Triiodothyronine treatment in mice improves stroke outcome and reduces blood–brain barrier damage

Objective: Thyroid hormones control a variety of processes in the central nervous system and influence its response to different stimuli, such as ischemic stroke. Post-stroke administration of 3,3′,5-triiodo-L-thyronine (T3) has been reported to substantially improve outcomes, but the optimal dosage...

Full description

Saved in:
Bibliographic Details
Main Authors: Daniel Ullrich, Dagmar Führer, Heike Heuer, Steffen Mayerl, Steffen Haupeltshofer, Linda-Isabell Schmitt, Markus Leo, Rebecca D Szepanowski, Tim Hagenacker, Markus Schwaninger, Christoph Kleinschnitz, Friederike Langhauser
Format: Article
Language:English
Published: Bioscientifica 2025-02-01
Series:European Thyroid Journal
Subjects:
Online Access:https://etj.bioscientifica.com/view/journals/etj/14/1/ETJ-24-0143.xml
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823863623309590528
author Daniel Ullrich
Dagmar Führer
Heike Heuer
Steffen Mayerl
Steffen Haupeltshofer
Linda-Isabell Schmitt
Markus Leo
Rebecca D Szepanowski
Tim Hagenacker
Markus Schwaninger
Christoph Kleinschnitz
Friederike Langhauser
author_facet Daniel Ullrich
Dagmar Führer
Heike Heuer
Steffen Mayerl
Steffen Haupeltshofer
Linda-Isabell Schmitt
Markus Leo
Rebecca D Szepanowski
Tim Hagenacker
Markus Schwaninger
Christoph Kleinschnitz
Friederike Langhauser
author_sort Daniel Ullrich
collection DOAJ
description Objective: Thyroid hormones control a variety of processes in the central nervous system and influence its response to different stimuli, such as ischemic stroke. Post-stroke administration of 3,3′,5-triiodo-L-thyronine (T3) has been reported to substantially improve outcomes, but the optimal dosage and time window remain elusive. Methods: Stroke was induced in mice by transient middle cerebral artery occlusion (tMCAO), and T3 was administered at different doses and time points before and after stroke. Results: We demonstrated a dose-dependent protective effect of T3 reducing infarct volumes with an optimal T3 dosage of 25 μg/kg. In addition, we observed a time-dependent effectiveness that was most profound when T3 was administered 1 h after tMCAO (P < 0.001), with a gradual reduction in efficacy at 4.5 h (P = 0.066), and no reduction in infarct volumes when T3 was injected with an 8-h delay (P > 0.999). The protective effect of acute T3 treatment persisted for 72 h post-tMCAO (P < 0.01) and accelerated the recovery of motor function by day 3 (P < 0.05). In-depth investigations further revealed reduced cerebral edema and diminished blood–brain barrier leakage, indicated by reduced extravasation of Evans blue and diminished aquaporin-4 expression. Conclusion: Our findings suggest that T3 may be a promising intervention for ischemic stroke in the acute phase.
format Article
id doaj-art-a6a0b6ddf497428c843358ffd340a4a0
institution Kabale University
issn 2235-0802
language English
publishDate 2025-02-01
publisher Bioscientifica
record_format Article
series European Thyroid Journal
spelling doaj-art-a6a0b6ddf497428c843358ffd340a4a02025-02-09T12:03:46ZengBioscientificaEuropean Thyroid Journal2235-08022025-02-0114110.1530/ETJ-24-01431Triiodothyronine treatment in mice improves stroke outcome and reduces blood–brain barrier damageDaniel Ullrich0Dagmar Führer1Heike Heuer2Steffen Mayerl3Steffen Haupeltshofer4Linda-Isabell Schmitt5Markus Leo6Rebecca D Szepanowski7Tim Hagenacker8Markus Schwaninger9Christoph Kleinschnitz10Friederike Langhauser11Department of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, GermanyDepartment of Endocrinology, Diabetes and Metabolism, University Hospital Essen, University Duisburg-Essen, Essen, GermanyDepartment of Endocrinology, Diabetes and Metabolism, University Hospital Essen, University Duisburg-Essen, Essen, GermanyDepartment of Endocrinology, Diabetes and Metabolism, University Hospital Essen, University Duisburg-Essen, Essen, GermanyDepartment of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, GermanyDepartment of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, GermanyDepartment of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, GermanyDepartment of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, GermanyDepartment of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, GermanyInstitute of Experimental and Clinical Pharmacology and Toxicology, University of Lübeck, Lübeck, GermanyDepartment of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, GermanyDepartment of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, GermanyObjective: Thyroid hormones control a variety of processes in the central nervous system and influence its response to different stimuli, such as ischemic stroke. Post-stroke administration of 3,3′,5-triiodo-L-thyronine (T3) has been reported to substantially improve outcomes, but the optimal dosage and time window remain elusive. Methods: Stroke was induced in mice by transient middle cerebral artery occlusion (tMCAO), and T3 was administered at different doses and time points before and after stroke. Results: We demonstrated a dose-dependent protective effect of T3 reducing infarct volumes with an optimal T3 dosage of 25 μg/kg. In addition, we observed a time-dependent effectiveness that was most profound when T3 was administered 1 h after tMCAO (P < 0.001), with a gradual reduction in efficacy at 4.5 h (P = 0.066), and no reduction in infarct volumes when T3 was injected with an 8-h delay (P > 0.999). The protective effect of acute T3 treatment persisted for 72 h post-tMCAO (P < 0.01) and accelerated the recovery of motor function by day 3 (P < 0.05). In-depth investigations further revealed reduced cerebral edema and diminished blood–brain barrier leakage, indicated by reduced extravasation of Evans blue and diminished aquaporin-4 expression. Conclusion: Our findings suggest that T3 may be a promising intervention for ischemic stroke in the acute phase.https://etj.bioscientifica.com/view/journals/etj/14/1/ETJ-24-0143.xmlblood–brain barrierischemic stroketriiodothyroninet3tmcao
spellingShingle Daniel Ullrich
Dagmar Führer
Heike Heuer
Steffen Mayerl
Steffen Haupeltshofer
Linda-Isabell Schmitt
Markus Leo
Rebecca D Szepanowski
Tim Hagenacker
Markus Schwaninger
Christoph Kleinschnitz
Friederike Langhauser
Triiodothyronine treatment in mice improves stroke outcome and reduces blood–brain barrier damage
European Thyroid Journal
blood–brain barrier
ischemic stroke
triiodothyronine
t3
tmcao
title Triiodothyronine treatment in mice improves stroke outcome and reduces blood–brain barrier damage
title_full Triiodothyronine treatment in mice improves stroke outcome and reduces blood–brain barrier damage
title_fullStr Triiodothyronine treatment in mice improves stroke outcome and reduces blood–brain barrier damage
title_full_unstemmed Triiodothyronine treatment in mice improves stroke outcome and reduces blood–brain barrier damage
title_short Triiodothyronine treatment in mice improves stroke outcome and reduces blood–brain barrier damage
title_sort triiodothyronine treatment in mice improves stroke outcome and reduces blood brain barrier damage
topic blood–brain barrier
ischemic stroke
triiodothyronine
t3
tmcao
url https://etj.bioscientifica.com/view/journals/etj/14/1/ETJ-24-0143.xml
work_keys_str_mv AT danielullrich triiodothyroninetreatmentinmiceimprovesstrokeoutcomeandreducesbloodbrainbarrierdamage
AT dagmarfuhrer triiodothyroninetreatmentinmiceimprovesstrokeoutcomeandreducesbloodbrainbarrierdamage
AT heikeheuer triiodothyroninetreatmentinmiceimprovesstrokeoutcomeandreducesbloodbrainbarrierdamage
AT steffenmayerl triiodothyroninetreatmentinmiceimprovesstrokeoutcomeandreducesbloodbrainbarrierdamage
AT steffenhaupeltshofer triiodothyroninetreatmentinmiceimprovesstrokeoutcomeandreducesbloodbrainbarrierdamage
AT lindaisabellschmitt triiodothyroninetreatmentinmiceimprovesstrokeoutcomeandreducesbloodbrainbarrierdamage
AT markusleo triiodothyroninetreatmentinmiceimprovesstrokeoutcomeandreducesbloodbrainbarrierdamage
AT rebeccadszepanowski triiodothyroninetreatmentinmiceimprovesstrokeoutcomeandreducesbloodbrainbarrierdamage
AT timhagenacker triiodothyroninetreatmentinmiceimprovesstrokeoutcomeandreducesbloodbrainbarrierdamage
AT markusschwaninger triiodothyroninetreatmentinmiceimprovesstrokeoutcomeandreducesbloodbrainbarrierdamage
AT christophkleinschnitz triiodothyroninetreatmentinmiceimprovesstrokeoutcomeandreducesbloodbrainbarrierdamage
AT friederikelanghauser triiodothyroninetreatmentinmiceimprovesstrokeoutcomeandreducesbloodbrainbarrierdamage