Prevention and acute tissue salvage have been the traditional treatment strategies for stroke, the third leading cause of death in the United States. New discoveries have created the possibility of a third treatment arm, regeneration. These discoveries show that stroke induces neural progenitor cell (NPC) proliferation in selected regions of injured brain, albeit with incomplete cell replacement. The factors that regulate these NPCs are incompletely understood. Ischemia may induce recapitulation of highly conserved developmental pathways that once regulated embryonic proliferation, differentiation and integration. In particular, the phylogenetically conserved sonic hedgehog (Shh) pathway may play a modulating role in ischemia-induced proliferation and differentiation/survival of NPCs. The goal of this project is to test the hypothesis that the sonic hedgehog pathway is essential for ischemia-induced proliferation and/or differentiation of hippocampal neural progenitor cells. Preliminary data show that ischemia up-regulates Shh within the hippocampus, and that hypoxia causes similar changes in embryonic NPCs in vitro. Furthermore, inhibiting Shh blocks the ischemia/hypoxia-induced proliferation of hippocampal and embryonic NPCs.
Aim 1 will test the hypothesis that NPCs isolated from adult hippocampus will respond to hypoxia in a manner reminiscent of embryonic NPCs. We believe it is important to understand the significance of Shh's impact on adult NPCs given that stroke disproportionately impacts adults, and adult and embryonic NPCs probably differ.
Aim 2 will expand on preliminary data suggesting that hypoxia-inducible factor 1 alpha (HIF1-alpha) up-regulates Shh and test the hypothesis that HIF1alpha mediates hypoxia-stimulated Shh transcription. Results of Aim 2 begin the important steps towards understanding the mechanism of Shh up-regulation.
Aim 3 a will test the hypothesis that smoothened (Smo), the protein transducer of the pathway, modulates the effect on hypoxia-induced proliferation of NPC cultures. We propose to promote a gain of function of Smo with the small molecule stimulator, leiosamine, or Smo over-expression. We propose to induce loss of function of Smo with the small molecule inhibitor, cyclopamine, or Smo RNAi.
Aim 3 b investigates Smo gain or loss of function in an in vivo stroke model to test the relevancy of Smo modulation on NPC response of proliferation and differentiation. My long-term goal is to understand the complex cellular environment that regulates NPC proliferation and differentiation in ischemic stroke. Understanding such processes may assist in identifying and tailoring novel post-stroke therapeutic modalities. While working toward this goal, with mentor guidance, I hope to obtain experience in the most up-to-date approaches in cellular and molecular neurobiology as well as general laboratory management skills that will provide a foundation for creating an independent laboratory.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Clinical Investigator Award (CIA) (K08)
Project #
1K08NS049241-01A2
Application #
7208123
Study Section
NST-2 Subcommittee (NST)
Program Officer
Owens, David F
Project Start
2007-04-01
Project End
2012-03-31
Budget Start
2007-04-01
Budget End
2008-03-31
Support Year
1
Fiscal Year
2007
Total Cost
$170,632
Indirect Cost
Name
Massachusetts General Hospital
Department
Type
DUNS #
073130411
City
Boston
State
MA
Country
United States
Zip Code
02199
Muehlschlegel, Susanne; Rordorf, Guy; Sims, John (2011) Effects of a single dose of dantrolene in patients with cerebral vasospasm after subarachnoid hemorrhage: a prospective pilot study. Stroke 42:1301-6
Carandang, Raphael A; Barton, Bruce; Rordorf, Guy A et al. (2011) Nicotine replacement therapy after subarachnoid hemorrhage is not associated with increased vasospasm. Stroke 42:3080-6
Qiu, Jianhua; Xu, Jian; Zheng, Yi et al. (2010) High-mobility group box 1 promotes metalloproteinase-9 upregulation through Toll-like receptor 4 after cerebral ischemia. Stroke 41:2077-82
Fujimoto, K; Araki, K; McCarthy, D M et al. (2010) A transgenic mouse model of neuroepithelial cell specific inducible overexpression of dopamine D1-receptor. Neuroscience 170:961-70
Salomone, Salvatore; Soydan, Guray; Moskowitz, Michael A et al. (2009) Inhibition of cerebral vasoconstriction by dantrolene and nimodipine. Neurocrit Care 10:93-102
Muehlschlegel, Susanne; Rordorf, Guy; Bodock, Michael et al. (2009) Dantrolene mediates vasorelaxation in cerebral vasoconstriction: a case series. Neurocrit Care 10:116-21
Muehlschlegel, Susanne; Sims, John R (2009) Dantrolene: mechanisms of neuroprotection and possible clinical applications in the neurointensive care unit. Neurocrit Care 10:103-15
Qiu, Jianhua; Takagi, Yasushi; Harada, Jun et al. (2009) p27Kip1 constrains proliferation of neural progenitor cells in adult brain under homeostatic and ischemic conditions. Stem Cells 27:920-7
Sims, John R; Lee, Sae-Won; Topalkara, Kamil et al. (2009) Sonic hedgehog regulates ischemia/hypoxia-induced neural progenitor proliferation. Stroke 40:3618-26
Sims, J R; Gharai, L Rezai; Schaefer, P W et al. (2009) ABC/2 for rapid clinical estimate of infarct, perfusion, and mismatch volumes. Neurology 72:2104-10

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