. In this study, we hypothesized that a highly dynamic assembly formed by a peptide amphiphile (PA) that displays the laminin-mimetic sequence IKVAV (IKVAV-PA), known to promote neuron survival, could be delivered systemically, reach the ischemic brain, and exert therapeutic effects following AIS. C57BL/6 heterozygous CX3CR1GFP mice underwent 60-min of transient middle cerebral artery occlusion and were administered IKVAV-PA or saline (control) immediately after reperfusion. IKVAV-PA presence and distribution was evaluated by intracranial intravital and wide-field imaging. Cresyl violet staining was performed to quantitate final brain infarct volume at 7 days post stroke. IKVAV-PA formed scaffolds that contain both nanoscale filaments in equilibrium with small micellar aggregates, which is a signature of enhanced epitope dynamicity. Systemically administered IKVAV-PA crossed the blood-brain barrier and was primarily detected within the ischemic hemisphere. Cresyl violet staining demonstrated IKVAV-PA treatment significantly reduced infarct size when compared to saline treated animals. Histological screening of systemic organs suggested good biocompatibility of IKVAV-PAs at 7 days post stroke. We demonstrated the therapeutic potential of systemically delivering IKVAV-PA in a pre-clinical model of ischemic stroke. This work lays the foundation for further studies utilizing supramolecular PA assemblies as an adjunct therapy to reperfusion therapies in order to enhance long-term tissue-level neural regeneration post stroke.

医療・健康
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