AD-16 Protects Against Hypoxic-Ischemic Brain Injury by Inhibiting Neuroinflammation

Neurosci Bull. 2022 Aug;38(8):857-870. doi: 10.1007/s12264-021-00816-3. Epub 2022 Jan 24.

Abstract

Neuroinflammation is a key contributor to the pathogenic cascades induced by hypoxic-ischemic (HI) insult in the neonatal brain. AD-16 is a novel anti-inflammatory compound, recently found to exert potent inhibition of the lipopolysaccharide-induced production of pro-inflammatory and neurotoxic mediators. In this study, we evaluated the effect of AD-16 on primary astrocytes and neurons under oxygen-glucose deprivation (OGD) in vitro and in mice with neonatal HI brain injury in vivo. We demonstrated that AD-16 protected against OGD-induced astrocytic and neuronal cell injury. Single dose post-treatment with AD-16 (1 mg/kg) improved the neurobehavioral outcome and reduced the infarct volume with a therapeutic window of up to 6 h. Chronic administration reduced the mortality rate and preserved whole-brain morphology following neonatal HI. The in vitro and in vivo effects suggest that AD-16 offers promising therapeutic efficacy in attenuating the progression of HI brain injury and protecting against the associated mortality and morbidity.

Keywords: AD-16; Neonatal hypoxic-ischemic brain injury; Neuroinflammation; Neuroprotection.

MeSH terms

  • Animals
  • Animals, Newborn
  • Astrocytes / pathology
  • Brain / pathology
  • Brain Injuries* / pathology
  • Glucose
  • Hypoxia
  • Hypoxia-Ischemia, Brain* / drug therapy
  • Mice
  • Neuroinflammatory Diseases
  • Neuroprotective Agents* / pharmacology
  • Neuroprotective Agents* / therapeutic use
  • Oxygen / therapeutic use

Substances

  • Neuroprotective Agents
  • Glucose
  • Oxygen