P. Gressens et al., VASOACTIVE-INTESTINAL-PEPTIDE PREVENTS EXCITOTOXIC CELL-DEATH IN THE MURINE DEVELOPING BRAIN, The Journal of clinical investigation, 100(2), 1997, pp. 390-397
Excitotoxic damage may be a critical factor in the formation of brain
lesions associated with cerebral palsy. When injected at birth, the gl
utamatergic analog ibotenate induces mouse brain lesions that striking
ly mimic human microgyria. When ibotenate is injected at postnatal day
5, it produces transcortical necrosis and white matter cysts that mim
ic human perinatal hypoxic-like lesions. Vasoactive intestinal peptide
(VIP) has potent growth-related actions and neuroprotective propertie
s that influence mitosis and neuronal survival in culture. The goal of
this study was to assess the protective role of VIP against excitotox
ic lesions induced by ibotenate in developing mouse brain. VIP cotreat
ment reduced ibotenate-induced microgyric-like cortical lesions and wh
ite matter cysts by up to 77 and 85%, respectively. VIP protective eff
ects were reproduced by a peptide derived from activity-dependent neur
otrophic factor (ADNF), a trophic factor released by VIP-stimulated as
trocytes, and by stearyl norleucine VIP, a specific VIP agonist that d
oes not activate adenylate cyclase. Neither forskolin, an adenylate cy
clase activator, nor pituitary adenylate cyclase-activating peptide, p
rovided VIP-like protection. VIP and neurotrophic analogs, acting thro
ugh a cAMP-independent mechanism and inducing ADNF release, could repr
esent new avenues in the understanding and prevention of human cerebra
l palsy.