Presenter of 2 Presentations
Stroke in Sickle Cell Disease
MITOCHONDRIAL DYSFUNCTION EXACERBATE ISCHEMIC STROKE PATHOLOGY IN CHRONIC KIDNEY DISEASE
Abstract
Background and Aims
Stroke leads to disturbances in cerebral functions.Chronic kidney disease (CKD) is often correlated with an enhanced risk of stroke. The cerebro-renal interaction in stroke has been explored limitedly, hence, it is imperative to explore it in depth for developing therapeutic interventions.Present study aim to decipher the molecular mechanism by which Chronic Kidney Disease (CKD) may exacerbate
ischemic stroke pathology.
Methods
CKD was induced in Sprague Dawley Rats by 0.5% adenine diet for 28 days followed by a middle cerebral artery occlusion (MCAo) for ischemic stroke.LCMS/MS was performed to assess homocysteine levels in brain.Rats were evaluated for neurodeficits, motor functions and were sacrificed at 24 hours post MCAo. Brains were harvested for infarct size estimations, biochemical analysis, mitochondrial respiration and protein expression studies.
Results
Functional outcome was impaired to a greater extent in stroke+ CKD as compared to sham, stroke and CKD animals.Levels of MDA and nitrite were increased, and glutathione decreased in stroke+CKD animals as compared to sham, stroke and CKD. Mitochondrial respiration was compromised in stroke+CKD group as compared to other groups. Increased DRP1, calcineurin and caspase3 levels were observed. Increased brain homocysteine levels were detected in CKD and CKD+Stroke groups by LCMS/MS
Conclusions
Mitochondrial dysfunction following CKD contributes towards exacerbation of ischemic stroke pathology