Agonistic analog of growth hormone-releasing hormone promotes neurofunctional recovery and neural regeneration in ischemic stroke

Proc Natl Acad Sci U S A. 2021 Nov 23;118(47):e2109600118. doi: 10.1073/pnas.2109600118.

Abstract

Ischemic stroke can induce neurogenesis. However, most stroke-generated newborn neurons cannot survive. It has been shown that MR-409, a potent synthetic agonistic analog of growth hormone-releasing hormone (GHRH), can protect against some life-threatening pathological conditions by promoting cell proliferation and survival. The present study shows that long-term treatment with MR-409 (5 or 10 μg/mouse/d) by subcutaneous (s.c.) injection significantly reduces the mortality, ischemic insult, and hippocampal atrophy, and improves neurological functional recovery in mice operated on for transient middle cerebral artery occlusion (tMCAO). Besides, MR-409 can stimulate endogenous neurogenesis and improve the tMCAO-induced loss of neuroplasticity. MR-409 also enhances the proliferation and inhibits apoptosis of neural stem cells treated with oxygen and glucose deprivation-reperfusion. The neuroprotective effects of MR-409 are closely related to the activation of AKT/CREB and BDNF/TrkB pathways. In conclusion, the present study demonstrates that GHRH agonist MR-409 has remarkable neuroprotective effects through enhancing endogenous neurogenesis in cerebral ischemic mice.

Keywords: GHRH agonists; ischemic stroke; neural stem cells; neurogenesis; neuroplasticity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Apoptosis / drug effects
  • Brain-Derived Neurotrophic Factor / metabolism
  • Cell Proliferation / drug effects
  • Cyclic AMP Response Element-Binding Protein / metabolism
  • Growth Hormone-Releasing Hormone / agonists*
  • Growth Hormone-Releasing Hormone / genetics
  • Growth Hormone-Releasing Hormone / metabolism*
  • Infarction, Middle Cerebral Artery / metabolism
  • Ischemic Stroke / metabolism*
  • Male
  • Membrane Glycoproteins / metabolism
  • Mice
  • Mice, Inbred C57BL
  • Nerve Regeneration / drug effects*
  • Neural Stem Cells / metabolism
  • Neurogenesis / drug effects*
  • Neuronal Plasticity
  • Neuroprotective Agents
  • Protein-Tyrosine Kinases / metabolism
  • Recovery of Function / drug effects

Substances

  • Bdnf protein, mouse
  • Brain-Derived Neurotrophic Factor
  • Creb1 protein, mouse
  • Cyclic AMP Response Element-Binding Protein
  • Membrane Glycoproteins
  • Neuroprotective Agents
  • Growth Hormone-Releasing Hormone
  • Ntrk2 protein, mouse
  • Protein-Tyrosine Kinases