4.5 Article

Type-I diabetes aggravates post-hemorrhagic stroke cognitive impairment by augmenting oxidative stress and neuroinflammation in mice

Journal

NEUROCHEMISTRY INTERNATIONAL
Volume 149, Issue -, Pages -

Publisher

PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.neuint.2021.105151

Keywords

Diabetes; ICH; Neuroinflammation; HMGB1; Cognitive impairment

Funding

  1. American Heart Association [17AIREA33700076/ZAS/2017]
  2. National Institute Of Neurological Disorders And Stroke of the National Institutes of Health [R01NS112642]
  3. National Institute of Diabetes, Digestive and Kidney Diseases [R15-DK-103196-01]

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The study demonstrates that diabetes mellitus exacerbates the outcomes of hemorrhagic stroke, including increased hematoma volume and deficits in post-stroke locomotor, sensorimotor, and cognitive behavior. This research contributes to a better understanding of the impact of diabetes comorbidity on hemorrhagic stroke outcomes and reveals the important pathological mechanisms underlying diabetes-induced exacerbation of ICH injury.
Diabetes Mellitus (DM) is a major comorbid condition that increases susceptibility to stroke. Intracerebral hemorrhage (ICH), a devastating type of stroke, accounts for only 13% of the total stroke cases but is associated with higher mortality. Multimorbid models of DM and ischemic stroke have been widely studied; however, fewer pieces of evidence are available on the impact of DM on the outcomes of ICH injury. In this study, we investigated the effect of DM on ICH-induced injury and cognitive impairments. Streptozotocin (STZ) induced type-I DM (T1DM) animal model was used, and experimental ICH was induced by intrastriatal injection of collagenase. Our results demonstrated that DM is associated with a significant increase in hematoma volume and deficits in post stroke locomotor, sensorimotor, and cognitive behavior in mice. The levels of neuroinflammation, oxidative/ nitrosative stress, and glial cell activation were also increased in the diabetic mice following ICH injury. This study provides a better understanding of the influence of DM comorbidity on hemorrhagic stroke outcomes and uncovers the important pathological mechanisms underlying DM-induced exacerbation of ICH injury.

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