The purpose of this study was to investigate the protective mechanism of leptin-mediated metabolic recovery against cerebral injury after ischemia and reperfusion. We determined the neurologic deficit score, extent of brain edema, and infarct volume after reperfusion. The histopathologic alterations and changes in glucose uptake in the brain were also observed. Moreover, the levels of lactate dehydrogenase (LDH), lactic acid, pyruvate, and ATP in brain tissue were detected. Leptin levels in serum were also detected. To further define leptin-induced neuroprotective signaling pathways, we examined the levels of phosphorylated Akt (p-Akt) in the brain and in cultured cells. After transient ischemia, leptin treatment markedly reduced the neurologic deficits, cerebral infarct volume, and brain edema. After leptin injection, ATP, leptin, and p-Akt levels were significantly increased, LDH levels and lactic acid/ pyruvate ratio were noticeably reduced, and histopathologic injuries were alleviated, which were all reversed by the PI 3 K inhibitor LY294002. These data show that leptin ameliorates cerebral ischemia/reperfusion injury by enhancing p-Akt, which in turn improves the supply of energy. The PI 3 K/Akt pathway was found to be the critical pathway for the mediation of leptin-induced neuroprotection, a finding that may prove to be useful in the treatment of ischemic stroke. Keywords: Akt pathway; cerebral ischemia; energy metabolism; leptin; neuroprotection; PI 3 K; reperfusion; stroke INTRODUCTION Acute ischemic stroke injuries to brain tissue are among the leading causes of death and long-term disability in humans and are instigated by a number of physiologic factors. These factors include the cessation of the glucose supply to challenged brain tissues that have high energy demands and the impediment of the delivery of oxygen, which is vital for cellular respiration.
Journal of Cerebral BloodLeptin, a centrally acting hormone secreted by adipocytes, has significant biologic activity in the central nervous system and is known to inhibit food intake and stimulate energy expenditure.