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Hydrogen sulfide protects blood–brain barrier integrity following cerebral ischemia
Authors:Yali Wang  Jia Jia  Guizhen Ao  Lifang Hu  Hui Liu  Yunqi Xiao  Huaping Du  Nabil J Alkayed  Chun‐Feng Liu  Jian Cheng
Institution:1. Jiangsu Key Laboratory of Translational Research and Therapy for Neuro‐Psycho‐Diseases and Institute of Neuroscience, Soochow University, , Suzhou, Jiangsu, China;2. The Second Affiliated Hospital of Soochow University, , Suzhou, Jiangsu, China;3. College of Pharmaceutical Science, Soochow University, , Suzhou, Jiangsu, China;4. Department of Anesthesiology & Peri‐Operative Medicine, Oregon Health & Science University, , Portland, Oregon, USA
Abstract:By using two structurally unrelated hydrogen sulfide (H2S) donors 5‐(4‐methoxyphenyl) ‐3H‐1, 2‐dithiole‐3‐thione (ADT) and sodium hydrosulfide (NaHS), this study investigated if H2S protected blood–brain barrier (BBB) integrity following middle cerebral artery occlusion (MCAO). ICR mice underwent MCAO and received H2S donors at 3 h after reperfusion. Infarction, neurological scores, brain edema, Evans blue (EB) extravasation, and tight junction protein expression were examined at 48 h after MCAO. We also investigated if ADT protected BBB integrity by suppressing post‐ischemic inflammation‐induced Matrix Metalloproteimase‐9 (MMP9) and Nicotinamide adenine dinucleotide phosphate (NADPH) oxidase (NOX). ADT increased blood H2S concentrations, decreased infarction, and improved neurological deficits. Particularly, ADT reduced EB extravasation, brain edema and preserved expression of tight junction proteins in the ischemic brain. NaHS also increased blood H2S levels and reduced EB extravasation following MCAO. Moreover, ADT inhibited expression of pro‐inflammatory markers induced Nitric Oxide Synthase (iNOS) and IL‐1β while enhanced expression of anti‐inflammatory markers arginase 1 and IL‐10 in the ischemic brain. Accordingly, ADT attenuated ischemia‐induced expression and activity of MMP9. Moreover, ADT reduced NOX‐4 mRNA expression, NOX activity, and inhibited nuclear translocation of Nuclear Factor Kappa‐B (NF‐κB) in the ischemic brain. In conclusion, H2S donors protected BBB integrity following experimental stroke possibly by acting through NF‐κB inhibition to suppress neuroinflammation induction of MMP9 and NOX4‐derived free radicals.
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Keywords:Blood–  brain barrier  cerebral ischemia  hydrogen sulfide  vasoprotection
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