Systemic augmentation of αB-crystallin provides therapeutic benefit twelve hours post-stroke onset via immune modulation

A Arac, SE Brownell, JB Rothbard… - Proceedings of the …, 2011 - National Acad Sciences
A Arac, SE Brownell, JB Rothbard, C Chen, RM Ko, MP Pereira, GW Albers, L Steinman
Proceedings of the National Academy of Sciences, 2011National Acad Sciences
Tissue plasminogen activator is the only treatment option for stroke victims; however, it has
to be administered within 4.5 h after symptom onset, making its use very limited. This report
describes a unique target for effective treatment of stroke, even 12 h after onset, by the
administration of αB-crystallin (Cryab), an endogenous immunomodulatory neuroprotectant.
In Cryab−/− mice, there was increased lesion size and diminished neurologic function after
stroke compared with wild-type mice. Increased plasma Cryab was detected after …
Tissue plasminogen activator is the only treatment option for stroke victims; however, it has to be administered within 4.5 h after symptom onset, making its use very limited. This report describes a unique target for effective treatment of stroke, even 12 h after onset, by the administration of αB-crystallin (Cryab), an endogenous immunomodulatory neuroprotectant. In Cryab−/− mice, there was increased lesion size and diminished neurologic function after stroke compared with wild-type mice. Increased plasma Cryab was detected after experimental stroke in mice and after stroke in human patients. Administration of Cryab even 12 h after experimental stroke reduced both stroke volume and inflammatory cytokines associated with stroke pathology. Cryab is an endogenous anti-inflammatory and neuroprotectant molecule produced after stroke, whose beneficial properties can be augmented when administered therapeutically after stroke.
National Acad Sciences