Adenosine A2A receptor agonist polydeoxyribonucleotide ameliorates short-term memory impairment by suppressing cerebral ischemia-induced inflammation via MAPK pathway

PLoS One. 2021 Mar 18;16(3):e0248689. doi: 10.1371/journal.pone.0248689. eCollection 2021.

Abstract

Cerebral ischemia causes tissue death owing to occlusion of the cerebral blood vessels, and cerebral ischemia activates mitogen-activated protein kinase (MAPK) and induces secretion of pro-inflammatory cytokines. Adenosine A2A receptor agonist, polydeoxyribonucleotide (PDRN), suppresses the secretion of pro-inflammatory cytokines and exhibits anti-inflammatory effect. In the current study, the therapeutic effect of PDRN on cerebral ischemia was evaluated using gerbils. For the induction of cerebral ischemia, the common carotid arteries were exposed, and then aneurysm clips were used to occlude the common carotid arteries bilaterally for 7 minutes. In the PDRN-treated groups, the gerbils were injected intraperitoneally with 0.3 mL of saline containing 8 mg/kg PDRN, per a day for 7 days following cerebral ischemia induction. In order to confirm the participation of the adenosine A2A receptor in the effects mediated by PDRN, 8 mg/kg 7-dimethyl-1-propargylxanthine (DMPX), adenosine A2A receptor antagonist, was treated with PDRN. In the current study, induction of ischemia enhanced the levels of pro-inflammatory cytokines and increased phosphorylation of MAPK signaling factors in the hippocampus and basolateral amygdala. However, treatment with PDRN ameliorated short-term memory impairment by suppressing the production of pro-inflammatory cytokines and inactivation of MAPK signaling factors in cerebral ischemia. Furthermore, PDRN treatment enhanced the concentration of cyclic adenosine-3,5'-monophosphate (cAMP) as well as phosphorylation of cAMP response element-binding protein (p-CREB). Co-treatment of DMPX and PDRN attenuated the therapeutic effect of PDRN on cerebral ischemia. Based on these findings, PDRN may be developed as the primary treatment in cerebral ischemia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenosine A2 Receptor Agonists / pharmacology*
  • Adenosine A2 Receptor Agonists / therapeutic use
  • Adenosine A2 Receptor Antagonists / administration & dosage
  • Animals
  • Brain Ischemia / complications
  • Brain Ischemia / drug therapy*
  • Brain Ischemia / immunology
  • Cyclic AMP / metabolism
  • Cyclic AMP Response Element-Binding Protein / metabolism
  • Disease Models, Animal
  • Gerbillinae
  • Humans
  • Inflammation / drug therapy
  • Inflammation / immunology
  • MAP Kinase Signaling System / drug effects
  • Male
  • Memory Disorders / drug therapy*
  • Memory Disorders / immunology
  • Memory, Short-Term / drug effects*
  • Phosphorylation / drug effects
  • Polydeoxyribonucleotides / pharmacology*
  • Polydeoxyribonucleotides / therapeutic use
  • Receptor, Adenosine A2A / metabolism

Substances

  • Adenosine A2 Receptor Agonists
  • Adenosine A2 Receptor Antagonists
  • Cyclic AMP Response Element-Binding Protein
  • Polydeoxyribonucleotides
  • Receptor, Adenosine A2A
  • Cyclic AMP

Grants and funding

• Jin Hee Han • NRF-2017R1D1A1B03032827 • National Research Foundation of Korea • https://www.nrf.re.kr/ • Research fund support.