Stroke (focal cerebral ischemia) is a leading cause of death and disability in aging Veterans. Furthermore, many aged Veterans also suffer from neurodegenerative disorders. The mechanisms that contribute to secondary brain damage and neurological dysfunction after stroke are not completely understood. Preliminary studies of this proposal show induction of a-Synuclein expression in the brains of rodents subjected to focal ischemia. As a-Synuclein is thought to be a major contributor of neuronal death in Parkinson Disease and other chronic neurodegenerative diseases, the present proposal will test the hypothesis a-Synuclein is a contributor of post-stroke brain damage. This hypothesis will be tested by the following Specific Aims:
Aim 1 is to evaluate the functional significance of a-Synuclein in promoting secondary brain damage and neurological dysfunction following experimental stroke using a-Synuclein siRNA-mediated knockdown and a-Synuclein knockout mice as alternate approaches.
Aim 2 is to evaluate if down-regulation of microRNA miR-7a is responsible for a-Synuclein protein induction in the post-ischemic brain. We will test if restoring miR-7a levels with a miR mimic curtails a- synuclein mediated post-ischemic secondary brain damage and neurological dysfunction.
Aim 3 is to identify if a-Synuclein induced after stroke mediates secondary brain damage by modulating inflammation, oxidative stress, apoptosis, mitochondrial fission, and autophagy. We will test if a- Synuclein knockdown curtails these post-ischemic pathophysiological mechanisms and thus decreases post-ischemic brain damage.
Aim 4 is to test the role of post-translational modifications of a-Synuclein in ischemic brain damage. We will specifically study ser-129 phosphorylation which is thought to promote a-Synuclein oligomerization and toxicity and lysine ubiquitination which is thought to be important for a-Synuclein degradation by lysosomes.
Aim 5 is to study the long-term implications of a-Synuclein induction after stroke. This is important as a- Synuclein accumulation and toxicity occur over decades in chronic neurodegenerative conditions; whereas a-Synuclein increases rapidly within hours after stroke. Overall, the present project will serve as a bridge to understan the role of a-Synuclein and to design novel therapies based on a-Synuclein and miRNA-7a to minimize the post-stroke brain damage in Veterans. Relevance of the proposed work to the VA patient care mission: Every year, >7,000 Veterans suffer new strokes and there are >80,000 surviving Veterans with stroke-induced neurological dysfunction. The negative impact of this devastating disease on Veterans increases enormously in the near future unless the molecular mechanisms of post-stroke brain damage are deciphered and therapies are developed based on the new targets. a-Synuclein is an attractive target to curtail post-stroke brain damage as many resources are already available from the ongoing research on Parkinson Disease. Successful completion of the proposed studies to evaluate the significance of a-Synuclein after stroke helps the recovery of surviving stroke sufferers among Veterans.

Public Health Relevance

Stroke is a major health problem in aging Veterans. Every year, >7,000 Veterans suffer new strokes, and there are >80,000 surviving Veterans with stroke-induced neurological dysfunction. The costs are ~$500 million yearly (~$200 million for acute inpatient care, ~$100 million for follow-up care in the first 6 months, and ~$200 for the long-term rehabilitation). The negative impact of this devastating disease on Veterans will increase enormously unless the mechanisms of post-stroke brain damage are deciphered and new therapies are developed. An avenue for studying this damage is offered by neurodegenation that many Veterans show in later life. A protein, a-Synuclein, is a proponent of neurodegeneration, and interestingly, we found that this protein is also induced after stroke. Hence, we wish to test if a-Synuclein can be targeted to curtail post-stroke brain damage that might also help to minimize the motor dysfunction. The overall goal of this project is to test if a-Synuclein can be used to develop nove therapies to help the recovery of aged Veterans who suffer stroke.

Agency
National Institute of Health (NIH)
Institute
Veterans Affairs (VA)
Type
Non-HHS Research Projects (I01)
Project #
5I01BX002985-04
Application #
9605231
Study Section
Neurobiology C (NURC)
Project Start
2015-10-01
Project End
2019-09-30
Budget Start
2018-10-01
Budget End
2019-09-30
Support Year
4
Fiscal Year
2019
Total Cost
Indirect Cost
Name
Wm S. Middleton Memorial Veterans Hosp
Department
Type
DUNS #
086683091
City
Madison
State
WI
Country
United States
Zip Code
53705
Chandran, Raghavendar; Mehta, Suresh L; Vemuganti, Raghu (2017) Non-coding RNAs and neuroprotection after acute CNS injuries. Neurochem Int 111:12-22
Mehta, Suresh L; Pandi, Gopal; Vemuganti, Raghu (2017) Circular RNA Expression Profiles Alter Significantly in Mouse Brain After Transient Focal Ischemia. Stroke 48:2541-2548
Kim, TaeHee; Mehta, Suresh L; Kaimal, Balarama et al. (2016) Poststroke Induction of ?-Synuclein Mediates Ischemic Brain Damage. J Neurosci 36:7055-65