Angiotensin II Peptide Vaccine Protects Ischemic Brain Through Reducing Oxidative Stress

作者:Wakayama Kouji; Shimamura Munehisa*; Suzuki Jun ichi; Watanabe Ryo; Koriyama Hiroshi; Akazawa Hiroshi; Nakagami Hironori; Mochizuki Hideki; Isobe Mitsuaki; Morishita Ryuichi*
来源:Stroke, 2017, 48(5): 1362-+.
DOI:10.1161/STROKEAHA.116.016269

摘要

Background and Purpose-Medication nonadherence is one of major risk factors for the poor outcome in ischemic stroke. Vaccination is expected to solve such a problem because of its long-lasting effects, but its effect on ischemic brain damage is still unknown. Here, we focused on vaccination for renin-angiotensin system and examined the effects of angiotensin II (Ang II) peptide vaccine in permanent middle cerebral artery occlusion model in rats. Methods-Male Wistar rats were exposed to permanent middle cerebral artery occlusion after 3x injections of Ang II peptide vaccine, and the serum or brain level of anti-Ang II antibody was examined. The effects of the vaccine were evaluated by differences in infarction volume, brain renin-angiotensin system components, and markers for neurodegeneration and oxidative stress. Results-Ang II vaccination successfully produced anti-Ang II antibodies in serum without concomitant change in blood pressure. Sufficient production of serum anti-Ang II antibody led to reduction of infarct volume and induced the penetration of anti-Ang II antibody in ischemic hemisphere, with suppressed expression of Ang II type 1 receptor mRNA. Vaccinated rats with sufficient antibody production showed the reduction of Fluoro-Jade B-positive cells, spectrin fragmentation, 4-hydroxynonenal-positive cells, and Nox 2 mRNA expression. Conclusions-Our findings indicate that Ang II vaccination exerts neuroprotective and antioxidative effects in cerebral ischemia, with renin-angiotensin system blockade by penetration of anti-Ang II antibodies into ischemic brain lesion. Ang II peptide vaccination could be a promising approach to treat ischemic stroke.

  • 出版日期2017-5