Vascular endothelial growth factor induces contralesional corticobulbar plasticity and functional neurological recovery in the ischemic brain
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Vascular endothelial growth factor (VEGF) is a potent angiogenic factor, which also has neuroprotective activity. In view of these dual actions on vessels and neurons, we were interested whether VEGF promotes long distance axonal plasticity in the ischemic brain. Herein, we show that VEGF promotes neurological stroke recovery in mice when delivered in a delayed way starting 3 days after middle cerebral artery occlusion. Using anterograde tract-tracing experiments that we combined with histochemical and molecular biological studies, we demonstrate that although VEGF promoted angiogenesis predominantly in the ischemic hemisphere, pronounced axonal sprouting was induced by VEGF in the contralesional, but not the ipsilesional corticobulbar system. Corticobulbar plasticity was accompanied by the deactivation of the matrix metalloproteinase MMP9 in the lesioned hemisphere and the transient downregulation of the axonal growth inhibitors NG2 proteoglycan and brevican and the guidance molecules ephrin B1/2 in the contralesional hemisphere. The regulation of matrix proteinases, growth inhibitors, and guidance molecules offers insights how brain plasticity is controlled in the ischemic brain.
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Post-ischaemic endogenous plasticity partly compensates for loss of axons in target structures of damaged fibre bundles at various brain levels and spinal cord.
“Post-ischaemic endogenous plasticity partly compensates for the loss of axons in target structures of damaged fibre bundles at various levels of the brain (eg, red nucleus and facial nucleus) and spinal cord.12,19,24”
From Promoting brain remodelling and plasticity for stroke recovery: therapeutic promise and potential pitfalls of clinical translation (2012) · cites this paper as [24]
Terminal axonal sprouting is enhanced in both ipsilesional and contralesional pyramidal tract systems.
“Terminal axonal sprouting is enhanced in both the ipsilesional19,24 and the contra lesional12,19 pyramidal tract system.”
From Promoting brain remodelling and plasticity for stroke recovery: therapeutic promise and potential pitfalls of clinical translation (2012) · cites this paper as [24]
Neurorestorative treatments do not necessarily promote growth of terminal axons distal to injury, as shown after erythropoietin and VEGF.
“Importantly, neurorestorative treatments do not necessarily promote the growth of terminal axons distal to the site of injury, as was shown after delivery of the growth factors erythropoietin and vascular endothelial growth factor (VEGF).19,24”
From Promoting brain remodelling and plasticity for stroke recovery: therapeutic promise and potential pitfalls of clinical translation (2012) · cites this paper as [24]
Contralesional sprouting after growth factor treatment is associated with profound alterations of gene expression, including downregulation of axonal growth inhibitors and inflammatory signals near the contralesional pyramidal tract.
“Contralesional sprouting after treatment with growth factors is associated with profound alterations of gene expression, including the downregulation of axonal growth inhibitors19,24 and inflammatory signals19,31 in the vicinity of the contralesional pyramidal tract.”
From Promoting brain remodelling and plasticity for stroke recovery: therapeutic promise and potential pitfalls of clinical translation (2012) · cites this paper as [24]
Homologous fibres from the contralesional motor cortex grow across the midline to reach denervated neurons in target structures of the lesioned pyramidal tract.
“Instead, homologous fibres originating from the contralesional motor cortex grow out across the midline to reach denervated neurons in target structures of the lesioned pyramidal tract (figure 1).10–12,15,17,19,24”
From Promoting brain remodelling and plasticity for stroke recovery: therapeutic promise and potential pitfalls of clinical translation (2012) · cites this paper as [24]
Contralesional plasticity as a basis for neurological recovery occurs in several species, including rats, mice, and macaques.
“Contralesional plasticity as a basis for neurological recovery occurs in several species (eg, in rats,11,15,17 mice,12,19,24 and macaques32).”
From Promoting brain remodelling and plasticity for stroke recovery: therapeutic promise and potential pitfalls of clinical translation (2012) · cites this paper as [24]
Axonal growth responses are relatively uniform across different treatment types, with contralesional sprouting evident after growth factors, anti-NogoA antibodies, neurostimulants, and cell-based therapeutics.
“Importantly, axonal growth responses are relatively uniform for different types of treatment: contralesional sprouting was evident after delivery of growth factors,19,24 neutralising antibodies directed against the axonal growth inhibitor NogoA,11,17 neurostimulants (eg, amphetamine), 29 and cell-based therapeutics, namely bone-marrow-derived stromal cells12,30 or neural pre cursor cells.15”
From Promoting brain remodelling and plasticity for stroke recovery: therapeutic promise and potential pitfalls of clinical translation (2012) · cites this paper as [24]
This lesion-remote plasticity involves midline crossing of fibres from contralesional to ipsilesional hemisphere at the red nucleus and re-entry into contralesional hemicord at cervical spinal cord.
“This lesion-remote plasticity involves the midline crossing of fibres from the contralesional to the ipsilesional hemisphere at the level of the red nucleus10,17,19,24 and the re-entry of fibres into the contralesional hemicord at the level of the cervical spinal cord (figure 1).11,12,15”
From Promoting brain remodelling and plasticity for stroke recovery: therapeutic promise and potential pitfalls of clinical translation (2012) · cites this paper as [24]
Therapeutic interventions promoting axonal plasticity, such as VEGF or bone-marrow-derived stromal cells, further decrease proteoglycan levels.
“Therapeutic inter ventions promoting axonal plasticity, such as delivery of VEGF or bone-marrow-derived stromal cells, further decrease proteoglycan levels.24,65”
From Promoting brain remodelling and plasticity for stroke recovery: therapeutic promise and potential pitfalls of clinical translation (2012) · cites this paper as [24]
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Self-citation
- Authors
- Reitmeir, R., Kilic, E., Reinboth, B. S., Guo, Z., ElAli, A., Zechariah, A., Kilic, Ü., & Hermann, D. M.
- Affiliations
- Essen University Hospital (DE)
- Corresponding author
- Hermann, Dirk M.
- Venue
- Acta Neuropathologica
- Published
- 2011-11-23
- Volume
- 123
- Issue
- 2
- Pages
- 273-284
- ISSN
- 0001-6322 (ISSN-L)
- 1432-0533
- OpenAlex
- W2043535787
- Cited by
- 69
- References
- 37
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 2 · 2023: 5 · 2022: 4 · 2021: 3 · 2020: 5 · 2019: 2 · 2018: 3 · 2017: 6 · 2016: 7 · 2015: 1 · 2014: 11 · 2013: 9 · 2012: 4
- FWCI
- 8.10
- Type
- journal article
- Language
- en
- Update notices
- correction (2015-09-04)
- Open access
- green
- boris.unibe.ch
- Licence
- other-oa
- www.springer.com/tdm (tdm)
- Locations
- Acta Neuropathologica (publishedVersion)
- PubMed (publishedVersion)
- Bern Open Repository and Information System (University of Bern) (submittedVersion, other-oa)
- Open Access CRIS of the University of Bern
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Nerve injury and regeneration
- Life Sciences › Neuroscience › Developmental Neuroscience › Neurogenesis and neuroplasticity mechanisms
- Keywords
- vascular endothelial growth factor, stroke recovery, axonal sprouting, contralesional hemisphere, middle cerebral artery occlusion, ischemic brain, angiogenesis, MMP-9, NG2 proteoglycan, brevican, neuroplasticity
- MeSH terms
- Animals, Brain Ischemia, Disease Models, Animal, Male, Mice, Inbred C57BL, Motor Cortex, Neuronal Plasticity, Recovery of Function, Infarction, Middle Cerebral Artery, Vascular Endothelial Growth Factor A, Mice
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