Department of Pharmacology, Alma Mater Studiorum, University of Bologna, Via Irnerio 48-40126 Bologna, Italy.
J Neurol Sci. 2010 Mar 15;290(1-2):90-5. doi: 10.1016/j.jns.2009.10.023. Epub 2009 Nov 28.
The removal of pathologically generated free radicals produced during ischemia, reperfusion and intracranical hemorrhage seems to be a viable approach to neuroprotection. However, at present, no neuroprotective agent has proven effective in focal ischemic stroke phase III trials, despite the encouraging data in animal models. This study aimed to explore the effect of the brain penetrant low molecular weight radical scavenger bis(1-hydroxy-2,2,6,6-tetramethyl-4-piperidinyl)-decandioate (IAC) in neurological damage subsequent to ischemia-reperfusion injury in Mongolian gerbils. We examined the intraperitoneal effects of IAC on temporary bilateral common carotid artery occlusion (BCCO) by means of morphological and histological analysis of the hippocampus. Significant dose-dependent protective effects of IAC (1 to 10mg/kg b.w.) against neuropathological and morphological brain changes were seen when administered i.p. 1h before temporary BCCO in Mongolian gerbils. When administered up to 6h after BCCO, IAC actually reverses the neurodegenerative processes (e.g. hippocampal cell viability) induced by ischemia in a dose-dependent fashion. Data show that IAC is highly effective in protecting and preventing oxidative brain damage associated with cerebral flow disturbances. It is also effective even in late treatment of the insult, emphasizing its potential role for the management of ischemic stroke patients.
清除缺血、再灌注和颅内出血过程中产生的病理性自由基似乎是一种可行的神经保护方法。然而,目前,尽管动物模型中有令人鼓舞的数据,但没有一种神经保护剂在局灶性缺血性脑卒中 III 期临床试验中被证明是有效的。本研究旨在探讨具有脑穿透能力的低分子量自由基清除剂双(1-羟基-2,2,6,6-四甲基-4-哌啶基)癸二酸酯(IAC)对蒙古沙土鼠缺血再灌注损伤后继发神经损伤的影响。我们通过对海马体的形态和组织学分析,研究了 IAC 对腹腔内暂时性双侧颈总动脉闭塞(BCCO)的影响。结果显示,当 IAC 在蒙古沙土鼠暂时性 BCCO 前 1 小时腹腔内给药 1 至 10mg/kg 体重时,可显著剂量依赖性地减轻神经病理学和形态学脑改变,发挥保护作用。当在 BCCO 后 6 小时内给药时,IAC 实际上以剂量依赖性的方式逆转了缺血引起的神经退行性过程(如海马细胞活力)。这些数据表明,IAC 可有效保护和预防与脑血流紊乱相关的氧化脑损伤。即使在损伤的晚期治疗中,它也是有效的,强调了其在缺血性脑卒中患者管理中的潜在作用。