A lthough the majority of patients with ischemic stroke survive with timely treatment in the acute phase, many still experience various long-term neurological deficits. 1 One of the obstacles to neurobehavioral recovery is limited spontaneous neurogenesis and angiogenesis in the postacute phase. Therapeutics that target the postacute phase with a wider treatment window would help improve functional recovery after stroke.Stromal cell-derived factor-1 (SDF-1), also called C-X-C motif chemokine ligand 12, functions by interacting with its receptor CXCR4, which is found on the cell surface of leucocytes and various kinds of stem cells.2-7 Previously, we have shown that blocking SDF-1/CXCR4 interaction suppresses inflammatory responses and reduces brain infarction in the acute phase of ischemic stroke. 8,9 In addition, CXCR4 gene transfer into the heart before myocardial ischemia enhances ischemia-reperfusion injury and increases the influx of inflammatory cells. 10 These results suggest that SDF-1 functions mainly as an inflammatory initiator during the acute phase of ischemia. However, the function of SDF-1 during the postacute phase of ischemia is still unknown.It is noteworthy that SDF-1 plays an important role during the development of the central nervous system and has a strong modulation effect on neurons, interneurons, and granule cells. [11][12][13][14][15] It is now recognized that SDF-1 regulates the development of nervous tissue, particularly because of its effects on cell migration and axon guidance.16 SDF-1 is also essential to the development of vasculature by recruiting Background and Purpose-Acute interventions of stroke are often challenged by a narrow treatment window. In this study, we explore treatments in the postacute phase of stroke with wider windows of opportunity. We investigated the effects of stromal cell-derived factor (SDF-1α) in neurovascular recovery during the postacute phase and downstream signaling pathways, underlying SDF-1α-mediated neurovascular recovery. Methods-Adult male Institute of Cancer Research (ICR) mice underwent middle cerebral artery occlusion. One week after middle cerebral artery occlusion, the animals received stereotactic injection of adenoassociated virus (AAV) carrying SDF-1α gene as treatment or AAV-green fluorescent protein as control and were monitored for 5 weeks. Neurobehavioral outcomes were evaluated, and brain atrophy was measured. Neurogenesis and angiogenesis were examined. The proliferation and migration of neural progenitor cells were evaluated. Downstream pathways of SDF-1α were investigated. Inflammatory response was monitored. Results-Neurobehavioral outcomes were improved, and brain atrophy was greatly reduced for ≤5 weeks in AAV-SDF-1α groups when compared with the control. SDF-1 receptor CXCR4 was upregulated and colocalized with neural and endothelial progenitor cells. Li et al
SDF-1 Promotes Neurobehavioral Recovery 1823circulating endothelial progenitor cells (EPCs) involved in angiogenesis. [17][18][19][20][21][22] It is possible that SDF...