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Article Dans Une Revue Neurotherapeutics Année : 2023

Spatio-Temporal Characterization of Brain Inflammation in a Non-human Primate Stroke Model Mimicking Endovascular Thrombectomy

Guillaume Becker
Justine Debatisse
  • Fonction : Auteur
Margaux Rivière
  • Fonction : Auteur
Claire Crola Da Silva
  • Fonction : Auteur
Maude Beaudoin-Gobert
  • Fonction : Auteur
Omer Eker
Océane Wateau
  • Fonction : Auteur
Tae Hee Cho
  • Fonction : Auteur
  • PersonId : 918240
Nicolas Costes
Inès Mérida
  • Fonction : Auteur
Jérôme Redouté
  • Fonction : Auteur
Christelle Léon
  • Fonction : Auteur
Jean-Baptiste Langlois
  • Fonction : Auteur
Didier Le Bars
  • Fonction : Auteur
Sophie Lancelot
  • Fonction : Auteur
Norbert Nighoghossian
Laura Mechtouff
Emmanuelle Canet-Soulas
  • Fonction : Auteur

Résumé

Abstract Reperfusion therapies in acute ischemic stroke have demonstrated their efficacy in promoting clinical recovery. However, ischemia/reperfusion injury and related inflammation remain a major challenge in patient clinical management. We evaluated the spatio-temporal evolution of inflammation using sequential clinical [ 11 C]PK11195 PET-MRI in a non-human primate (NHP) stroke model mimicking endovascular thrombectomy (EVT) with a neuroprotective cyclosporine A (CsA) treatment. The NHP underwent a 110-min transient endovascular middle cerebral artery occlusion. We acquired [ 11 C]PK11195 dynamic PET-MR imaging at baseline, 7 and 30 days after intervention. Individual voxel-wise analysis was performed thanks to a baseline scan database. We quantified [ 11 C]PK11195 in anatomical regions and in lesioned areas defined on per-occlusion MR diffusion-weighted imaging and perfusion [ 15 O 2 ]H 2 OPET imaging. [ 11 C]PK11195 parametric maps showed a clear uptake overlapping the lesion core at D7, which further increased at D30. Voxel-wise analysis identified individuals with significant inflammation at D30, with voxels located within the most severe diffusion reduction area during occlusion, mainly in the putamen. The quantitative analysis revealed that thalamic inflammation lasted until D30 and was significantly reduced in the CsA-treated group compared to the placebo. In conclusion, we showed that chronic inflammation matched ADC decrease at occlusion time, a region exposed to an initial burst of damage-associated molecular patterns, in an NHP stroke model mimicking EVT. We described secondary thalamic inflammation and the protective effect of CsA in this region. We propose that major ADC drop in the putamen during occlusion may identify individuals who could benefit from early personalized treatment targeting inflammation.

Dates et versions

hal-04310907 , version 1 (27-11-2023)

Identifiants

Citer

Guillaume Becker, Justine Debatisse, Margaux Rivière, Claire Crola Da Silva, Maude Beaudoin-Gobert, et al.. Spatio-Temporal Characterization of Brain Inflammation in a Non-human Primate Stroke Model Mimicking Endovascular Thrombectomy. Neurotherapeutics, 2023, 20 (3), pp.789-802. ⟨10.1007/s13311-023-01368-2⟩. ⟨hal-04310907⟩
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