We tested the neuroprotective potential of neutrophil inhibitory facto
r (rNIF), a novel 41-kd recombinant glycoprotein derived from a hookwo
rm, in a model of focal cerebral ischemia in the rat. Male Wistar rats
were assigned to treatment with rNIF and vehicle. Middle cerebral art
ery occlusion (MCAO) for 2 hours was induced by insertion of an intral
uminal suture. Infusion of the drug was initiated at the onset of repe
rfusion. Infarct volume was determined 48 hours after reperfusion. Neu
trophils were measured within the ischemic tissue by myeloperoxidase (
MPG) staining. Treatment with rNIF resulted in a 48% reduction in cere
bral infarction compared with control animals (P < 0.01). Neutrophil a
ccumulation in the ischemic brains of rNIF-treated rats was reduced si
gnificantly (p < 0.01) compared with control animals. The number of ne
utrophils within the infaraed tissue correlated positively with the si
ze of the area of infarction (p < 0.001, r = 0.6) within representativ
e cerebral coronal sections. We demonstrated a significant neuroprotec
tive effect of rNIF with continuous treatment for 48 hours following 2
hours of MCAO. The neuroprotective effect was correlated with a reduc
ed number of neutrophils within the ischemic tissue. These results dem
onstrate potential therapeutic properties of rNIF in the management of
stroke.