Would this help post stroke? What leader in stroke will make sure followup occurs?
Central Infusion of IGF-1 Increases Hippocampal Neurogenesis and Improves Neurobehavioral Function following Traumatic Brain Injury
To cite this article:Dr. Shaun W. Carlson and Dr. Kathryn E Saatman. Journal of Neurotrauma. February 2018, ahead of print. https://doi.org/10.1089/neu.2017.5374
Online Ahead of Editing: February 17, 2018
ABSTRACT
Traumatic
brain injury (TBI) produces neuronal dysfunction and cellular loss that
can culminate in lasting impairments in cognitive and motor abilities.
Therapeutic agents that promote repair and replenish neurons after TBI
hold promise in improving recovery of function. Insulin-like growth
factor-1 (IGF-1) is a neurotrophic factor capable of mediating
neuroprotective and neuroplasticity mechanisms. Targeted overexpression
of IGF-1 enhances the generation of hippocampal newborn neurons in
brain-injured mice; however, the translational neurogenic potential of
exogenously administered IGF-1 after TBI remains unknown. In a mouse
model of controlled cortical impact (CCI), continuous
intracerebroventricular infusion of recombinant human IGF-1 (hIGF) for 7
days, beginning 15min post-injury, resulted in a dose-dependent
increase in the number of immature neurons in the hippocampus. Infusion
of 10μg/d IGF-1 produced detectable levels of hIGF-1 in the cortex and
hippocampus and a concomitant increase in Akt activation in the
hippocampus. Both motor function and cognition were improved over 7 days
following injury in IGF-1 treated cohorts. Vehicle treated
brain-injured mice showed reduced hippocampal immature neuron density
relative to sham controls at 7 days post-injury. In contrast, the
density of hippocampal immature neurons in brain-injured mice receiving
acute onset IGF-1 infusion was significantly higher than in injured mice
receiving vehicle and equivalent to that in sham-injured control mice.
Importantly, the neurogenic effect of IGF-1 was maintained with as much
as a 6 hr delay in the initiation of infusion. These data suggest that
central infusion of IGF-1 enhances the generation of immature neurons in
the hippocampus, with a therapeutic window of at least 6 hrs
post-injury, and promotes neurobehavioral recovery after TBI.
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