Disorders

Cerebral Diseases - 2019

Dr Pablo Miguel Casillas-Espinosa was the recipient of Brain Foundation grant funding in 2019

Cerebral Diseases

Cerebral Diseases
Sodium selenate – a novel treatment for stroke and post stroke epilepsy
Dr Pablo Miguel Casillas-Espinosa
Monash University, VIC
Co-Investigators : A/Professor Sandy Shultz

Project Summary:

Ischemic stroke is a common neurological condition that often results in debilitating lifelong consequences. One of the most severe, yet understudied consequence of stroke is the development of post-stroke epilepsy. Unfortunately, there is currently no intervention known to prevent the long-term neurological consequences of stroke.

Tau is a protein that plays a critical role in the normal function of the neurons. Tau undergoes phosphorylation and dephosphorylation changes that are tightly regulated by Protein phosphatase 2A (PP2A).

However, we have shown that in a number of neurodegenerative diseases, like traumatic brain injury, Alzheimer’s, Parkinson’s and epilepsy, PP2A dysfunction and tau its hyperphosphorylated. This hyperphosphorylation of tau creates aggregates of the protein which destabilise the structure and function of the neurons, promoting the development of brain diseases.

However, we have previously show that treatment with sodium selenate, which is a drug that improves the function of PP2A, helps to decrease the hyperphosphorylation of tau, to improve memory and mobility, but also prevents the development of epilepsy after traumatic brain injury.

We now have exciting preliminary data showing that tau is hyperphosphorylated and PP2A dysfunctions in a model of ischemic stroke. Based on these promising results, this project will now test the hypotheses that hyperphosphorylated tau and PP2A contribute to the brain damage and consequences of stroke. We will also evaluate if treatment with sodium selenate can prevent the brain damage, mobility impairments, chronic pain, anxiety, social dysfunction, depression, learning and memory deficits and epilepsy after stroke.

Sodium selenate treatment is already in clinical trials in other neurological conditions, thus this project has the strong potential to impact the medical management of stroke patients in the foreseeable future.

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