Preclinical studies and evaluations of mesenchymal stromal cells transiently transfected with the notch1 intracellular domain (such as SB623) demonstrate that they improve functional behavior deficits and reduce neural cell loss in animal models of ischemic stroke.
Background and Purpose: It is still not clear whether Notch1 signaling inhibition can promote functional outcomes after stroke, given that it plays time-dependent roles in the sequential process of endogenous neurogenesis. The purpose of this study was to identify the appropriate time frame for Notch1 signaling inhibition according to the temporal evolution of Notch1 signaling activation and the responses of neural stem cells (NSCs), in order to target it for therapeutic intervention and stimulate neurorestorative strategies after stroke. Methods: Sprague-Dawley (SD) rats were subjected to 90-min of middle cerebral artery occlusion (MCAO). Rats were sacrificed before, and at day 1, day 2, day 3, day 4, and day 7 after ischemia for immunohistochemical analysis of the Notch intracellular domain (NICD), Nestin and doublecortin (Dcx). Next, MCAO rats were treated with the γ-secretase inhibitor N-[N-(3,5-di uorophenacetyl)-1-alanyl]-S-phenylglycine t-butylester (DAPT) or with saline at day 4 after ischemia, and subsequently evaluated with behavioral test analysis and magnetic resonance imaging (MRI). The rat brains were then harvested for immunohistochemical analysis of Dcx, NeuN and myelin basic protein (MBP) at 2, 3, 4, and 8 weeks. Results: Notch1 signaling was maximally activated at day 3 after ischemia in parallel with the temporal evolution of NSCs. Inhibiting Notch1 signaling at day 4 after reperfusion with DAPT further promoted recovery of MRI parameters of the corticospinal tract (CST) and the functional outcomes, concomitantly with an increase in neuroblasts, their migration to the ischemic boundary, and potential differentiation to mature neurons, as well as the amelioration of axonal bundle integrity. Conclusion: Inhibition of Notch1 signaling at the subacute stage of stroke could maximally promote endogenous neurogenesis and axonal reorganization.
The purpose of this study was to identify the appropriate time frame for Notch1 signaling inhibition according to the temporal evolution of Notch1 signaling activation and the responses of neural stem cells (NSCs), in order to target it for therapeutic intervention and stimulate neurorestorative strategies after stroke. Methods: Sprague-Dawley (SD) rats were subjected to 90-min of middle cerebral artery occlusion (MCAO). Rats were sacrificed before, and at day 1, day 2, day 3, day 4, and day 7 after ischemia for immunohistochemical analysis of the Notch intracellular domain (NICD), Nestin and doublecortin (Dcx).
Inhibiting Notch1 signaling at day 4 after reperfusion with DAPT further promoted recovery of MRI parameters of the corticospinal tract (CST) and the functional outcomes, concomitantly with an increase in neuroblasts, their migration to the ischemic boundary, and potential differentiation to mature neurons, as well as the amelioration of axonal bundle integrity. Conclusion: Inhibition of Notch1 signaling at the subacute stage of stroke could maximally promote endogenous neurogenesis and axonal reorganization.
et al., 2009 ), others support the idea that Notch1 signaling negatively regulates neurogenesis ( Li et al., 2012 ). Notably, preventing Notch1 cleavage into the Notch intracellular domain (NICD) with the γ-secretase inhibitor N-[N-(3,5-diuorophenacetyl)-1-alanyl]-S-phenylglycine t-butylester (DAPT), subsequently improves functional outcomes following stroke ( Li et al., 2012 ).
The intensity of NICD was significantly elevated 2 and 3 days after reperfusion (versus sham-operated group and 1 day, P < 0.001), and reversely decreased 4 days (versus 2 and 3 days, P < 0.01) and 7 days later (versus 2 and 3 days, P < 0.001) later ( Figure 2D ). Next, to assess whether Notch1 signaling was activated in neural progenitors and neuroblasts after MCAO, we double stained the harvested tissue for markers of Notch intracellular domain (NICD), NSCs (Nestin) and neuroblasts (Dcx).
Stroke-Generated Neurons in Ischemic Boundary To confirm whether the improved structural changes in the MR images were attributed to the favored neurogenesis by suppression of Notch1 signaling, we used the marker of Dcx and NeuN (a marker of mature neurons) on the ischemic boundary in both vehicle- and DAPT-treated groups at the early and late periods of the chronic stage of stroke respectively. Dcx (+) cells were found distributed from the SVZ laterally toward the damaged region and presented long lasting processes in all subjects, as seen in the corresponding representative image ( Figure 7A ).
Thus, based on the results of our current study, we hypothesized that a proper therapeutic time point may be 4 days following stroke in this rat model. In our previous study, we demonstrated that Notch1 signaling could be blocked by DAPT at day 4 after stroke ( Hao et al., 2017 ). Based on this work, we used the same method in this study, to evaluate microstructural changes of rat brains in vivo at chronic stages of stroke by monitoring a set of MRI parameters in the CST both proximal and distal to the ischemic lesion.
The relative recovery of these diffusion parameters mirrored previously reported motor functional abilities of ischemic rats after DAPT treatment ( Puig et al., 2010 ; Reijmer et al., 2013 ; Feng et al., 2015 ; Bigourdan et al., 2016 ), which are now corroborated with our study, which showed that motor function improved after DAPT treatment when compared to vehicle controls in a rat model of stroke. Using histological examination, we found that neuroblasts were distributed laterally from the SVZ to the ischemic lesion.
Adult neurogenesis following stroke is a sequential and multistep process ranging from neural precursor proliferation, migration toward the ischemic site, and differentiation into the proper neural phenotype ( Bonfanti and Peretto, 2007 ; Oya et al., 2009 ; Christie and Turnley, 2012 ). In this process, the Notch1 signaling pathway mediates expansion of the neural progenitor pool and neural differentiation, which is comparable to