Please use this identifier to cite or link to this item: https://hdl.handle.net/10356/171757
Title: Clopidogrel administration impairs post-stroke learning and memory recovery in mice
Authors: Paul, Marina
Paul, Jonathan W.
Hinwood, Madeleine
Hood, Rebecca J.
Martin, Kristy
Abdolhoseini, Mahmoud
Johnson, Sarah J.
Pollack, Michael
Nilsson, Michael
Walker, Frederick R.
Keywords: Science::Medicine
Issue Date: 2023
Source: Paul, M., Paul, J. W., Hinwood, M., Hood, R. J., Martin, K., Abdolhoseini, M., Johnson, S. J., Pollack, M., Nilsson, M. & Walker, F. R. (2023). Clopidogrel administration impairs post-stroke learning and memory recovery in mice. International Journal of Molecular Sciences, 24(14), 11706-. https://dx.doi.org/10.3390/ijms241411706
Journal: International journal of molecular sciences 
Abstract: Clopidogrel, which is one of the most prescribed antiplatelet medications in the world, is given to stroke survivors for the prevention of secondary cardiovascular events. Clopidogrel exerts its antiplatelet activity via antagonism of the P2Y12 receptor (P2RY12). Although not widely known or considered during the initial clinical trials for clopidogrel, P2RY12 is also expressed on microglia, which are the brain's immune cells, where the receptor facilitates chemotactic migration toward sites of cellular damage. If microglial P2RY12 is blocked, microglia lose the ability to migrate to damaged sites and carry out essential repair processes. We aimed to investigate whether administering clopidogrel to mice post-stroke was associated with (i) impaired motor skills and cognitive recovery; (ii) physiological changes, such as survival rate and body weight; (iii) changes in the neurovascular unit, including blood vessels, microglia, and neurons; and (iv) changes in immune cells. Photothrombotic stroke (or sham surgery) was induced in adult male mice. From 24 h post-stroke, mice were treated daily for 14 days with either clopidogrel or a control. Cognitive performance (memory and learning) was assessed using a mouse touchscreen platform (paired associated learning task), while motor impairment was assessed using the cylinder task for paw asymmetry. On day 15, the mice were euthanized and their brains were collected for immunohistochemistry analysis. Clopidogrel administration significantly impaired learning and memory recovery, reduced mouse survival rates, and reduced body weight post-stroke. Furthermore, clopidogrel significantly increased vascular leakage, significantly increased the number and appearance of microglia, and significantly reduced the number of T cells within the peri-infarct region post-stroke. These data suggest that clopidogrel hampers cognitive performance post-stroke. This effect is potentially mediated by an increase in vascular permeability post-stroke, providing a pathway for clopidogrel to access the central nervous system, and thus, interfere in repair and recovery processes.
URI: https://hdl.handle.net/10356/171757
ISSN: 1661-6596
DOI: 10.3390/ijms241411706
Schools: Lee Kong Chian School of Medicine (LKCMedicine) 
Rights: © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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