PI3Kδ inhibition reduces TNF secretion and neuroinflammation in a mouse cerebral stroke model

Nat Commun. 2014 Mar 14:5:3450. doi: 10.1038/ncomms4450.

Abstract

Stroke is a major cause of death worldwide and the leading cause of permanent disability. Although reperfusion is currently used as treatment, the restoration of blood flow following ischaemia elicits a profound inflammatory response mediated by proinflammatory cytokines such as tumour necrosis factor (TNF), exacerbating tissue damage and worsening the outcomes for stroke patients. Phosphoinositide 3-kinase delta (PI3Kδ) controls intracellular TNF trafficking in macrophages and therefore represents a prospective target to limit neuroinflammation. Here we show that PI3Kδ inhibition confers protection in ischaemia/reperfusion models of stroke. In vitro, restoration of glucose supply following an episode of glucose deprivation potentiates TNF secretion from primary microglia-an effect that is sensitive to PI3Kδ inhibition. In vivo, transient middle cerebral artery occlusion and reperfusion in kinase-dead PI3Kδ (p110δ(D910A/D910A)) or wild-type mice pre- or post-treated with the PI3Kδ inhibitor CAL-101, leads to reduced TNF levels, decreased leukocyte infiltration, reduced infarct size and improved functional outcome. These data identify PI3Kδ as a potential therapeutic target in ischaemic stroke.

MeSH terms

  • Animals
  • Class I Phosphatidylinositol 3-Kinases
  • Disease Models, Animal
  • Inflammation / metabolism
  • Male
  • Mice
  • Phosphatidylinositol 3-Kinases / metabolism*
  • Stroke / enzymology*
  • Stroke / metabolism*
  • Tumor Necrosis Factor-alpha / metabolism*

Substances

  • Tumor Necrosis Factor-alpha
  • Class I Phosphatidylinositol 3-Kinases
  • Pik3cd protein, mouse