Abstract

Cognitive impairment is common after stroke, and disturbances in hippocampal function are often involved, even in remote non-hippocampal injuries. In terms of hippocampal function, growth hormone (GH) is known to affects plasticity and cognition. We aimed to investigate whether GH treatment after an experimental cortical stroke could enhance remote hippocampal plasticity and the hippocampal-dependent visual discrimination task. C57BL6 male mice were subjected to cortical photothrombotic stroke. Stroke mice were then treated with either saline or GH at 48 h after occlusion for 28 days. We assessed learning and memory using mouse touchscreen platform for the visual discrimination task. We also evaluated markers of neural progenitor cells, synaptic plasticity and cerebrovascular remodelling in the hippocampal formation. GH treatment significantly improved the performance on visual discrimination task after stroke. We observed a concomitant increased number of bromodeoxyuridine-positive cells in the dentate gyrus of the hippocampus. We also detected increased protein levels and density of doublecortin, a neuronal precursor cells marker, as well as glutamate receptor 1 (GLuR1), a synaptic marker. These findings provide further neurobiological evidence for how GH treatment could be used to promote hippocampal plasticity in a remote region from the initial cortical injury, and thus enhance cognitive recovery after stroke.

Highlights

  • Stroke leads to cognitive impairment partly due to the disruption of hippocampal function

  • We examined changes in the AMPA receptor subunit glutamate receptor 1 (GluR1), which plays an important role in synaptic plasticity

  • We found a significant increase in % correct rate in r-hGH–treated stroke mice compared with saline (F(1,18) = 7.402, p = 0.014), and a significant time effect (F(5,90) = 27.80, p < 0.0001)

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Summary

Introduction

Stroke leads to cognitive impairment partly due to the disruption of hippocampal function. Previous studies have suggested that ischemic stroke triggers increased proliferation of neural progenitor cells in the hippocampal subgranular zone [8,9,10,11,12,13,14], and the migration of these cells to the damaged areas [15,16,17,18] These potential self-repair mechanisms are thought to operate only for a restricted time period after stroke, with the number of newborn neurons being insufficient for full tissue repair and their existence being transitory [19]. Given that the capacity of this regenerative mechanism is limited, a therapeutic intervention that can stimulate neurogenesis and promote the integration of newborn neurons would be highly desirable to promote post-stroke recovery of cognition

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