Enriched Environment Promoted Cognitive Function via Bilateral Synaptic Remodeling After Cerebral Ischemia

Well shit, enriched environment has been out there since 2011. Is your stroke hosital using this intervention? Or is incompetence reigning supreme?

Hasn't it been proven enough by this enriched environment talked about by Dr. Dale Corbett in 2011?

Enriched Environment Promoted Cognitive Function via Bilateral Synaptic Remodeling After Cerebral Ischemia

Chuanjie Wang^1,2†, Qun Zhang^3†, Kewei Yu³, Xueyan Shen³, Yi Wu^3* and Junfa Wu^3*

• ¹Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China
• ²Department of Rehabilitation Medicine, Jinshan Hospital, Fudan University, Shanghai, China
• ³Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China

Ischemic stroke is the second leading cause of death worldwide. Ischemia-induced cognitive dysfunction may result in a poor quality of life. Synaptic plasticity plays a key role in cognition promotion. An enriched environment (EE), which can attenuate cognitive deficits in chronic cerebral hypoperfusion, has been shown to facilitate synaptic plasticity. However, the effect of EE on synaptic plasticity in bilateral cerebral hemispheres in stroke remains unclear. This study used a permanent middle cerebral artery occlusion mouse model, which was divided into standard housing and EE groups. The Morris water maze test was performed to detect the cognitive function. Electron microscopy was used to determine the synapse numbers. The expression of SYN and GAP-43 was then quantified by immunofluorescence staining and Western blot analysis. Compared with the standard housing, EE promoted the cognitive function recovery in the mice with stroke. Moreover, EE increased the synapse numbers and the expression of SYN and GAP-43 in both the ipsilateral and contralateral hemispheres (P < 0.05). A further correlation analysis revealed a positive correlation between the cognitive function outcomes and the relative expression of GAP-43 and SYN. Furthermore, the correlation of the expression of GAP-43 and SYN with cognitive function was higher in the contralateral brain than in the ipsilateral brain. In conclusion, an EE may promote cognitive function via bilateral synaptic remodeling after cerebral ischemia. Also, the contralateral brain may play an important role in the recovery of cognitive function