Abstract
Cerebral ischemia, resulting from acute interruption of cerebral blood flow, is a leading cause of long-term cognitive and motor disabilities, and current therapeutic options remain limited. Decanoic acid, a medium-chain fatty acid with antioxidant and anti-inflammatory properties, has been proposed as a potential neuroprotective agent. This study evaluated the neuroprotective and metabolic effects of decanoic acid in a murine model of permanent middle cerebral artery occlusion (MCAO). Male mice received decanoic acid (62.5, 125, or 250 mg/kg, oral gavage) or vehicle for 7 days after MCAO. Infarct volume was quantified by TTC staining. Motor and cognitive performance were assessed using the Cylinder, Limb Clasping, Object Location, and Novel Object Recognition tests. Metabolomic profiling (HS/GC–MS) of cortical tissue was performed to characterize ischemia-induced metabolic disturbances and treatment-related modulation of lipid and energy metabolism. Oxidative stress markers, antioxidant enzyme activities, and inflammatory cytokines (ELISA) were also measured in brain tissue. Decanoic acid significantly reduced total infarct volume and improved motor coordination and memory performance. Metabolomic analysis revealed that DA modulated metabolites disrupted by ischemia, partially restoring lipid and aldehyde homeostasis. Furthermore, treatment decreased lipid peroxidation, enhanced antioxidant enzyme activities, and effectively reversed the ischemia-induced elevation of pro-inflammatory cytokines, thereby neutralizing the neuroinflammatory response. These findings suggest that decanoic acid may exert a coordinated regulatory effect, contributing to neuroprotection through the modulation of cerebral metabolic homeostasis and attenuation of oxidative and inflammatory stress, and supporting its potential as a therapeutic candidate for ischemic brain injury. GRAPHICAL ABSTRACT: [Image: see text] SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11011-026-01832-w.