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Dabrafenib,an inhibitor of RIP3 kinase-dependent necroptosis,reduces ischemic brain injury

摘要Ischemic brain injury triggers neuronal cell death by apoptosis via caspase activation and by necroptosis through activation of the receptor-interacting protein kinases (RIPK) associated with the tumor necrosis factor-alpha (TNF-α)/death receptor. Recent evidence shows RIPK inhibitors are neuroprotective and al-leviate ischemic brain injury in a number of animal models, however, most have not yet undergone clinical trials and safety in humans remains in question. Dabrafenib, originally identified as a B-raf inhibitor that is currently used to treat melanoma, was later revealed to be a potent RIPK3 inhibitor at micromolar con-centrations. Here, we investigated whether Dabrafenib would show a similar neuroprotective effect in mice subjected to ischemic brain injury by photothrombosis. Dabrafenib administered intraperitoneally at 10 mg/kg one hour after photothrombosis-induced focal ischemic injury significantly reduced infarct lesion size in C57BL6 mice the following day, accompanied by a markedly attenuated upregulation of TNF-α. However, subsequent lower doses (5 mg/kg/day) failed to sustain this neuroprotective effect after 4 days. Dabrafenib bl ocked lipopolysaccharides-induced activation of TNF-α in bone marrow-derived macrophages, suggesting that Dabrafenib may attenuate TNF-α-induced necroptotic pathway after ischemic brain injury. Since Dab-rafenib is already in clinical use for the treatment of melanoma, it might be repurposed for stroke therapy.

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作者单位 Ottawa Hospital Research Institute, Ottawa, Canada;University of Ottawa, Brain and Mind Institute, Ottawa, Canada ;Canadian Partnership for Storke Recovery, Ottawa, Canada [1] Ottawa Hospital Research Institute, Ottawa, Canada;Canadian Partnership for Storke Recovery, Ottawa, Canada [2] University of Ottawa Heart Institute, Ottawa, Canada [3]
栏目名称 RESEARCH ARTICLES
DOI 10.4103/1673-5374.226394
发布时间 2018-03-29
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中国神经再生研究(英文版)

中国神经再生研究(英文版)

2018年13卷2期

252-256页

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