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Article Open Access

Selective Epac2 antagonist attenuates cerebral infarction induced by secondary brain injury in rats

  • Authors:
    • Yuzo Kakei
    • Takahiro Igarashi
    • Ryuta Kajimoto
    • Katsunori Shijo
    • Hideki Oshima
    • Naoki Otani
    • Masatake Asano
    • Atsuo Yoshino
  • View Affiliations / Copyright

    Affiliations: Division of Neurosurgery, Department of Neurological Surgery, Nihon University School of Medicine, Tokyo 173‑8610, Japan, Department of Pathology, Nihon University School of Dentistry, Tokyo 101‑8310, Japan
    Copyright: © Kakei et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 172
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    Published online on: July 10, 2025
       https://doi.org/10.3892/etm.2025.12922
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Abstract

The impact of 1,3,5‑trimethyl‑2‑[(4‑methylphenyl)sulfonyl]‑benzene (ESI‑05), a specific antagonist of exchange protein directly activated by cyclic adenosine monophosphate 2 (Epac2), in mitigating secondary brain injury following cerebral hemorrhage and trauma has been established. However, to the best of our knowledge, the precise influence of ESI‑05 on apoptosis and cell death after cerebral infarction remains uncertain. The present study investigated the involvement of ESI‑05 in apoptosis and cell death using a rodent model of cerebral infarction induced by permanent middle cerebral artery (MCA) occlusion. Before permanent MCA occlusion, ESI‑05 was administered intraperitoneally at 8 mg/kg. Stroke volume, brain edema, and the levels of Epac2, phospho‑p38 and cleaved caspase 3 were evaluated. Apoptosis was detected by TUNEL staining. ESI‑05 administration reduced the infarct volume and water content, and reduced the levels of Epac2, phospho‑p38 and cleaved caspase 3 in the ischemic penumbra. Immunohistochemical staining confirmed that ESI‑05 attenuated apoptosis around the ischemic core. ESI‑05 administration reduced apoptosis and cell death around the ischemic core, resulting in amelioration of cerebral edema.
View Figures

Figure 1

Selective exchange protein directly
activated by cAMP 2 inhibitor (ESI-05) administration decreases
acute permanent cerebral infarcts in rats. (A) Control group. (B)
ESI-05 group. Brains were extracted 24 h after ischemia and
subjected to 2,3,5-triphenyltetrazolium chloride staining to
visualize live mitochondria during the sacrifice process. Necrotic
tissue was distinguished in all images by the lack of red staining,
signifying the presence of non-metabolically active mitochondria at
the time of sacrifice. (C-E) Quantification of lesion size in the
middle cerebral artery occlusion model. Effects of ESI-05 treatment
on (C) infarct volume (% indirect) and (D) brain water content in
the left cerebral hemisphere at 24 h after cerebral infarction. (E)
Effects of ESI-05 treatment on the neurological score 24 h after
ischemia. Sham, no data; control group, n=11; and ESI-05 group,
n=11. Data are presented as the mean ± standard deviation of the
mean for infarct volume and brain water content. Data are presented
as the median and interquartile range for neurological score.
*P<0.05, ***P<0.001. ESI-05,
1,3,5-trimethyl-2-[(4-methylphenyl)sulfonyl]-benzene.

Figure 2

Epac2 expression in the peri-infarct
area. (A) Increased numbers of Epac2-positive cells were observed
in the peri-infarct area in the control group. (B) However, fewer
Epac2-positive cells were found in the peri-infarct area in the
ESI-05 group. Sham group, no data; control group, n=2; and ESI-05
group, n=2. Scale bar, 50 µm (magnification, x200). (C) Epac2
expression in the peri-infarct region was assessed using western
blot analysis. Sham group, n=8; control group, n=8; and ESI-05
group, n=6. The ESI-05 group exhibited notably reduced Epac2
expression compared with the control group [F (2, 19)=18.9;
P<0.001]. *P<0.05, ***P<0.001.
Epac2, exchange protein directly activated by cyclic adenosine
monophosphate 2; ESI-05,
1,3,5-trimethyl-2-[(4-methylphenyl)sulfonyl]-benzene.

Figure 3

p38 MAPK signaling pathway in the
peri-infarct area. (A) Increased numbers of cleaved caspase
3-positive cells were observed in the peri-infarct area in the
control group. (B) Fewer cleaved caspase 3-positive cells were
found in the peri-infarct area in the ESI-05 group. Sham group, no
data; control group, n=2; and ESI-05 group, n=2. Scale bar, 20 µm
(magnification, x200). (C) Western blot images were derived from
separate regions of the same membrane, as indicated by the white
lines. (D) Cleaved caspase 3 levels in the peri-infarct region were
assessed using western blot analysis. Sham group, n=8; control
group, n=8; and ESI-05 group, n=6. The ESI-05 group exhibited
markedly reduced levels of cleaved caspase 3 compared with the
control group [F (2, 19)=31.3; P<0.001]. (E) Phospho-p38 MAPK
levels in the peri-infarct area were semi-quantified using western
blotting. Sham group, n=8; control group, n=8; and ESI-05 group,
n=6. The levels of phospho-p38 MAPK expression in the ESI-05 group
exhibited a statistically significant decrease compared with those
in the control group [F (2, 19)=35.7; P<0.001]. (F) Activation
levels of caspase 3 analyzed in terms of the ratio of cleaved
caspase 3 to total caspase 3. (G) Phosphorylation levels of p38
analyzed in terms of the ratio of P-p38 to total p38.
*P<0.05, **P<0.01,
***P<0.001. C-, cleaved; cas3, caspase 3; Epac2,
exchange protein directly activated by cyclic adenosine
monophosphate 2; ESI-05,
1,3,5-trimethyl-2-[(4-methylphenyl)sulfonyl]-benzene; P-,
phosphorylated.

Figure 4

Representative images of TUNEL and
FJC staining of brain tissue from the control and ESI-05-treated
offspring at 24 h. Sham group, no data; control group, n=2; and
ESI-05 group, n=2. TUNEL- and FJC-positive cells were decreased in
the brains of ESI-05-treated offspring at 24 h. Scale bar, 50 µm
(magnification, x200). ESI-05,
1,3,5-trimethyl-2-[(4-methylphenyl)sulfonyl]-benzene; FJC, fluoro
Jade C.
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Kakei Y, Igarashi T, Kajimoto R, Shijo K, Oshima H, Otani N, Asano M and Yoshino A: Selective Epac2 antagonist attenuates cerebral infarction induced by secondary brain injury in rats. Exp Ther Med 30: 172, 2025.
APA
Kakei, Y., Igarashi, T., Kajimoto, R., Shijo, K., Oshima, H., Otani, N. ... Yoshino, A. (2025). Selective Epac2 antagonist attenuates cerebral infarction induced by secondary brain injury in rats. Experimental and Therapeutic Medicine, 30, 172. https://doi.org/10.3892/etm.2025.12922
MLA
Kakei, Y., Igarashi, T., Kajimoto, R., Shijo, K., Oshima, H., Otani, N., Asano, M., Yoshino, A."Selective Epac2 antagonist attenuates cerebral infarction induced by secondary brain injury in rats". Experimental and Therapeutic Medicine 30.3 (2025): 172.
Chicago
Kakei, Y., Igarashi, T., Kajimoto, R., Shijo, K., Oshima, H., Otani, N., Asano, M., Yoshino, A."Selective Epac2 antagonist attenuates cerebral infarction induced by secondary brain injury in rats". Experimental and Therapeutic Medicine 30, no. 3 (2025): 172. https://doi.org/10.3892/etm.2025.12922
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Spandidos Publications style
Kakei Y, Igarashi T, Kajimoto R, Shijo K, Oshima H, Otani N, Asano M and Yoshino A: Selective Epac2 antagonist attenuates cerebral infarction induced by secondary brain injury in rats. Exp Ther Med 30: 172, 2025.
APA
Kakei, Y., Igarashi, T., Kajimoto, R., Shijo, K., Oshima, H., Otani, N. ... Yoshino, A. (2025). Selective Epac2 antagonist attenuates cerebral infarction induced by secondary brain injury in rats. Experimental and Therapeutic Medicine, 30, 172. https://doi.org/10.3892/etm.2025.12922
MLA
Kakei, Y., Igarashi, T., Kajimoto, R., Shijo, K., Oshima, H., Otani, N., Asano, M., Yoshino, A."Selective Epac2 antagonist attenuates cerebral infarction induced by secondary brain injury in rats". Experimental and Therapeutic Medicine 30.3 (2025): 172.
Chicago
Kakei, Y., Igarashi, T., Kajimoto, R., Shijo, K., Oshima, H., Otani, N., Asano, M., Yoshino, A."Selective Epac2 antagonist attenuates cerebral infarction induced by secondary brain injury in rats". Experimental and Therapeutic Medicine 30, no. 3 (2025): 172. https://doi.org/10.3892/etm.2025.12922
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