Abstract

The age-related reduction in circulating levels of insulin-like growth factor-1 (IGF-1) is associated with increased risk of stroke and neurodegenerative diseases in advanced age. Numerous reports highlight behavioral and physiological deficits in blood-brain barrier function and neurovascular communication when IGF-1 levels are low. Administration of exogenous IGF-1 reduces the extent of tissue damage and sensorimotor deficits in animal models of ischemic stroke, highlighting the critical role of IGF-1 as a regulator of neurovascular health. The beneficial effects of IGF-1 in the nervous system are often attributed to direct actions on neurons; however, glial cells and the cerebrovasculature are also modulated by IGF-1, and systemic reductions in circulating IGF-1 likely influence the viability and function of the entire neuro-glio-vascular unit. We recently observed that reduced IGF-1 led to impaired glutamate handling in astrocytes. Considering glutamate excitotoxicity is one of the main drivers of neurodegeneration following ischemic stroke, the age-related loss of IGF-1 may also compromise neural function indirectly by altering the function of supporting glia and vasculature. In this study, we assess and compare the effects of IGF-1 signaling on glutamate-induced toxicity and reactive oxygen species (ROS)-produced oxidative stress in primary neuron, astrocyte, and brain microvascular endothelial cell cultures. Our findings verify that neurons are highly susceptible to excitotoxicity, in comparison to astrocytes or endothelial cells, and that a prolonged reduction in IGFR activation increases the extent of toxicity. Moreover, prolonged IGFR inhibition increased the susceptibility of astrocytes to glutamate-induced toxicity and lessened their ability to protect neurons from excitotoxicity. Thus, IGF-1 promotes neuronal survival by acting directly on neurons and indirectly on astrocytes. Despite increased resistance to excitotoxic death, both astrocytes and cerebrovascular endothelial cells exhibit acute increases in glutamate-induced ROS production and mitochondrial dysfunction when IGFR is inhibited at the time of glutamate stimulation. Together these data highlight that each cell type within the neuro-glio-vascular unit differentially responds to stress when IGF-1 signaling was impaired. Therefore, the reductions in circulating IGF-1 observed in advanced age are likely detrimental to the health and function of the entire neuro-glio-vascular unit.

Highlights

  • Aging is a primary risk factor for a number of diseases and pathologies, including stroke, which is recognized as one of the leading causes of death and disability globally (Johnson et al, 2016; Benjamin et al, 2019)

  • Insulin-Like Growth Factor-1 Protects Against Excitotoxicity in Neurons

  • To determine if inhibition of insulin-like growth factor-1 (IGF-1) signaling differentially affects the glutamate sensitivity of cells within the neuro-gliovascular unit, cultures of neurons, astrocytes, and microvascular endothelial cells were established

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Summary

Introduction

Aging is a primary risk factor for a number of diseases and pathologies, including stroke, which is recognized as one of the leading causes of death and disability globally (Johnson et al, 2016; Benjamin et al, 2019). Ischemic stroke is devastating as the long-term phenotypic deficits in cognitive behavior and sensorimotor function build in the days following the insult, even if blood flow to the ischemic tissue is restored [as reviewed by George and Steinberg (2015)]. The most effective ischemic stroke therapy is fibrinolytic breakdown of the clot with administration of tissue plasminogen activator. This therapy is timerestricted and requires confirmation of ischemic vs hemorrhagic manifestation, which restricts clinical utility and has limited its use to around 5% of stroke patients each year (National Institute of Neurological Disorders and Stroke rt-Pa Stroke Study Group, 1995). Longitudinal observation-based clinical assessments have identified multiple possible biomarkers of stroke risk and severity, including insulin-like growth factor-1 (IGF-1), which may serve as a point of therapeutic intervention in the days surrounding insult (Katzan et al, 2000; California Acute Stroke Pilot Registry Investigators, 2005; Qureshi et al, 2005; Kleindorfer et al, 2008)

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