Abstract

The effect of tumor necrosis factor binding protein (TNFbp) was studied in mice subjected to a permanent middle cerebral artery occlusion (MCAO). TNFbp is a dimeric form of the type I soluble TNF receptor linked to polyethylene glycol (TNFbp), and binds and inhibits TNF- α. TNFbp produced a significant reduction in the cortical infarct volume (22.6±3.5 mm 3 immediately after MCAO; 25.2±2.4 mm 3 1 h after MCAO) compared with vehicle-treated animals (30.3±3.7 mm 3 immediately post MCAO; 31±3.7 mm 3 1 h after MCAO (mean±S.D.) when administered intracranially up to 60 min post-occlusion. The neuroprotective effect of TNFbp was sustained in mice for 2 weeks after MCAO. DNA fragmentation at the margin of the cortical infarcts was dramatically reduced in mice treated with TNFbp whereas all control animals showed consistent and obvious DNA fragmentation 2 weeks after MCAO. TNFbp could have therapeutic value for the treatment of ischemic stroke if the problem of delivery to brain can be overcome.

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