Retinoid X receptor boosts brain recovery after stroke in preclinical trial

A regulator of gene expression, retinoid X receptor (RXR), can boost scavenging cells in their mission to clear the brain of dead cells and debris after a stroke, thus limiting inflammation and improving recovery, according to preclinical research led by Jarek Aronowski, MD, Ph.D., of The University of Texas Health Science Center at Houston (UTHealth).

The discovery of RXR as a cleanup booster suggests that the molecule activating RXR could lead to discovery of a promising new therapeutic target. The study was published online this month in Stroke.

"RXR could enhance the cleanup and reduce the injury to brain tissue caused by the toxic byproducts created by an ischemic stroke," said Aronowski, professor in the Department of Neurology at McGovern Medical School at UTHealth. "This could be a clinically relevant target for improving recovery."

After a stroke, there is a buildup of dead cells and debris in the brain, a toxic environment that leads to damaging inflammation. Phagocytic immune cells, such as microglia and blood-derived macrophages, occur naturally in the body and act as toxic cleanup warriors. RXR appears to work by increasing potency of these warriors in combating the damaging effect of dead tissue while helping to boost brain repair.

In the trial, mice with an RXR gene selectively deleted in these immune cells had worsened late neurological recovery and developed larger brain atrophy compared to control mice. But mice who received bexarotene, a retinoid medication that activates RXR, showed improved neurological recovery and had reduced atrophy volume.