BackgroundResolution of inflammation is an emerging new strategy to reduce damage following ischemic stroke. Lipoxin A4 (LXA
4) is an antiâinflammatory, proâresolution lipid mediator that reduces neuroinflammation in stroke. Since LXA
4 is rapidly inactivated, potent analogs have been synthesized, including BMLâ111. We hypothesized that postâischemic, intravenous treatment with BMLâ111 for 1Â week would provide neuroprotection and reduce neurobehavioral deficits at 4Â weeks after ischemic stroke in rats. Additionally, we investigated the potential protective mechanisms of BMLâ111 on the postâstroke molecular and cellular profile.MethodsA total of 133 male SpragueâDawley rats were subjected to 90Â min of transient middle cerebral artery occlusion (MCAO) and BMLâ111 administration was started at the time of reperfusion. Two methods of weekâlong BMLâ111 intravenous administration were tested: continuous infusion via ALZET
Âź osmotic pumps (1.25 and 3.75 Όg Όlâ1 hrâ1), or freshly prepared daily single injections (0.3, 1, and 3 mg/kg). We report for the first time on the stability of BMLâ111 and characterized an optimal dose and a dosing schedule for the administration of BMLâ111.ResultsOne week of BMLâ111 intravenous injections did not reduce infarct size or improve behavioral deficits 4 weeks after ischemic stroke. However, postâischemic treatment with BMLâ111 did elicit early protective effects as demonstrated by a significant reduction in infarct volume and improved sensorimotor function at 1 week after stroke. This protection was associated with reduced proâinflammatory cytokine and chemokine levels, decreased M1 CD40+ macrophages, and increased alternatively activated, antiâinflammatory M2 microglia/macrophage cell populations in the postâischemic brain.ConclusionThese data suggest that targeting the endogenous LXA
4 pathway could be a promising therapeutic strategy for the treatment of ischemic stroke. More work is necessary to determine whether a different dosing regimen or more stable LXA
4 analogs could confer longâterm protection.