LAU-0901, a novel platelet-activating factor (PAF) receptor antagonist, is highly neuroprotective in a rodent model of cerebral ischemia. This study was conducted to establish whether the neuroprotection induced by LAU-0901 persists with chronic survival.Male Sprague-Dawley rats were anesthetized with isoflurane and subjected to 2 h of temporary middle cerebral artery occlusion (MCAo) induced by means of a poly-L-lisinecoated intraluminal nylon suture. Animals were treated with either LAU-0901 (60 mg/kg) or vehicle (45% cyclodextran) administered i.p. at 2 h from onset of MCAo. They received neurobehavioral examinations during MCAo (60 min) and then at 1, 2, 3, 7, 14, 21 and 28 days followed by histopathology at 30 days. LAU-0901 significantly improved the behavior compared to the vehicle group, beginning on day 1 (by 29%, p = 0.00007) and persisting throughout a 30-day survival period (42%, p = 0.0001). Compared with vehicle treatment, LAU-0901 treatment significantly increased volume of non-infarcted brain tissue loss relative to the unlesioned hemisphere (16.3 ± 4.6% vs. 46.0 ± 10.3%, respectively). These results establish that LAU-0901 confers enduring ischemic neuroprotection.
IntroductionPlatelet-activating factor (PAF) is a lipid mediator released by many types of cells -such as platelets, monocytes/macrophages, neutrophils and endothelial cells -that potently activates neutrophils, contributing to the pathogenesis of inflammation, endotoxic shock and lipopolysaccharidemediated tissue injury (Bazan, 2003). PAF in the nervous system serves a dual role. It modulates long-term potentiation (Kato et al., 1994;Clark et al., 1992) and memory (Izquierdo et al., 1995). However, when overproduced, this phospholipid mediator becomes a potent pro-inflammatory mediator. During brain ischemia and in other pathologic conditions involving oxidative stress, PAF concentration increases and, in turn, it becomes a pro-inflammatory messenger and a mediator of neurotoxicity (Bazan and Allan, 1998). Excessive PAF production promotes neuronal damage; inhibition of this process plays a critical role in neuronal survival and